1No cost-sharing for covered medical expenses incurred for the treatment of hypertension, diabetes, and pre-cervical cancer with UHS and in-network providers.
2If services are rendered with a non-network provider, SHIP covers 50% of the usual and customary charge after the deductible is met. Members are responsible for all costs over the usual and customary charge.
3Subject to the $450 deductible (once per plan year).
4If services are rendered with a non-network provider, SHIP covers 100% of the usual and customary...