2021 Utah Marketplace Fact Sheet

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Utah Marketplace Fact Sheet Marketplace Counties: Why Choose Molina? Box Elder Cache Member Benefits Davis • NEW $0 deductible Silver and Bronze plans Iron Morgan • NEW copay driven plan designs for 2021! Rich Salt Lake • University of Utah now in network! Summit • Most robust hospital network in the Wasatch Front (MountainStar, Tooele Utah Steward Health, University of Utah) Wasatch • FREE 24/7 Teladoc virtual care services and 24-hour nurse advise line Washington Weber • FREE pediatric vision benefits include annual exam and frames/lenses • Urgent Care copays are the same as PCP visit copays on all plans • No referral required for specialist visits • Ability to set up reoccurring premium payments with autopay • Ability to choose your PCP at the time of enrollment Molina Healthcare has more than 40 • Mail Order Pharmacy benefit is available to all members years of experience providing quality Broker Benefits health care for those in need. We offer Marketplace plans in California, Florida, • Competitive commission rates including increased renewal commissions Michigan, Mississippi, New Mexico, • Improved new and renewal member bonus program Ohio, South Carolina, Texas, Utah, • One of the best Broker Support Units in the industry Washington, and Wisconsin. www.MolinaHealthcare.com • CARE Team can assist with member access to care, claims, and billing issues without member being on the line Adam Grimaldo, Broker Channel Manager – NM & UT Phone: (818) 428-9205 Email: [email protected] Utah Marketplace: Hospitals Intermountain Healthcare: Steward Health Care: • Bear River Valley Hospital • Davis Hospital & Medical Center • Cassia Regional Medical Center • Jordan Valley Medical Center • Cedar City Hospital • Jordan Valley Medical Center – West Valley Campus • Delta Community Hospital • Mountain Point Medical Center • Dixie Regional Medical Center • Salt Lake Regional Medical Center • Fillmore Community Hospital • Heber Valley Medical Center University of Utah: • Logan Regional Hospital • Huntsman Cancer Institute • Park City Medical Center • University of Utah Hospital • Primary Children’s Medical Center • University of Utah Neuropsychiatric Center • Riverton Hospital Children's Unit • University of Utah Orthopaedic Center • Sanpete Valley Hospital • Sevier Valley Hospital Others: • Beaver Valley Hospital MountainStar (HCA): • Central Valley Medical Center • Brigham City Community Hospital • Franklin County Medical Center • Cache Valley Hospital • Gunnison Valley Hospital • Lakeview Hospital • Highland Ridge Hospital • Lone Peak Hospital • Moab Regional Hospital • Mountain View Hospital • Mountain West Medical Center • Ogden Regional Medical Center • San Juan Hospital • St. Mark’s Hospital • Shriners Hospital for Children • Timpanogos Regional Hospital • South Davis Community Hospital • Utah State Hospital • Utah Valley Specialty Hospital Adam Grimaldo, Broker Channel Manager – NM & UT Phone: (818) 428-9205 Email: [email protected].

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The Weigh to Health® Program
The Weigh to Health® program The curriculum is the same at all participating Intermountain Healthcare facilities. These include: The Weigh to American Fork Hospital 801-855-3461 ® Cassia Regional Medical Center 208-677-6288 Intermountain Medical Center 801-507-3253 Health LDS Hospital 801-507-3253 LIFESTYLE & WEIGHT MANAGEMENT LiVe Well Center Salt Lake City 385-282-2700 PROGRAM LiVe Well Center St. George 435-251-3793 Logan Regional Medical Center 435-716-5310 McKay-Dee Hospital Center 801-387-7854 WHAT CAN Riverton Hospital 801-507-3253 ® TOSH - The Orthopedic Specialty Hospital 801-507-3253 The Weigh to Health program Utah Valley Regional Medical Center 801-357-8143 DO FOR YOU? Valley View Medical Center 435-868-5335 ® The Weigh to Health program can help you NUTRITION COUNSELING feel better every day. You’ll learn how to make Your insurance may also cover one-on-one nutrition changes in your life that will help you lose extra counseling with a registered dietitian for diet-related weight. Those same changes will also help you: conditions (separate from The Weigh to Health® program). No referral is necessary. SelectHealth members are • Have more energy eligible for five one-on-one outpatient visits per year at • Be more confident no cost. Nutrition counseling is offered at all the facilities • Reduce stress listed above, as well as: • Sleep better Alta View Hospital 801-507-3253 • Be more active Bear River Valley Hospital 435-716-5310 Delta Community Medical Center 435-864-5591 • Manage chronic health Fillmore Community Medical Center 435-743-5591 conditions Garfield Hospital 435-676-1258 Heber Valley Medical Center 435-657-4311 LiVe Well Center Park City 435-658-7880 Sanpete Valley Hospital 435-462-4620 Sevier Valley Hospital 435-893-0569 For more information visit www.intermountainhealthcare.org/nutrition © 2007 - 2013 Intermountain Healthcare and SelectHealth.
