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| Current Location: | Home > Interactive Demonstration > Employer Connection > Benefits & Eligibility > Procedure Code Search |
April 25, 2024
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Benefits & Eligibility as of 
(mm/dd/yyyy) 
(mm/dd/yyyy) | Subscriber Name: | HARVEY J SCHNEIDER | Group Number: | 93705-000-00000-00000 |
|---|---|---|---|
| Coverage Type: | Single | Group Name: | FULLY INSURED |
| Please enter a procedure code. |
|---|
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Procedure Code: 00110
COVERAGE LEVELS
| Procedure | Delta Premier | Out of Network | Comments |
|---|---|---|---|
| 110 | 100% | 100% | Deductible does not apply. Allowed at 6 month intervals. |