This tool is to provide you with basic information regarding the
general cost of some conditions or illnesses within a specific
geographical region. This tool is for general illustrative examples
only. The information reflected shows costs based on the 80th percentile
(high) and 25th percentile (low) of total related charges submitted to
the Plan from the previous calendar year for the geographical area
selected. The actual total costs may be different due to varying
factors. A condition or illness may include both inpatient and
outpatient costs. Cost of medications covered under the Plan's
Prescription Drug Benefits provision is not included in the total cost.
Other charges from the provider may be associated with these services.
Please refer to the current Plan brochure for specific benefits. All
benefits are subject to the definitions, limitations and exclusions of
the Plan brochure. Please contact the Plan toll free at 1-888-636-NALC
(6252) if you have additional questions.
