| Category (Section 1302 category shaded in grey)a [Note: organization of table does not endorse classification of service into category] |
DOL 2011 (%)b |
BLS 2009 Large Employer(%)c |
BLS 2009 Small Employer (%)d |
Mercer 2009 Large(%)e |
Mercer 2009 Small (%)f |
Mercer 2011 All (%)g |
Maryland’s Standard Health Benefit Plan Requirements for Small Businesses (MHCC, 2011) |
| Ambulatory patient services |
|
|
|
|
|
|
|
| Kidney dialysis |
27%h |
|
|
|
|
95% |
|
| Outpatient facility charges |
|
|
|
|
|
98%. |
Covered (outpatient hospital services) |
| Outpatient surgery |
|
97% |
98% |
|
|
|
Covered |
| Physician office visits |
100% |
100% |
100% |
|
|
|
|
| Urgent care facility services |
|
|
|
|
|
|
|
| Allergy testing and injections |
|
|
|
|
|
|
|
| Emergency services |
|
|
|
|
|
|
|
| Ambulance services |
64%i |
|
|
|
|
|
Covered |
| Emergency room visits |
91%j |
|
|
|
|
|
Covered |
| Hospitalization |
|
|
|
|
|
|
|
| Hospital room and board |
99% |
99% |
100% |
|
|
|
Covered (hospitalization) |
| Inpatient surgery |
|
98% |
99% |
|
|
|
|
| Organ and tissue transplantation |
45%k |
|
|
|
|
95%. (organ transplants) |
Covered (for bone marrow, cornea, kidney, liver, lung, heart, heart-lung, pancreas, and pancreas-kidney transplants) |
| Maternity and newborn care |
|
|
|
|
|
|
|
| Maternity care |
66%l |
|
|
|
|
|
Covered (pregnancy and maternity) |
| Mental health and substance use disorder services, including behavioral health treatment |
|
|
|
|
|
|
|
| Autism services |
|
|
|
80%. |
69% |
|
|
| Applied behavioral analysis for autism |
|
|
|
|
|
50% |
|
| Speech, occupational, and physical therapies for autism |
|
|
|
|
|
61% |
|
