After a $100.00 deductible per calendar year, the following benefits are paid up to a lifetime maximum of $88,100.00:

Allergy Testing & Injections 80%

Ambulance Transportation in Emergency 80%

Anesthesia 80%

Appliances/Braces/Trusses 80%

Cardiac/Pulmonary Rehabilitation 80%

Chemotherapy/Radiation Therapy for cancer 80%

Colostomy Bags 50% reimbursement

Dental Care required due to accidental injury 80%

Diagnostic Testing (outpatient lab, x-ray, etc.) 80%

Dialysis 80%

Eye Exam (routine) $40.00 once per year

Flu Shots 80%

Hearing Aids (hearing loss must be greater than 35 dB) 80% to maximum of $300.00 per item (renewable after 5 years)

Hearing Test (must be under physician supervision) 80%

Home Health Care 80%

Hospice - Home Care Covered under Home Health Care

Inpatient Respite Care 80%

Hospital:

Inpatient (must be pre-certified with Health Cost Consultants) 80% at semi-private rate
Outpatient 80%

Injections 80% (purchased through pharmacy program) (Call EHO 1-800-650-1817)

Lab & X-ray Professional Fees when confined as a hospital inpatient 80%

Magnetic Resonance Imaging (MRI) 80%

Mammogram (screening) 80% (one per year)

Oxygen - when ordered by a physician for patients who meet medical necessity guidelines 80% to a maximum of $3,000.00 per calendar year

Penile Erection Device (external) 75%

Penile Implant 80%

Physical Therapy 80% up to 15 treatments per calendar year

Physician Services: (office visits, hospital visits, surgery, podiatry, etc.) 80% in-network

Prescription Medications (must be FDA approved) 80%

Preventive Services (routine physicals, immunizations) 80%

Prosthetics: artificial limb 80%

Breast prosthesis 80%

Psychiatric & Substance Abuse Treatment
Inpatient: 80%
Outpatient: 65%

Scans 80%

Sterilization (Surgical) 80%

Stress Tests (including Thallium Stress Test) 80%

Transplantation of Vital Organs 80%

(1) Chiropractic care