use disorder outpatient services / Substance use disorder inpatient services / health outpatient services / term in-network / retail& home delivery / state insurance department / medical transportation / inpatient services / retail / room services / excluded services / covered services / health inpatient services / /
MedicalCondition
Substance use disorder / diabetes / injury / medical equipment Hospice service No Charge No Charge No Charge Not Covered Not Covered Not Covered Substance use disorder / illness / /
MedicalTreatment
immunization / Cosmetic surgery / Chiropractic / surgery / /
Organization
Community Service Society of New York / U.S. Department of Health and Human Services / Employee Benefits Security Administration / SUNY / U.S. Department of Labor / Ded / Department of Labor’s Employee Benefits Security Administration / / /
Empire BlueCross Research Foundation For SUNY[removed]: Ded PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: [removed] – [removed]Coverage for: Individual/Family | Plan Ty