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Comparison of proposed plan to Bid Specifications: Calendar year deductible: None. THP has No Deductibles. Room and Board Allowance: Benefit Plan A-2: Semi-Private rooms are covered in full Benefit Plan A-5: Semi-Private rooms subject to a $50 per day co-payment. EMPLOYEE ONLY: $250 maximum copayment per year. EMPLOYEE & DEPENDENTS: $250 maximum copayment per Hospitalization with $500 maximum co- payment per Calendar Year per family. Other miscellaneous Hospital services. such as Operating Room charges, Physican fees. Medications. Intensive Care are covered in full. Coinsurance: Maximum Out-of-Pocket: None. THP has no routine coinsurances. except in the areas of inpatient mental health and dru~ detoxification services. Not applicable to THP since there are No Deductibles and No Coinsuance. Some serviC(~J t'O !'equire a copaymen~ such as the hospital copayment which has limited exposure. Lifetime Maximum Benefit: Unlimited Additional Accident Benefit: Maternity: Psychological/Counseling Mental Health: Drug Dependency: Accidents are treated as any other illess. If the member visits an emergency room and is not admitted to the hospital. a $25 copayment is charged. Member is required to contact his Pr~mary Care Physican(PCP), within 48 hours of the incident. The member should contact his PCP before seeking care in non-urgent situations. After hour numbers are available. Emergency Care is provided/covered anywhere in the world. Outpatient- $5 copayment for intial visit only.Pre and post-natal care is covered in full. Inpatient- Subject to the above hospital copayment. Inpatient-Subject to a 20% copayment, not to exceed 30 days in anyone Calendar Year. Outpatient- Subject to a $15 copayment per visit not to exceed 20 one-hour visits in anyone Calendar Year. Inpatient- Subject to 20% copayrnent. Outpatient- Subject to a $15 copayment. Limited to detoxification only: no rehabilitative services are covered unless provided by the enclosed rider.