| Insurance Plan Highlights |
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Foundation Hospital Care, an inpatient-only Preferred Provider Health Insurance Plan, offers you and your family:
- Choice of inpatient providers and hospitals (out-of-network covered at a lower level of benefit)
- Lifetime maximum coverage of up to $2 million per person after deductible, copay and coinsurance
- Calendar year deductible of $5,000 individual and $15,000 family for in-network services
- Calendar year out-of-pocket maximums of up to $5,000 individual and $15,000 family for in-network services
- Emergency care coinsurance of 20 percent of the allowable amount after deductible and copay (in-network and out-of-network hospital charges within 48 hours of admittance are covered; physician charges are not covered)
- In-network medical expenses coinsurance of 20 percent of the allowable amount after deductible
- Human organ transplant benefits of $300,000 lifetime maximum after deductible, copay and coinsurance
- Virtually 24-hour worldwide emergency care through BlueCard Worldwide
- Virtually nationwide emergency and non-emergency care through BlueCard PPO
Insurance Plan Details
* Texas Department of Insurance Form: PPO-In Hospital-OLC-1
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