retail / treatment of sexual dysfunction / source brand name contraceptive drugs/devices / Substance use disorder inpatient services / health outpatient services / obtained out-of-network / out-of network / state insurance department / medical transportation / inpatient services / implantable hearing devices / Substance use disorder outpatient services / room services / excluded services / covered services / health inpatient services / /
MedicalCondition
Substance use disorder / day limit Infertility / injury / illness / MS / Autism spectrum disorders / infertility / diabetes / cataract / /
MedicalTreatment
immunization / chiropractic / surgical treatment / surgery / investigational treatments / Physical therapy / Cosmetic surgery / occupational therapy / Home infusion therapy / vaccinations / speech therapy / cataract surgery / Bariatric surgery / /
Organization
U.S. Department of Health and Human Services / Employee Benefits Security Administration / Mesa Benefits Administration / FSA / U.S. Department of Labor / / /
Choice Plus Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: [removed]2014 Coverage for: Individual & Family | Plan Type: PPO