- Office Maximum: $300.00
- Hospital/Home Maximum: $350.00
- Maximum Per Disability: 1 Visit Per Day
Medical Services (Subject to Co-Insurance & UCR unless noted)
Doctors’ Visits
Specialist’ Visits:
- Office Maximum: $400.00
- Hospital/Home Maximum: $500.00
- Maximum Per Disability: 1 Visit Per Day
Psychiatric & Psychologist Services
- Visit Maximum: $350.00
- Calendar Year Maximum: 20 Visits
Physiotherapy:
- Visit Maximum: $250.00
- Calendar Year Maximum: 20 Visits
Acupuncture Benefit
- Maximum per Consultation: $200.00
- Calendar Year Maximum: 20 Visits
Note: Must be performed by licensed Physician
Chiropractic Benefit
- Maximum per Consultation: $200.00
- Calendar Year Maximum: 20 Visits
Note: Chiropractor must be CATT member & referred by Physician