Please note the information in Employee Benefits is intended as a summary of benefits. It does not guarantee coverage. 
 
The Health Plan pays benefits for medically necessary services resulting from illnesses or injuries that are not work related, up to reasonable and customary limits. Even though a doctor recommends or performs a service for you or your covered dependent, this does not automatically mean the service is covered by the Plan. 
 
If you have any doubt about whether a proposed treatment or service is covered under the Health Plan, please contact the number shown on your ID card.