Frequencies for first 10,000 rows of outofserviceareacoveragedescript variable in plan2014 dataset : Out of Service Area Coverage | Description | Freq. Percent Cum. ----------------------------------------+----------------------------------- | 1,590 15.90 15.90 Any Claim submitted for procedures p.. | 24 0.24 16.14 Out-of-Network benefits apply. | 6 0.06 16.20 Accident and emergency services | 122 1.22 17.42 All Services | 126 1.26 18.68 All Services covered | 15 0.15 18.83 All benefits | 177 1.77 20.60 All covered services subject for Copa.. | 48 0.48 21.08 All covered services subject to Copay.. | 6 0.06 21.14 All services | 73 0.73 21.87 Any covered expense incurred for serv.. | 233 2.33 24.20 Benefits allowed as Delta Dental PPO .. | 12 0.12 24.32 Benefits are paid toward the lesser o.. | 2 0.02 24.34 Blue Card | 227 2.27 26.61 BlueCard | 86 0.86 27.47 BlueCard In Network only | 4 0.04 27.51 BlueCard In network only | 4 0.04 27.55 BlueCard PPO | 130 1.30 28.85 BlueCard in network only | 8 0.08 28.93 Both elective and emergent | 12 0.12 29.05 Both emergent and elective | 20 0.20 29.25 Care obtained from any Delta Dental P.. | 2 0.02 29.27 Contracted providers only, except in .. | 262 2.62 31.89 Coverage available for covered benefits | 213 2.13 34.02 Coverage available outside service ar.. | 2 0.02 34.04 Coverage is available out of service .. | 2 0.02 34.06 Coverage is available outside of serv.. | 8 0.08 34.14 Coverage is available outside of serv.. | 94 0.94 35.08 Coverage is available outside of the .. | 95 0.95 36.03 Coverage is available throughout the .. | 30 0.30 36.33 Coverage is availible outside of serv.. | 8 0.08 36.41 Coverage is provided for benefits rec.. | 9 0.09 36.50 Coverage is provided for benefits rec.. | 37 0.37 36.87 Coverage is provided for medically ne.. | 1 0.01 36.88 Coverage is the same as in-service ar.. | 137 1.37 38.25 Coverage is through contracted wrap n.. | 6 0.06 38.31 Covered With Limitations. | 138 1.38 39.69 Covered as Non-Network | 17 0.17 39.86 Covered for emergency care and urgent.. | 28 0.28 40.14 Covered services as outlined in the m.. | 259 2.59 42.73 Dental Services and Emergency Medical.. | 25 0.25 42.98 Emergency | 9 0.09 43.07 Emergency & Urgent Care only | 6 0.06 43.13 Emergency Care is covered outside of .. | 40 0.40 43.53 Emergency Only | 388 3.88 47.41 Emergency Only. In excess of 50 miles.. | 32 0.32 47.73 Emergency Room, Limited Coverage for .. | 166 1.66 49.39 Emergency Services | 9 0.09 49.48 Emergency Services Only | 181 1.81 51.29 Emergency and Urgent Care Only | 141 1.41 52.70 Emergency and Urgent Care only | 63 0.63 53.33 Emergency and Urgent Care only, unles.. | 428 4.28 57.61 Emergency and Urgent Care only. | 113 1.13 58.74 Emergency care and urgent care obtain.. | 57 0.57 59.31 Emergency coverage only | 14 0.14 59.45 Emergency medical services only | 9 0.09 59.54 Emergency only | 92 0.92 60.46 Emergency or Urgent Care Only or With.. | 27 0.27 60.73 Emergency pain treatment only if 50 m.. | 8 0.08 60.81 Emergent & Urgent | 73 0.73 61.54 Emergent and urgent care covered. Oth.. | 145 1.45 62.99 Emergent services covered | 110 1.10 64.09 Emergent services covered. | 120 1.20 65.29 Emergent, Urgent and Follow-up Care | 38 0.38 65.67 Follow OON Coverage | 2 0.02 65.69 Follows OON Coverage | 6 0.06 65.75 Follows OON Coverage only within the .. | 3 0.03 65.78 Follows non participating provider be.. | 60 0.60 66.38 For emergency care only. You must ret.. | 31 0.31 66.69 For urgent/emergent care circumstance.. | 12 0.12 66.81 Highly specialized or tertiary care w.. | 5 0.05 66.86 If PPO provider is used, same benefit.. | 30 0.30 67.16 If You receive services outside of Ou.. | 2 0.02 67.18 