What can be covered?

Services Information

• Hospital services for in-patient and out-patient treatment which is determined as medically necessary to the patient.
• This includes cancer treatment and prenatal services.
• Ambulance transportation and may include non-emergency certified transportation.(air and ground)
• Primary Care Services (In-state Certified)(4,000 limit)
• Hospice Care Services (In-state Certified)(9,000 limit)
• Mental & Suicidal Services (10,000 limit)
• Substance Abuse Services (In-state Certified)(9,000 limit)
• Home Health Services (In-state, Medicare Certified, Profit and not-for-profit)(9,000 limit)
• Physician Services may be covered if the treatment was an emergency treatment in a hospital.

The above services do have specific limitations. Contact the IHC Office for these limits. Services which exceed the allowed limits will be pro-rated. These limits are per fiscal year, not calendar year.
** These services are both considered in $15,000 limit
***Services are limited to one lifetime claim.