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Hospital Directory
EMPLOYER GROUP HOSPITAL DIRECTORY HEALTHYPREFERRED HEALTHYPREMIER LOGAN Cache Valley Hospital TREMONTON Logan Regional Hospital Bear River Valley Hospital SALT LAKE CITY University of Utah Hospital HEALTHYPREFERRED BRIGHAM CITY Huntsman Cancer Institute Brigham City Community Hospital University of Utah Orthopaedic Center Brigham City Community Hospital University of Utah Neuropsychiatric Center Cache Valley Hospital Primary Children’s Hospital Huntsman Cancer Institute OGDEN St. Mark’s Hospital Lakeview Hospital Ogden Regional Med Center Shriners Hospitals for Children Lone Peak Hospital LAYTON Salt Lake Regional Med Center Mountain View Hospital Davis Hospital & Med Center Ogden Regional Medical Center BOUNTIFUL Primary Children’s Hospital WEST VALLEY CITY Primary Children’s Unit - Riverton Jordan Valley Med Center - West Lakeview Hospital Primary Children’s Unit - Utah Valley PARK CITY Shriners Hospitals for Children WEST JORDAN Park City Hospital St. Mark’s Hospital Jordan Valley Med Center DRAPER VERNAL Timpanogos Regional Hospital Lone Peak Hospital Ashley Regional Med Center University of Utah Hospital TOOELE HEBER U of U Orthopaedic Center Mountain West Med Center Heber Valley Med Center U of U Neuropsychiatric Center RIVERTON OREM ROOSEVELT Timpanogos Regional Hospital Primary Children’s Unit Uintah Basin Med Center HEALTHYPREMIER at Riverton Hospital LEHI PAYSON Mountain Point Med Center Ashley Regional Med Center Mountain View Hospital Bear River Valley Hospital Beaver Valley Hospital PROVO Blue Mountain
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Network Considerations with the Advantage Network You Get Care at Hospitals and Generally Pay Similar Prices from One to Another
Introduction Network Considerations With the Advantage network you get care at hospitals and generally pay similar prices from one to another. With the Summit network, some services are available only at hospitals, while others are also available at surgical or imaging centers with prices varying from one facility to the next. With both networks you get access to doctors’ offices, where prices can vary. The Summit network also provides rebates for certain procedures; see Benefits Summary. ADVANTAGE Price estimates for Intermountain Healthcare hospitals Procedure Doctor’s Office Surgery/Imaging Center Hospital Hysteroscopy $567 Not Available $4,165-5,858 Colonoscopy $653 Not Available $1,100-2,225 MRI of Head $536 Not Available $1,931-2,638 Knee Arthroscopy Not Available Not Available $3,279-8,373 Knee Replacement Not Available Not Available $31,485-33,289 SUMMIT Price ranges for IASIS, MountainStar, University of Utah, surgical centers, imaging centers Procedure Doctor’s Office Surgery/Imaging Center Hospital Hysteroscopy $507-567 $1,209-1,638 $3,721-9,532 Colonoscopy $653 $645-1,456 $1,284-2,728 MRI of Head $536 $550 $1,179-1,890 Knee Arthroscopy Not Available $851-1,489 $2,287-7,059 Knee Replacement Not Available $12,800-20,000 $23,961-36,815 *For illustrative purposes only. Based on PEHP average-cost data from April 2017. Costs may vary. Estimates shown reflect the total cost — not necessarily your portion of the cost. Live in Rural Utah? If so, consider which group of Wasatch Front providers you prefer when you choose your network. In addition to any personal preference or need for network- specific care, consider whether your local hospital and doctors are more likely to refer you to specialty care from Advantage (Intermountain) or Summit (University, Iasis, or MountainStar) providers and where emergency transport would most likely send you.
