Section 284-52-060 - Comprehensive medical planExcept as provided in subsection (3) of this section, a comprehensive medical plan shall have an annual deductible amount of five hundred dollars per person and shall provide at least the following benefits:
(1) A lifetime maximum amount of benefits of five hundred thousand dollars per person.(2) Payment of at least eighty percent of the usual and customary charges for the following: (a) Daily hospital room and board expenses not less than the semi-private room rate nor less than one hundred eighty days per calendar or contract year.(b) Ancillary hospital expenses.(d) Assistant surgeons' fees.(e) Anesthesiologists' and anesthetists' fees.(f) Inpatient and outpatient physician services.(3) A health maintenance organization's comprehensive medical plan may provide for no deductible amount or a deductible in any amount not exceeding five hundred dollars.Wash. Admin. Code § 284-52-060
Statutory Authority: RCW 48.02.060, 48.44.050 and 48.46.200. 85-03-035 (Order R 85-1), § 284-52-060, filed 1/10/85; 84-19-055 (Order R 84-4), § 284-52-060, filed 9/19/84.