Benefits
Sterilization
Tubal LigationPPO: $200 co-payment
Non-PPO: 50% UCR after deductible
Vasectomy
PPO: $100 per visit co-payment
Non-PPO: 50% UCR after deductible
PPO: $200 co-payment
Non-PPO: 50% UCR after deductible
Vasectomy
PPO: $100 per visit co-payment
Non-PPO: 50% UCR after deductible