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Individual & Family Plans
INDIVIDUAL & FAMILY PLANS INDIVIDUAL & FAMILY PLANS uhealthplan.utah.edu 801-587-6480 MORE THAN INSURANCE. THIS IS PERSONAL. Rev. 10/2017 HEALTHY PREMIER HOSPITAL DIRECTORY INDIVIDUAL HEALTHY PREFERRED HOSPITALS LOGAN Cache Valley Hospital TREMONTON Logan Regional Hospital Bear River Valley Hospital & FAMILY PLANS SALT LAKE CITY BRIGHAM CITY University of Utah Hospital Huntsman Cancer Institute Brigham City Community Hospital University of Utah Orthopaedic Center University of Utah Neuropsychiatric Center OGDEN Primary Children’s Hospital Ogden Regional Med Center St. Mark’s Hospital BOUNTIFUL Lakeview Hospital PARK CITY DRAPER Park City Med Center VERNAL Lone Peak Hospital Ashley Regional Med Center TOOELE HEBER University of Utah Health Plans was formed in Mountain West Med Center Heber Valley Memorial PROVIDER OREM ROOSEVELT 1998 as a strategic initiative of University of Utah RIVERTON Timpanogos Regional Hospital Uintah Basin Med Center Primary Children’s Hospital Unit Health. We are committed to improving the NETWORKS PAYSON U of U Health Plans offers the Healthy Mountain View Hospital member experience, quality of care, health of Preferred network in Salt Lake, Davis and populations, and reducing the cost of care. We Utah counties, and the Healthy Premier NEPHI Central Valley Med Center currently serve members in the Mountain West network in all other counties. PRICE MOUNT PLEASANT Castleview Hospital specializing in the health plan administration of Sanpete Valley Hospital DELTA medical, mental health, and pharmacy benefits. Delta Community Hospital GUNNISON 14 HOSPITALS 6,000+ PROVIDERS Gunnison Valley Hospital STATEWIDE One of the Wasatch Front's largest provider FILLMORE Fillmore Community Hospital COVERAGE networks providing access to U of U Health, RICHFIELD MountainStar Healthcare and many other Sevier Valley Hospital Our plans are designed to cover essential health benefits MOAB local, award-winning hospitals and providers.
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Community Resources
Community Resources Bear River (Cache, Box Elder and Rich counties) WIC Clinics Hospitals/Clinics WIC 817 West 950 South Brigham City Community Hospital MSH Brigham City, UT 84302 950 South Medical Drive (435)734-0845 Brigham City, UT 84302 (435)734-4136 Labor & Delivery WIC Prenatal class with BF component 655 East 1300 North Inpatient breastfeeding assistance Logan, UT 84341 (435)792-6451 Budge Clinic IHC 1350 North 500 East WIC Logan, UT 84341 275 North Main Street (435)752-0422 Randolph, UT 84064 (435)716-1920 OB/GYN Clinic (435)793-2445 Referral to Logan Regional Hospital WIC Logan Regional Hospital IHC 125 South 100 West 500 East 1400 North Tremonton, UT 84337 Logan, UT 84341 (435)257-3318 (435)752-0422 Women and Newborn Center (435)716-2560 Lactation Pump Rentals/Breastfeeding Supplies (435)716-2560 Rental Station & Retail Store Mon-Fri: 8:30 am- 5:00 pm (closed 12:30-1:30) Cache Valley Oxygen Prenatal breastfeeding classes: $15/couple, 3rd Fri 1395 North 500 East, Suite A Post partum breastfeeding consult: $35/hour Logan, UT 84341 (435)752-2227 IBCLCs on staff Rents Medela pumps Pumps and pump parts, Bobby pillows, milk storage supplies, comfort gel pads, bras, bra Intermountain Healthcare Home Care fitting service, many other supplies 1400 North 550 East Guest speakers available Logan, UT 84341 (435)716-5305 Bear River Valley Hospital IHC Rents Ameda pumps 905 North 1000 West Tremonton, UT 84337 Other Community Resources (435)207-4681 labor and delivery Referral to Logan Regional Medical Center La Leche League of Box Elder County Inpatient assessment, BF assistance Jenny (435) 257-4650 Electric pump for in hospital use Sara (435) 723-5488 La Leche League of Logan Aneesa (435) 554-8667, [email protected] Elizabeth [email protected] Central Utah (Juab, Millard, San Pete, Sevier, Piute, and Wayne counties) Hospitals/Clinics WIC Clinics Delta Community Medical Center IHC WIC 126 South White Sage Avenue 428 East Topaz Boulevard, Ste.
