Good health is a way of life in California. We have developed CaliforniaCare to help you stay well and give you the right level of care when you need it.

CaliforniaCare offers you a network for more than 21,000 physicians and 315 hospitals in California.

You can choose from two options:

CaliforniaCare:

• No deductible
• $10 co-payment for doctor visits
• $8 co-payment for prescriptions
• 100% coverage for many services including hospitalization, maternity, organ transplants, mental or nervous disorders, rehabilitative care, ambulance, and skilled nursing facilities (for as many as 100 days)
• No claim forms

• Same benefits as CaliforniaCare. $10 per doctor visit.
• $1,500 annual deductible applicable to only inpatient and outpatient hospital services, home health care, ambulance, durable medical equipment, hemodialysis facility charges, emergency room charges, and skilled nursing facility stays.
• Low premiums.

Blue Cross Link to Health ...... Related Subjects.

This outline is for use as reference only. This is a summary of available options only, it is not a contract. All benefits referenced are subject to any applicable waiting periods, co-payments, deductibles, exclusions and/or limitations in your Blue Cross Agreement and are contingent upon member eligibility at the time services are rendered.

* An independent licensee of the Blue Cross Association. ^®is a registered mark of the Blue Cross Association. ^®' is a registered mark, and sm is a service mark of WellPoint Health Networks Inc.

Last Updated June 07, 1999

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