Medical Plan Highlights

Size: px
Start display at page:

Download "Medical Plan Highlights"

Transcription

1 ; Updated: 12/31/2016 General Information Eligibility Enrollment Coverage Effective Date Administration Network Providers Associate: Regular Full-Time Hourly, Commissioned, and Salaried Associates are eligible for coverage beginning on the first of the month following 1 calendar month of service. If you are hired as a Part-Time or Temporary Associate and your status changes to fulltime, you are eligible for coverage beginning on the first day of the month following your Change in Status or the first day of the month following one full month of service whichever happens later. Dependents: Regular Full-Time Associates may cover eligible dependents, which include a Spouse/Domestic Partner and children under age 26. Please refer to the Summary Plan Description for more eligibility information. New Hire: Enroll online at mykmxhr.com by (a) the first of the month following 1 calendar month of service, or (b) 30 days from your hire date, whichever is later. Status Change: If your status changes to Regular Full-Time, you must enroll either 30 days from the date of your status change or by the first day of the following month whichever happens later. Note: If you don t enroll when first eligible, you will only be allowed to enroll if you experience a Qualified Change in Status Event (marriage, new baby, etc.) or during the next Open Enrollment. Please refer to the Summary Plan Description for more information on Qualified Change in Status Events. For eligibility and enrollment questions, call the MYKMXHR Service Center at (888) New Hire - Your coverage will be effective on the first of the month following 1 calendar month of service provided you enroll in coverage by that date. Status Change - Your coverage will be effective the first of the month after your election. You will receive your ID cards approximately three weeks after your effective date of coverage. Aetna administers the CarMax Medical Plan. If you have any questions about the Medical Plan or need to find a doctor, call (866) or visit aetna.com. If you are a Medical Plan member, you are also enrolled in the Prescription Drug Program. The Prescription Drug Program is administered by CVS/caremark. For questions about the Prescription Drug Program, call (855) or visit caremark.com. Our Know Your Numbers events and Commitment to Health Program are administered by Preventure. If you have questions about your Commitment to Health status or the status of your Medical Plan Credit, please contact Preventure Member Services at (888) or log into your account at carmaxwellness.com. Choosing in-network providers gives you the most value from your Medical Plan benefits. All three Medical Plan options utilize the same network of physicians, hospitals and pharmacies. Aetna Choice POS II (Open Access) network. For help finding a provider in your area, visit aetna.com, click Find a Doctor and select Choice POS II (Open Access). Or call (866) The CVS/caremark network includes most national pharmacy chains. Local pharmacies may also be included. Visit caremark.com or call (855) to find an in-network pharmacy near you. Using an out-of-network provider will increase your out-of-pocket costs through Deductibles and coinsurance amounts, and have a higher Out-of-Pocket Maximum. Updated: 12/31/2016 Online in CarMax World or at benefits.carmax.com Page 1 of 8

2 2017 Medical Plan Options Overview The chart below provides an overview of the key features of each of the Medical Plan Options effective March 1, Aetna Medical Plan Options Deductible Core 60 Select 70 Premium 80 In Network Only In Network Only In Network Only Individual $2,000 Individual $1,700 Individual $600 Two Individuals $4,000 Two Individuals $3,400 Two Individuals $1,200 Family $6,000 Family $5,100 Family $1,800 Health Savings Account Health Reimbursement Account CarMax's Contribution to Your Account Individual $200 Individual $200 n/a Two Individuals $400 Two Individuals $400 Family $600 Family $600 Out-of-Pocket Maximum Individual $6,550 Individual $6,550 Individual $6,550 Family $13,100 Family $13,100 Family $13,100 YOU PAY YOU PAY YOU PAY Preventive Care Services $0 $0 $0 Lav & X-rays (Basic Imaging) $0 after deductible $0 $0 Teladoc Virtual Visit $40 $15 copay $10 copay Retail Walk-in Clinics (e.g., CVS Minute Clinic) 40% after deductible $30 copay $20 copay Primary Care Physician Office Visit 40% after deductible $30 copay $20 copay Urgent Care Center Visit 40% after deductible $60 copay $40 copay Specialist Office Visit 40% after deductible 30% after deductible $50 copay Emergency Room Visit 40% after deductible $250 copay + 30% after deductible $150 copay + 20% after deductible Other Covered Services 40% after deductible 30% after deductible 20% after deductible CVS/caremark TM Prescription Coverage Generic Prescriptions Retail (30-day supply) $25 copay after deductible $15 copay $10 copay Maintenance (90-day supply) $50 copay after deductible $30 copay $20 copay Brand Prescriptions ** Preferred Brand - Retail (30-day supply) Preferred Brand - Maintenance (90-day supply) Non-Preferred Brand - Retail (30-day supply) Non-Preferred Brand - Maintenance (90-day supply) 40% after deductible Minimum $50; Maximum $125 40% after deductible Minimum $100; Maximum $250 40% after deductible Minimum $70; Maximum $175 40% after deductible Minimum $140; Maximum $350 30% Minimum $40; Maximum $100 30% Minimum $80; Maximum $200 30% Minimum $60; Maximum $150 30% Minimum $120; Maximum $300 $35 copay $70 copay $55 copay $110 copay ** Subject to the Generics First Program * Prescriptions on the Preventive Drug List are not subject to the deductible Plan Coverage Enhancements effective March 1, 2017 Teladoc copay has been reduced by 50% in both Select 70 and Premium 80. o o Select 70 - $30 copay to $15 copay Premium 80 - $20 copay to $10 copay Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 2 of 8

