Benefits are provided for well-child care services for covered dependents up to age 18. These services are not subject to the calendar year deductible. Benefits are only provided when an AHS State Network participating provider renders the services.
Well-newborn nursery care while a newborn is in the hospital after birth is covered at 100% of the allowable charge. Well-newborn nursery care includes room, board, and other normal care provided. Well-child physician office visits certain diagnostic tests, and immunizations are covered at 100% of the allowable charge.
The State and School Employees Health Insurance Management Board reserves the right to amend, reduce, or eliminate any part of the Plan?s Health & Wellness Guidelines at any time.