LIMITED

Topmed Limited is a traditional design option, with specific benefit limits reimbursed on an 80% basis for doctors and health care providers and a sliding scale co-payment for hospital accounts. Other than the hospital account, members must first pay and then submit claims on a claim form.

Other than the hospital account, members must first pay and then submit claims on a claim form. This includes claims for all associated providers and treatment received whilst in hospital.

MAJOR MEDICAL BENEFITS

 

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For Day-to-Day Benefits, Topmed Wellness Benefit, Unique Benefits, Prosthesis Benefits, Designated Service Provider (DSP) Networks and General Exclusions, please click on the link below to download the full Limited Benefit Guide.