2. TABLE II.- Benefit summary of Blue Cross contracts held by aged persons, by plan and type of contract-Continued NG=Nongroup plan. SC Senior citizen plan (No. 1 and No. 2 where given in data). R=Rider available to extend coverage. SP=Payment for semiprivate accommodations. W= Payment for ward accommodations. F=Full payment for covered items (no details on items covered beyond those in table). P=Partial payment for covered items. BS Covered under Blue Shield or other surgical-medical plan. (-) Not covered under plan. 130 days for persons 65-plus; 50 days for persons under 65. 2 100 percent if ward charges are $18 or less; 80 percent, but not less than $18, if ward is 3 21 days for persons 65-plus; 55 days for those under 65. 4 120 days for persons 65-plus; 485 days for those under 65. 5 Federal employees plan is most widely held, but is not available to general public. 6 Full for participating, partial for nonparticipating nurses. 7 2 days or visits for each unused hospital day. Excluded, but covered under an extended benefit endorsement. 963 percent have extended benefit coverage, including visiting nurse services and unlimited days in general hospital, nursing home, and chronic disease hospital, subject to $5,000 (for 31 percent of enrollees) or $15,000 (32 percent of enrollees) maxíma. 10 41 percent have extended benefits providing additional 90 days at $12 per day in general hospital, 120 days in nursing home, and visiting nurse services, to $5,000 maxi mum. 11 $14 for persons under age 65. 12 Persons under 65, 120 full days, 245 days at $5; persons 65 to 69, 60 full days; 70 and over, 30 full days. 13 Contracting nurses, full; noncontracting, $3 per visit. 14 Contracting, full; noncontracting, 60 percent of charges or $8 per day. 15 Visiting nurses covered only through organized home care. If eligible for home care, visiting nurse service required in judgment of home care organization is covered in full. 16 30 full plus 180 partial if person is under 65. 17 6-month waiting period. 18 For persons 65 and over, full for unused days. 19 Ranges from 30 days in 1st year of enrollment to 70 days in 5th year. 20 Ranges from 21 days in 1st year to 30 days in 4th year. 21 Full in contracting hospital, partial in noncontracting. 22 Full for 40 unused days. 23 In contracting hospitals. NOTE.-Deductibles and copay features are not considered when "full" payment is described. See table III. |