use disorder outpatient services / medical transportation medical attention / use disorder inpatient services / state insurance department / retail pharmacy / inpatient services / chiropractor services / room services / excluded services / covered services / health inpatient services / /
MedicalCondition
Not Covered No Charge No Charge No Charge Substance use disorder / Substance use disorder / diabetes / injury / illness / /
MedicalTreatment
immunization / Acupuncture / surgery / Bariatric Surgery / /
Organization
U.S. Department of Health and Human Services / U.S. Department of Labor / Ohio Department of Insurance / Department of Labor's Employee Benefits Security Administration / Medicare / / /
Coverage Period: [removed]2014 Coverage for: Individual / Family | Plan Type: HMO The out-of-pocket limit is the most you could pay during a coverage period (usually one year) for your share of the cost of covere