Frequencies for first 10,000 rows of outofserviceareacoveragedescript variable in plan2015 dataset : Out of Service Area Coverage | Description | Freq. Percent Cum. ----------------------------------------+----------------------------------- | 1,908 19.08 19.08 Access to a national network | 58 0.58 19.66 Accident and emergency services. | 45 0.45 20.11 All Covered Benefits | 38 0.38 20.49 All Covered Beneftis | 2 0.02 20.51 All Covered Services | 26 0.26 20.77 All Services | 170 1.70 22.47 All Services covered | 11 0.11 22.58 All benefits | 75 0.75 23.33 All covered Benefits | 2 0.02 23.35 All covered services subject to copay.. | 69 0.69 24.04 All covered services subject to copay.. | 42 0.42 24.46 Allows for out of Service Area, if in.. | 8 0.08 24.54 Any Claim submitted for procedures pe.. | 44 0.44 24.98 Any covered expense incurred for serv.. | 263 2.63 27.61 Any service received outside of the s.. | 4 0.04 27.65 Any service received outside of the s.. | 6 0.06 27.71 Any service received outside of the s.. | 1 0.01 27.72 Any service received outside of the s.. | 5 0.05 27.77 Benefits are paid toward the lesser o.. | 1 0.01 27.78 Benefits are paid toward the lesser o.. | 1 0.01 27.79 Benefits are same in and out of network | 59 0.59 28.38 Blue Card | 285 2.85 31.23 Contracted providers only, except in .. | 15 0.15 31.38 Coverage available for covered benefits | 189 1.89 33.27 Coverage is available outside of the .. | 60 0.60 33.87 Coverage is available throughout the .. | 12 0.12 33.99 Covered With Limitations. | 288 2.88 36.87 Covered services as outlined in the m.. | 94 0.94 37.81 Dental Services and Emergency Medical.. | 50 0.50 38.31 Emergencies, Urgent Care, and Authori.. | 207 2.07 40.38 Emergency Care is covered outside of .. | 19 0.19 40.57 Emergency Care is covered outside of .. | 72 0.72 41.29 Emergency Care is covered outside of .. | 8 0.08 41.37 Emergency Care is covered outside the.. | 6 0.06 41.43 Emergency Care is covered outside the.. | 2 0.02 41.45 Emergency Only | 63 0.63 42.08 Emergency Only. In excess of 50 miles.. | 40 0.40 42.48 Emergency Services | 133 1.33 43.81 Emergency Services Only | 175 1.75 45.56 Emergency Services only | 19 0.19 45.75 Emergency and Urgent Care only, unles.. | 268 2.68 48.43 Emergency care is covered outside of .. | 4 0.04 48.47 Emergency only | 37 0.37 48.84 Emergency or Urgent Care Only or With.. | 59 0.59 49.43 Emergency pain treatment only if 50 m.. | 8 0.08 49.51 Emergency/ Urgent Care Only | 4 0.04 49.55 Emergency/Urgenct Care Only | 7 0.07 49.62 Emergency/Urgent Care Only | 147 1.47 51.09 Emergent services covered | 42 0.42 51.51 Emergent services covered. | 80 0.80 52.31 Emergent/urgent care | 2 0.02 52.33 Emergent/urgent care only | 4 0.04 52.37 Emergenty/urgent care only | 2 0.02 52.39 Follows OON Coverage | 52 0.52 52.91 Follows OON Coverage for Urgent and E.. | 96 0.96 53.87 For emergency services only | 213 2.13 56.00 For medically necessary emergency ser.. | 22 0.22 56.22 If PPO provider is used, same benefit.. | 10 0.10 56.32 If You receive services outside of Ou.. | 92 0.92 57.24 If a PPO Provider is used, same benef.. | 2 0.02 57.26 If a PPO provider is used, same benef.. | 36 0.36 57.62 If a member does not use a network de.. | 29 0.29 57.91 If the member is outside of Washingto.. | 2 0.02 57.93 In-Network providers available in cou.. | 157 1.57 59.50 Medical and Dental Services | 86 0.86 60.36 Members can see the provider of their.. | 114 1.14 61.50 National Network | 10 0.10 61.60 Nationwide Coverage | 192 1.92 63.52 No | 12 0.12 63.64 Non-Participating Providers may bill .. | 810 8.10 71.74 Offers out of network coverage | 2 0.02 71.76 Only for palliative care where a netw.. | 3 0.03 71.79 Out of Country covered services are r.. | 4 0.04 71.83 Out of Network Benefits | 36 0.36 72.19 Out of Service Area Coverage is cover.. | 276 2.76 74.95 Out of Service Area Coverage is cover.. | 25 0.25 75.20 Out of Service Area Coverage is cover.. | 149 1.49 76.69 Out of country claims are only covere.. | 12 0.12 76.81 Out of network coverage is available .. | 5 0.05 76.86 Out of service area benefits are avai.. | 8 0.08 76.94 Out-of-Network Deductible and Co-insu.. | 54 0.54 77.48 Out-of-Network coverage is available .. | 12 0.12 77.60 Out-of-network benefits apply | 40 0.40 78.00 Reimbursement at the Maximum Allowabl.. | 48 0.48 78.48 Reimbursement at the UCR level | 202 2.02 80.50 Same Benefit Level | 140 1.40 81.90 Same Coverage as In-Service | 34 0.34 82.24 Same Coverage as in Service Area | 5 0.05 82.29 Same Coverage as in Service Area. | 1 0.01 82.30 Same as any other | 18 0.18 82.48 Same as in service area | 11 0.11 82.59 Same as in-network service there are .. | 76 0.76 83.35 Same benefit level | 4 0.04 83.39 Same coverage as in service area | 14 0.14 83.53 Services are not provided out-of-netw.. | 11 0.11 83.64 Services provided outside network whe.. | 126 1.26 84.90 Similar benefits as In Service Area | 48 0.48 85.38 Standard Out of Network PPO Benefits | 8 0.08 85.46 The PPO plan has an indemnity schedul.. | 50 0.50 85.96 The out of network benefit is limited.. | 3 0.03 85.99 The out of network benefit is limited.. | 4 0.04 86.03 Traditional with inside maximum limits | 16 0.16 86.19 Traditional with inside maximums | 6 0.06 86.25 Travel Network | 128 1.28 87.53 Traveling out of state and need denta.. | 12 0.12 87.65 Urgent and Emergency Care Only | 24 0.24 87.89 Urgent and Emergency Care only | 47 0.47 88.36 Urgent and Emergent only | 96 0.96 89.32 Urgent and emergent are covered | 15 0.15 89.47 When accessing care outside our servi.. | 467 4.67 94.14 Whenever member obtains healthcare se.. | 112 1.12 95.26 With network provider, same as other .. | 464 4.64 99.90 all benefits that are offered on the .. | 10 0.10 100.00 ----------------------------------------+----------------------------------- Total | 10,000 100.00 by Jean Roth , jroth@nber.org , 9 Dec 2017