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Healthy U Table of Contents
Healthy U Table of Contents GENERAL INFORMATION ..................................................................................................................................................... 3 WELCOME ........................................................................................................................................................................... 4 BIENVENIDOS ...................................................................................................................................................................... 7 UNIVERSITY OF UTAH HEALTH PLANS CONTRACTING CRITERIA ........................................................................................... 9 PARTICIPATING FACILITIES & ANCILLARY SERVICES ........................................................................................................... 10 HOSPITALS ................................................................................................................................................................................ 10 HOSPITALS, LONG TERM ACUTE CARE (LTAC) ................................................................................................................................. 11 URGENT CARE CENTERS ............................................................................................................................................................... 11 PUBLIC HEALTH CENTERS / CLINICS ...............................................................................................................................................
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Summit Advantage
Medical Networks Advantage Summit Intermountain Healthcare (IHC) Steward Health, MountainStar, providers and facilities. You can also and University of Utah Health Care see Summit providers on the Advantage providers and facilities. You can also see network, but your benefits will pay less. Advantage providers on the Summit network, but your benefits will pay less. Participating Hospitals Beaver County Salt Lake County (cont.) Beaver Valley Hospital Primary Children’s Medical Center Participating Hospitals Milford Valley Memorial Hospital Riverton Hospital Beaver County Salt Lake County (cont.) Box Elder County San Juan County Beaver Valley Hospital Primary Children’s Medical Center Bear River Valley Hospital Blue Mountain Hospital Milford Valley Memorial Hospital St. Marks Hospital Salt Lake Regional Medical Center San Juan Hospital Box Elder County Cache County University of Utah Hospital Bear River Valley Hospital Logan Regional Hospital Sanpete County University Orthopaedic Center Brigham City Community Hospital Gunnison Valley Hospital Carbon County San Juan County Sanpete Valley Hospital Cache County Castleview Hospital Blue Mountain Hospital Cache Valley Hospital Sevier County San Juan Hospital Davis County Logan Regional Hospital Davis Hospital Sevier Valley Hospital Sanpete County Carbon County Intermountain Layton Hospital Gunnison Valley Hospital Summit County Castleview Hospital Duchesne County Park City Medical Center Sanpete Valley Hospital Davis County Uintah Basin Medical Center Sevier County Tooele County Lakeview Hospital
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PEHP Medical Networks
PEHP Medical Networks PEHP Medical Networks Find Participating Providers at www.pehp.org PEHP Advantage 36 PARTICIPATING HOSPITALS, 8,000+ PARTICIPATING PROVIDERS Network consists of predominantly Intermountain Healthcare (IHC) providers and facilities. Beaver County Davis County Juab County Salt Lake County (cont) Summit County Wasatch County Beaver Valley Hospital Davis Hospital Central Valley Medical Center Primary Children’s Medical Center Park City Medical Center Heber Valley Medical Center Milford Valley Memorial Hospital Intermountain Layton Hospital Riverton Hospital Kane County Tooele County Washington County Box Elder County Duchesne County Kane County Hospital San Juan County Mountain West Medical Center St. George Regional Medical Center Bear River Valley Hospital Uintah Basin Medical Center Blue Mountain Hospital Millard County Uintah County Weber County San Juan Hospital Cache County Garfield County Delta Community Hospital Ashley Valley Medical Center McKay-Dee Hospital Logan Regional Hospital Garfield Memorial Hospital Fillmore Community Hospital Sanpete County Utah County Gunnison Valley Hospital Carbon County Grand County Salt Lake County American Fork Hospital Sanpete Valley Hospital Castleview Hospital Moab Regional Hospital Alta View Hospital Orem Community Hospital Intermountain Medical Center Sevier County Spanish Fork Hospital Iron County The Orthopedic Specialty Hospital (TOSH) Sevier Valley Hospital Utah Valley Hospital Cedar City Hospital LDS Hospital PEHP Summit 40 PARTICIPATING HOSPITALS, 8,000+ PARTICIPATING PROVIDERS Network consists of predominantly Steward Health, MountainStar, and University of Utah hospitals & clinics providers and facilities. Beaver County Davis County Juab County Salt Lake County (cont) Sevier County Wasatch County Beaver Valley Hospital Davis Hospital Central Valley Medical Center Primary Children’s Medical Center Sevier Valley Hospital Heber Valley Medical Center Milford Valley Memorial Hospital Lakeview Hospital Riverton Children’s Unit Kane County Summit County Washington County St.
