| Subparts of part 2740.9964 |
Other than Medicare Supplement Plans Name |
| 1. | Hospital room and board |
| 2. | Hospital extras |
| 3. | Surgery |
| 4. | Home and office physician care |
| 5. | In-hospital physician care |
| 6. | Maternity |
| 7. | Diagnostic X-ray and laboratory |
| 8. | Drugs and medicine |
| 9. | Radioactive therapy |
| 10. | Nursing or convalescent - home care |
| 11. | Home health care agency service |
| 12. | Physical therapy |
| 12. | Oxygen |
| 12. | Prostheses |
| 12. | Durable medical equipment |
| 12. | Second opinion surgery |
| 12. | Home care nursing |
| 12. | Ambulance |
| 13. | Hospital room and board in full |
| 14. | All hospital charges in full |
| 15. | Major medical maximums |
| 16. | Coinsurance and deductibles |
| 17. | Combined dental and health insurance deductible |
| 18. | Coordination and nonduplication of benefits |
| 19. | Limit on "out-of-pocket" expenses |
| 20. | Well baby care |
| 21. | Emergency and supplement accident |
| 22. | Student dependents |
| 23. | Superimposed major medical |
| 24. | Superimposed major medical |
| 25. | Superimposed major medical |
MS s 62E.09
10 SR 474; L 2014 c 291 art 9 s 5
August 12, 2014
Official Publication of the State of Minnesota
Revisor of Statutes