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Ronda Municipal Insurance Trust Medical Master Plan of Benefits mastectomy. Mammo~m Benefit - The reasonable fees for mammogram testing, breast cancer screening or diagnostic services, and health testing services utilizing radiology equipment (registered with the state's Department of Health and Rehabilitative Services) for breast cancer screening shall be covered, and according to ~ese guidelines: ' (1) One baseline mammogram for women ages 35 to 40; (2) One mammogram every 2 years, or more frequently if prescribed by the participant's physician, for women ages 40 to 50; (3) One mammogram, every year for women 50 years of age and over. Heart. Heart-Luna:. Bone Marrow. Cornea Tissue. Kidnev and Liver Transplant Benefits - The reasonable fees for inpatient hospital and physicians services associated with a heart, bone marrow, cornea tissue, kidney or liver transplant provided the participant meets objective criteria set forth by the medical industry for the tissue or organ transplant, the transplant procedure is performed in a facility duly licensed to facilitate the procedure by a physician duly credentialed to perform the transplant, the procedure is approved by the U.S. Food and Drug Administration, the transplant tissue or organ is donated to the participant and not purchased through an outside agent, and the transplanted tissue or organ originated from a human being and not from cadavers, animal laboratories, or other experimental sources. Due to the extensive nature of the services related to transplantations, a pre- determination must be obtained from the Trust. SECTION VII - HOSPITAL BILL SELF-AUDIT The Trust will provide a payment to the participating employee in the amount of 50% of the savings (the total dollar difference between the original bill and the revised bill), not to exceed $1,000, The employee will receive a payment from the Trust for any errors that the employee identifies and the hospital corrects. The following steps must be taken by the participant before contacting the Trust: (1) Obtain a copy of the itemized bill before leaving the hospital or make arrangements for an itemized bill to be sent to you. (2) Review the hospital bill for overcharges or errors on the bill. (3) If the participant feels an error was made, the business office of the hospital must be contacted to review the possible error(s). (4) Request the business office of the hospital to satisfactorily explain the possible errorJs) or issue a revised bill, which contain the credit(s) for the incorrect charge(s). . (5) Send the revised bill to the Trust with a letter outlining your actions, the