Effective June 1, 2012 this Endorsement makes the following clarifications to your OMIP plan 500, 750, 1000, & 1500 contracts and FMIP 500 and 750 contracts:

Benefit Limitation: The following language has been added to the OMIP and FMIP contracts under "Hospital Outpatient Care" and "Special Facility Care" benefits.

Dialysis Treatments from Out-of-Network Providers The benefit for dialysis treatment rendered and received from out-of-network dialysis facilities will be limited to $229* per treatment session. This reimbursement rate is based on the average published non-adjusted Medicare rate per treatment session.

You will be responsible for any expenses the dialysis facility bills over the benefit amount. In addition, your out-of-pocket expenses for these out-of-network services do not apply towards your medical calendar year deductible or your calendar year out-of-network maximum out-of-pocket benefit.

Please contact Regence BlueCross BlueShield of Oregon at 1-800-848-7280 to learn about in-network dialysis providers and facilities in your area. For information on switching providers and facilities, please call 1-800-848-7280.

*This rate will be updated to align with Medicare rate adjustments.