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PEHP Preferred Medical Network
Medical Network PEHP Preferred Medical Network The PEHP Preferred Care network of providers consists of providers and facilities from Intermountain Healthcare (IHC), Steward Health, MountainStar, and University of Utah Health Care hospitals & clinics. It includes 52 participating hospitals and more than 12,000 participating providers. Participating Hospitals Beaver County Kane County Sevier County Beaver Valley Hospital Kane County Hospital Sevier Valley Hospital Milford Valley Memorial Hospital Millard County Summit County Box Elder County Delta Community Hospital Park City Medical Center Bear River Valley Hospital Fillmore Community Hospital Tooele County Brigham City Community Hospital Salt Lake County Mountain West Medical Center Cache County Alta View Hospital Uintah County Cache Valley Hospital Intermountain Medical Center Ashley Regional Medical Center Logan Regional Hospital Huntsman Cancer Hospital Utah County Carbon County Jordan Valley Hospital American Fork Hospital Castleview Hospital Jordan Valley Hospital - West LDS Hospital Mountain View Hospital Davis County Lone Peak Hospital Mountain Point Medical Center Davis Hospital Primary Children’s Medical Center Orem Community Hospital Lakeview Hospital Riverton Hospital Spanish Fork Hospital – coming 4/21 Intermountain Layton Hospital Primary Children’s Hospital - Riverton Timpanogos Regional Hospital Duchesne County St. Marks Hospital Utah Valley Hospital Uintah Basin Medical Center Salt Lake Regional Medical Center Wasatch County The Orthopedic Specialty Hospital (TOSH) Garfield
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Intermountain Healthcare 2016 Implementation Plan for 2017 – 2019
Intermountain Sevier Valley Hospital Implementation Plan 2017 – 2019 Sevier Valley Hospital 1000 North Main Street Richfield, UT 84701 Intermountain Sevier Valley Hospital Implementation Plan 1 Table of Contents Summary 3 Implementation Planning 4 Community Health Improvement Initiatives 5 Evaluation 7 Resources for Community Health Improvement Initiatives 8 Other Needs Identified 8 Conclusion 9 Acknowledgement 9 Appendix A 10 Appendix B 14 Intermountain Sevier Valley Hospital Implementation Plan 2 Summary Intermountain Healthcare created a system-wide planning process to be used by each of its hospitals to address the health priority identified in the Community Health Needs Assessment (CHNA) to further its mission of helping people live the healthiest lives possible.® This implementation plan, a companion to the CHNA Report, outlines the community health improvement initiatives Intermountain Sevier Valley Hospital will implement over the next several years. The Patient Protection and Affordable Care Act (ACA) requires each not-for-profit hospital to conduct a CHNA every three years to identify significant health needs in the community, report impact of previous community health improvement initiatives, and to develop an implementation plan to address and measure community health improvement activities created to address the significant health need. Sevier Valley Hospital and Intermountain report compliance with the requirements on the IRS Form 990 Schedule H annually. Intermountain created CHNA reports and implementation plans for each of its 221 hospitals to make the documents publicly available. Sevier Valley Hospital completed the CHNA in collaboration with the Central Utah Public Health Department and the Utah Department of Health to identify health indicators, gather and analyze data, and prioritize the indicators to determine the significant health needs to address over the next several years.
