Microsoft word - wmhip versatile 1 ppo, rx1, hearing, pkg 001 080912f
Versatile 1 PPO, RX1, Hearing Benefits-at-a-Glance Western Michigan Health Insurance Pool Group Number: 71565 Package Code(s):001 Section Code(s):1000, 1100 In-Network Out-of-Network Deductible, Copays/Coinsurance and Dollar Maximums Deductible - per calendar year Copays/Coinsurance 30% Note : Services without a network are covered at the in-network level. O