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Nota: Cuando estos servicios los brinda un anestesiólogo no preferido en un hospital preferido, el costo compartido del miembro es el mismo que se aplicaría en la Red de asociados preferidos.

Anesthesia services furnished by a Physician other than the attending Physician or by a Certified Registered Nurse Anesthetist, when the anesthesia is related to covered surgery. (Note: When these services are furnished by a non-preferred anesthesiologist at a preferred hospital, the member's cost share is the same that would apply for the Partners Preferred Network.)

Servicios de anestesia prestados por un médico que no sea el médico tratante o por un miembro del personal de enfermería certificado y especializado en anestesia, cuando la anestesia está relacionada con la cirugía cubierta. (Nota: Cuando estos servicios los brinda un anestesiólogo no preferido en un hospital preferido, el costo compartido del miembro es el mismo que se aplicaría en la red de socios preferidos).

Note: The selected hospitals in the Standard Benefits Tier for which the lower copayment applies include: Baystate Franklin Medical Center, Baystate Mary Lane Hospital, Falmouth Hospital, Martha's Vineyard Hospital, Nantucket Cottage Hospital, and North Adams Regional Hospital.

Nota: Los hospitales seleccionados en el nivel de beneficios estándar a los que se aplica el copago más bajo incluyen: Baystate Franklin Medical Center, Baystate Mary Lane Hospital, Falmouth Hospital, Martha's Vineyard Hospital, Nantucket Cottage Hospital y North Adams Regional Hospital.

Travel immunizations.

Vacunas para viajes.

Wellness Benefits - All members may take part of the fitness benefit and weight loss program benefit. For each membership, up to a combined total of $400 each calendar year is reimbursed for fees paid for a health club membership or for fitness classes at a health club and fees paid for hospital-based weight loss programs or for non-hospital-based weight loss programs that are designated by Blue Cross Blue Shield. The member can claim this maximum benefit for any combination of fees incurred by the subscriber and/or other members enrolled under the same family membership. However, each member claiming all or part of the fitness benefit must have paid at least four months health club fees for that calendar year.

Note: The copayments that the member pays for advanced imaging tests will not exceed $375 for each member each calendar year when these covered tests are furnished in Connecticut.

Nota: Los copagos que el miembro paga por los exámenes avanzados de diagnóstico por imágenes no excederán los $375 por cada miembro por año calendario cuando estos exámenes cubiertos se realicen en Connecticut.