Sharing Limit

$125,00 per  illness

​

Sharing limit with CHM+

Unlimited covered amount per illness

​

​

Urgent Care / ER visit

Included

​

Hospitalization (in/out patient)

Included

​

Surgery (in and out patient)

Included

​

Doctor's Office/Specialist visits

Incident-related

​

Prescriptions

Incident-related

​

Physical therapy / Home Health care

Up to 45 visits per incident

​

Maternity

Unlimited coverage with CHM+

or $125,000 without CHM+

​

Alternative care

Not covered

Sharing Limit

$125,00 per  illness

​

Sharing limit with CHM+

An additional $100,000 per illness, per year, up to 1 million dollars

 

Urgent Care / ER visit

UC NOT Included, ER included

​

Hospitalization (in/out patient)

Included

​

Surgery in and out patient

Included

​

Doctor's Office/Specialist visits

NOT included

​

Prescriptions

NOT included

​

Physical therapy / Home Health care

NOT included

​

Maternity

Only hospital treatment (up to $125,000 per pregnancy) or up to $2,500 for midwife services per pregnancy

​

Alternative care

Not covered

Sharing Limit

$125,00 per  illness

​

Sharing limit with CHM+

An additional $100,000 per illness, per year, up to 1 million dollars

​

Urgent Care / ER visit

UC NOT Included, ER included

​

Hospitalization (in/out patient)

Included

​

Surgery in and out patient

Included

​

Doctor's Office/Specialist visits

NOT included

​

Prescriptions

NOT included

​

Physical therapy / Home Health care

NOT included

​

Maternity

Only hospital treatment (up to $125,000 per pregnancy) is eligible for sharing

​

 

Alternative345erst care

Not covered