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<br />') <br /> <br />AvMED <br /> <br />HEALTII PLANS <br /> <br />Amendment <br /> <br />ELECTIVE TERMINATION OF PREGNANCY <br /> <br />I f selected, the following optional coverage is hereby added: <br /> <br />The Group Medical and Hospital Service Contract with Point-of-Service Rider is amended to state: <br /> <br />. <br /> <br />Elective termination of pregnancy will be a covered benefit subject to the applicable facility <br />deductible and co-insurance as outlined on the Benefit Summary, <br />Charges incurred by you for these services will apply toward the annual out-of-pocket maximum. <br /> <br />. <br /> <br />o <br /> <br />A V-Choice-ETP-Co-insurance OOP-OS <br />MP-3635 (12/04) <br />