Wildflowers bloom in the Sierra Nevada
Wildflowers bloom in the Sierra Nevada

What does the GAP cover?
The following out-of-pocket expenses are covered:

Maximum In-Hospital Benefit: • Up to $1,000 per hospital confinement

Maximum Out-patient Benefit: • Treatment in a hospital emergency room • Out-patient surgery in a hospital out-patient facility or free-standing out-patient surgery center • Diagnostic testing in a hospital out-patient facility or MRI facility • Up to $200 for treatment of the same or related conditions unless separated by a period of 90 consecutive days (then a new out-patient benefit will be payable)

Physician Out-patient Treatment Benefit: • Treatment in a hospital out-patient clinic, free-standing emergency care clinic or physician’s office • Up to $25 per treatment; $125 maximum per family per calendar year (non-routine care excluded)