We’ve structured your healthcare benefit to match how care is actually used—so you get the most value where it matters.
Most members use outpatient care (like clinic visits, lab tests, or treatment for common illnesses) more often than inpatient care (which involves hospital stays for things like childbirth or severe infections). That’s why your annual benefit is segmented into:
- 50% Outpatient care (no overnight stay)
- 30% Inpatient care (hospital admission)
- 20% Surgeries
This ensures you’re well-covered for everyday needs while still protected for emergencies or major procedures. It also helps your benefits last throughout the year.