If You receive services outside of Ou.. | 2 0.02 67.20 If a PPO provider is used same benefi.. | 10 0.10 67.30 If a member does not use a network de.. | 32 0.32 67.62 If you receive services outside of Ou.. | 48 0.48 68.10 Limited to emergency services only | 3 0.03 68.13 Medical and Dental Services | 28 0.28 68.41 Medical services | 21 0.21 68.62 Members can see the provider of their.. | 36 0.36 68.98 Members pay coinsurance after satisfy.. | 136 1.36 70.34 Must obtain pre-approval. | 49 0.49 70.83 National Access | 3 0.03 70.86 National Coverage | 104 1.04 71.90 National Network | 6 0.06 71.96 Offers out of network coverage | 3 0.03 71.99 Out of Network Benefits | 119 1.19 73.18 Out of Service Area Coverage for Emer.. | 3 0.03 73.21 Out of Service Area Coverage is cover.. | 187 1.87 75.08 Out of Service Area Coverage is cover.. | 151 1.51 76.59 Out of Service Area Coverage is cover.. | 120 1.20 77.79 Out of Service Area coverage is avial.. | 30 0.30 78.09 Out of Service Area coverage is avial.. | 6 0.06 78.15 Out of State is BlueCard PPO, In Stat.. | 102 1.02 79.17 Out of country claims are only covere.. | 16 0.16 79.33 Out of network coverage is available .. | 8 0.08 79.41 Out of service area benefits are avai.. | 8 0.08 79.49 Out-of-Network benefit | 68 0.68 80.17 Out-of-Network benefits apply to out .. | 2 0.02 80.19 Out-of-network benefit | 64 0.64 80.83 Out-of-network benefits. | 6 0.06 80.89 Providers in HealthEOS, Multiplan or .. | 14 0.14 81.03 Reimbursement at Maximum Allowable Ch.. | 20 0.20 81.23 Reimbursement at UCR | 94 0.94 82.17 Reimbursement at UCR Level | 80 0.80 82.97 Reimbursement at the Maximum Allowabl.. | 26 0.26 83.23 Reimbursement at the UCR | 12 0.12 83.35 Reimbursement at the UCR level | 116 1.16 84.51 Same Benefit Level | 68 0.68 85.19 Same Coverage as In-Service | 32 0.32 85.51 Same as in service area | 56 0.56 86.07 Same benefit level | 8 0.08 86.15 Same coverage as In-Network area | 16 0.16 86.31 Same coverage as In-Service Area | 10 0.10 86.41 Same coverage as In-service network | 16 0.16 86.57 Same coverage as provided in In-Servi.. | 8 0.08 86.65 Same coverage as provided in the In-S.. | 17 0.17 86.82 Same coverage as provided in the In-n.. | 10 0.10 86.92 Same coverage as provided within the .. | 30 0.30 87.22 Same coverage as provided within the .. | 16 0.16 87.38 Services provided outside network whe.. | 126 1.26 88.64 Services with non-network providers a.. | 20 0.20 88.84 Similar to In Service Area | 64 0.64 89.48 Some services excluded. See plan docu.. | 37 0.37 89.85 Standard PPO Coverage | 21 0.21 90.06 Standard PPO coverage | 8 0.08 90.14 The PPO plan has an indemnity schedul.. | 64 0.64 90.78 The out of network benefit is limited.. | 8 0.08 90.86 The out of network benefit is limited.. | 8 0.08 90.94 The out of network benefit is limited.. | 4 0.04 90.98 This is a point-of-service plan and o.. | 27 0.27 91.25 Travel Network | 78 0.78 92.03 Traveling out of state and need denta.. | 32 0.32 92.35 Ugent and Emergent Services | 28 0.28 92.63 Urgent and Emergency Care Only | 10 0.10 92.73 Urgent and Emergency Care only | 34 0.34 93.07 Urgent and Emergent Care Only | 118 1.18 94.25 Urgent and Emergent Services | 4 0.04 94.29 Urgent and emergent are covered | 30 0.30 94.59 When accessing care outside our servi.. | 225 2.25 96.84 Whenever member obtains healthcare se.. | 104 1.04 97.88 With network provider, same as other .. | 12 0.12 98.00 all benefits that are offered on the .. | 16 0.16 98.16 national coverage | 16 0.16 98.32 nationwide coverage | 168 1.68 100.00 ----------------------------------------+----------------------------------- Total | 10,000 100.00 by Jean Roth , jroth@nber.org , 8 Dec 2017