(UNTITLED)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP80-01826R000600140005-0
• Release Decision: RIFPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: November 17, 2016
• Document Release Date: July 7, 2000
• Sequence Number: 5
• Content Type: LIST

Approved For Release 2000/08/16 : CIA-RDP80-01826R000600140005-0
WASHINGTON
Hospitalization
WASHIi3TON
NEW OMAHA Hospitalization
1. Hosp. Room & Board: $13.50 per day for 90
days with no t on frequency (1 day break)
plus hosp. extras of $202.50 unallocated
plus 75% of the next $5,000.00 of hosp.
extras
1. Hos . Room & Board: $9.00 per day for 31 days
with no limit on frequency (1 day break)
plus $135.00 max. for hospital extras
2. Plus out- atient emer enc up to ............. $135
within 2 hours of accident
OHI Hospitalization
1. Hoa . Room & Board plus 16 named extras for 21
days (Semi-pri. - Partic. Hospital) with 90
day interval on frequency plus $5.00 per day
for additional 180 days. If private room,
$10.00 per day only for Room & Board.
2. Plus out-patient emergency up to............... $ 10
within 2 hours of accident
DOMESTIC O.S. OUTSIDE WASHINGTON AND CANADA
- If in participating hospital, the benefits
are those of local Blue Cross in the area
- If in non-participating hospital, the
benefits are the same as the overseas
rates
2. Plus out-patient emergency up to........,... $202.50
within 2 hours of accident
3, !:, 6 thru 10. Same as Overseas
5. _Ma_t~ern~ity - $9.00 per day for 8 days except
orean, termination of ectopic preg-
nancy or miscarriage for which hospitaliza-
tion is the Washington I1 above
Approved For Release 2000/08/16 : CIA-RDP80-01826R000600140005-0
 Approved For Release 2000/08/16 : CIA-RDP80-01826R000600140005-0
OMAHA S ical (Example) Ch3I Surgical NW OMAHA Surgical
1 50 .....Hernia Ing. unil.... ... 100. - X00.
75..... " " bilat....... lh0. 1110.
100..... Appendectomy ............ 100. 100.
100..... Radical mastectomy......175. 187.50
50.....Fracture of spine....... 125. 93.75
35..... Hip dislocation..........75. 13.75
150..... Prostatectomy........... 200. 187.50
50 .....Normal delivery .......... 80. 80.00
100..... Caesarean ...........150. 150.
150..... Removal of kidney....... 175. 250.
50..... " cateract.....150. 187.50
100..... Gastrectomy .............250. 250.
25.....Ton~sillectomy............ 55. 55.
25..... Adenoidectomy............ 55. 55.
25..... Hemorrhoidectomr......... 60. 62.50
150..... Hysterectomy..,.........165. 165.
50.....Amputation-prm~ foot.....85. 125.
50..... bull fracture-compound.200. 250.
50.....Fracture of base of
spine................. ..35. 62.50
35..... Branchoscopy .............25. 50.
25.....Varicocele removal....... 50. 62.50
75.....Thyroid removal......... 200. 187.50
75..... Mastoidectomy, Simple...150. 125.
100..... radical..200. 187.50
. O. $3150.50
Average $71. Average $122. Average $132.
58% of GHI
NEW OMAHA
Premium monthly)
Hosp. Surgical Total Diff.
?--- ---- 2.70-
---- ---- 7.98 +1.08
---- --- 7.98 +1.08
Premium (monthly) Premium (monthly)
Hosp. Surgical Total Hos . Surgical Total
---- ---- 160-individual contract...........1.70 1.00 2.70_
it.75...indiv. & spouse contract...... 3.70 3.20 6.90
6.00...indiv. & spouse & children.... 3.70 3.20 6.90
Approved For Release 2000/08/16 : CIA-RDP80-01826R000600140005-0
 Present Omaha Contract
OVERSEAS
e. OMAHA Hospitalization
1. Hosp. Room & Board: $9.00 per day for 31 days
with no limit on frequency, (1 day break)
plus $135.00 for hospital extras except
maternity - see #5 below.
Approved For Release 2000/08/16 : CIA-RDP80-01826R000600140005-0
2. Plus out-patient emer enc up to ............. $135
within 2 hours of accident
3. Effective date of Contract - 1st of next month
h. Waiting period. V aternity only. 9 mos., but
coverage extends 9 mos. beyond termination of
membership
days except Caesarean, termination of ectopic
pregnancy and miscarriage, for which hos-
pitalization benefits are 1. above
5. Maternity - $9.00 per day Room & Board for 1L1 5. Maternity - $9.00 per day Room & Board for 8 5.
days plus up to $115.00 total for Hosp. extras
6. TB, mental disorders, nervous disorders and
quarantinable diseases - same as #1 above
7.- AAbulance - pays
8. X-ray - pays - no restriction if In hospital
or clinic
9. Dependent - added after ]Jth day to 19th
Children birthday
10. Conngenittaal - full coverage at any age after
Anomalies the 11th day following birth
GHI
Present GHT Contract
OVERSEAS
Hospitalization
1. Hosp. Room & Board: $10.00 per day for 21 days
with 90 day interval on frequency, plus
$64.00 for hospital extras (16) except
maternity see #5 below.
2. Plus out-patient emergency up to .............. 10
within 2 hours of accident
Effective date of Contract - 1st of next month
1~. Waiting period. None for the applicant who
joined Initially in March 1953 or for the EOD
since then. Otherwise 10 months for maternity,
tonsillectomy, adenoidectomy and 1 year for all
pre-existing conditions.
6. TB, mental disorders, nervous disorders and
quarantinable diseases - 10 day limit during
any 12 month period for #1 above
The New. Omaha Plan
OVERSEAS
g. NEW OMAHA Hospitalization
Hosp. Room & Board: $9.00 per day for 90
with no limit on frequency (1 day break)
plus Hosp. Extras: $135.00 unallocated,
except maternity - see #5 below.
days
3.
Lt.
Plus out- patient emergency up to .............
within 2 hours of accident
Effective date of Contract - 1st of next month
Waiting period. None if participation of
members Is of GEHA, and none on transfer
from GHI, except for maternity wherein in all
cases waiting period is 9 months, but coverage
extends 9 months beyond termination of mem-
bership.
Maternity - $9.00 per day Room & Board for 8
days, except Caesarean, termination of ectopic
pregnancy and miscarriage, for which hos-
pitalization is #1 above (Omaha's National
average for normal delivery is 6.6 days)
6.
,~,r Ida.
7. Ambulance - doesn't pay 7.
8. x-ray - pays only if connected with surgery 8.
with In 3 days and in a hospital
9. Dependent - added after 90th day to 18th
Children birthday
10. Congenital - not covered 10.
Approved For I : CIA-RDP80-01826R000600140005-0
Ambulance - pays
_x-_r_ay - pays - no restriction if in hospital
or clinic
Dependent - added after 11th day to 19th
Children birthday
Congenital - full coverage at any age after
Anomalies the lath day following birth
$135