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Participating Hospitals - Effective July 2021 for AARP® Medicare Select Plans
Utah Resident Directory Participating Hospitals - Effective July 2021 For AARP® Medicare Select Plans Utah Beaver County Iron County Salt Lake County Beaver Valley Hospital Cedar City Hospital (Continued) 1109 North 100 West 1303 North Main Street Intermountain Medical Center Beaver, UT 84713 Cedar City, UT 84721 5121 South Cottonwood Street (435) 438-7100 (435) 868-5000 Murray, UT 84107 Milford Valley Memorial Hospital Juab County (801) 507-7000 850 North Main Street Central Valley Medical Center Jordan Valley Medical Center** Milford, UT 84751 48 West 1500 North 3460 South 4155 West (435) 387-2411 Nephi, UT 84648 West Jordan, UT 84088 Box Elder County (435) 623-3000 (801) 561-8888 Bear River Valley Hospital Kane County Jordan Valley Medical Center West Valley Campus** 905 North 1000 West Kane County Hospital 3460 Pioneer Parkway Tremonton, UT 84337 355 North Main Street West Valley City, UT 84120 (435) 207-4500 Kanab, UT 84741 (801) 964-3100 Cache County (435) 644-5811 LDS Hospital Logan Regional Hospital Millard County Eighth Avenue and C Street 500 East 1400 North Delta Community Medical Center Salt Lake City, UT 84143 Logan, UT 84341 126 South White Sage Avenue (801) 408-1100 (435) 716-1000 Delta, UT 84624 Riverton Hospital (435) 864-5591 Davis County 3741 West 12600 South Davis Hospital and Medical Center** Fillmore Community Riverton, UT 84065 1600 West Antelope Drive Medical Center (801) 285-4000 Layton, UT 84041 674 South Highway 99 Salt Lake Regional Medical (801) 807-1000 Fillmore, UT 84631 Center** (435) 743-5591 Layton Hospital
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FINANCIAL ASSISTANCE POLICY IHC Health Services, Inc
FINANCIAL ASSISTANCE POLICY POLICY STATEMENT IHC Health services, Inc. (Intermountain) provides care to patients unable to pay. A range of discounts based on financial needs and income levels are offered. Intermountain recognizes its responsibility to fairly distribute and manage the cost of health care, while ensuring that financial assistance is offered to those in need in our communities. Intermountain meets that responsibility by asking those who can pay to do so, and by ensuring that the Financial Assistance policies incentivize people to maintain their healthcare insurance coverage and to seek care at the most appropriate delivery site. SCOPE All Intermountain Healthcare Hospitals participate in this policy, namely; Alta View Hospital, American Fork Hospital, Bear River Hospital, Cassia Regional Medical Center, Delta Community Hospital, Dixie Regional Medical Center, Fillmore Community Hospital, Garfield Memorial Hospital, Heber Valley Medical Center, Intermountain Medical Center, LDS Hospital, Logan Regional Hospital, McKay-Dee Hospital, Orem Community Hospital, Park City Medical Center, Primary Children’s Hospital, Intermountain Rehab Services, Riverton Hospital, Sanpete Valley Hospital, Sevier Valley Hospital, The Orthopedic Specialty Hospital (TOSH), Utah Valley Regional Medical Center, and Valley View Medical Center. DEFINITIONS Financial Assistance - Care provided to patients with financial need who are granted partial or full forgiveness of their financial obligation based on Intermountain’s Financial Assistance Policy. Medically Necessary - Medical services for urgent and emergent conditions, for serious illness, or for attempting to rule out serious illness. Generally Available - Services for basic diagnostic or therapeutic care generally performed by local providers. Highly specialized, elective, or extraordinary services (such as transplants) are not typically provided, nor are cosmetic services or other services not generally covered by most insurance policies.
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