You can use your PCA to cover both in-network and out-of-network services. However, care can be less expensive when you stay in the network because network providers discount their fees.
Your PCA covers 100% of all covered healthcare expenses, including:
- Medical care
- Prescription drugs and supplies
- Dental and vision, including eyeglasses and contact lenses (up to $400 for Self coverage, and $800 for Self Plus One or Self & Family coverage)
- Surgery and hospital services
- Mental health and substance use treatment
- Emergency care
- Medicare Part B premium