3 2017 Medical Plan Rates Associate Cost BI-WEEKLY Associate Cost ANNUALLY Core 60 Before Incentive Medical Plan Credit* After Incentive After Incentive Associate $44.28 ($23.08) $21.20 $ Associate plus child $ ($23.08) $95.60 $2, Associate plus children $ ($23.08) $ $3, Associate plus Spouse / Domestic Partner $ ($46.16) $ $3, Family $ ($46.16) $ $4, Associate Cost BI-WEEKLY Associate Cost ANNUALLY Select 70 Before Incentive Medical Plan Credit* After Incentive After Incentive Associate $89.02 ($23.08) $65.94 $1, Associate plus child $ ($23.08) $ $3, Associate plus children $ ($23.08) $ $4, Associate plus Spouse / Domestic Partner $ ($46.16) $ $3, Family $ ($46.16) $ $6, Associate Cost BI-WEEKLY Associate Cost ANNUALLY Premium 80 Before Incentive Medical Plan Credit* After Incentive After Incentive Associate $ ($23.08) $89.25 $2, Associate plus child $ ($23.08) $ $4, Associate plus children $ ($23.08) $ $6, Associate plus Spouse / Domestic Partner $ ($46.16) $ $5, Family $ ($46.16) $ $7, * Medical Plan Credit applies to those Associates/Spouses/Domestic Partners who have completed the Commitment to Health program Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 3 of 8

4 Premium Credits and Plan Incentives Your Commitment to Health and the Medical Plan Credit All Associates who enroll in the Medical Plan are asked to participate in our voluntary Commitment to Health program. This program asks you and your covered Spouse or Domestic Partner to take the steps outlined in the Commitment to Health Policy to continue to receive a Medical Plan Credit (MPC) of $23.08 per paycheck (up to $600 each for the full Plan Year). The Commitment to Health program includes: Step 1 Step 2 Biometric Screening, which measures the risk factors associated with Metabolic Syndrome: blood pressure, HDL cholesterol, glucose, triglycerides, and waist circumference. and Health Assessment, an online questionnaire about your health history and personal habits (diet, exercise, etc.) to create a snapshot of your current health risks. The Aetna Healthy Lifestyle Coaching program, which provides one-on-one, over the phone consultations with your personal health coach. or Aetna s Simple Steps to a Healthier Life, an online, self-paced health coaching program Your health plan is committed to helping you achieve your best health. If your Biometric Screening results show that you are at risk for Metabolic Syndrome, or if you are a tobacco user, you can still earn the same Medical Plan Credit by participating in Aetna s Healthy Lifestyle Coaching or Simple Steps to a Healthier Life program. Furthermore, if applicable, we will accommodate the written recommendations of your doctor. Contact our wellness program administrator, Preventure, at (888) , with any questions regarding your Commitment to Health status or Aetna at (866) with any questions regarding the Healthy Lifestyle Coaching or Simple Steps to a Healthier Life program. This also applies to your covered Spouse/Domestic Partner. See the Commitment to Health Policy for more information, including program deadlines. Beginning Right Maternity Incentive Program You or your Spouse/Domestic Partner are eligible to participate in Aetna s Beginning Right Maternity Program and receive a Wellness Bonus of up to $150. This program is free and provides a great resource for health information and assistance during pregnancy. Additional information about this program is available on the CarMax Benefits website. Simply call (866) to enroll. Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 4 of 8

5 Key Plan Provisions Plan Year: March 1 through February 28/29 Plan Year Deductible Out-of-Pocket Maximums Managing Your Medical Care 1 Precertification Penalty 1 The Plan Year Deductible is the amount of covered expenses you must pay out-of-pocket each Plan Year before the Plan begins to pay benefits. Covered expenses are subject to separate Deductibles for in-network and out-of-network services. Both Medical and Prescription out-of-pocket expenses will apply toward the Deductible. Special Provisions for the Premium 80 and Select 70 Plan Deductible: An Individual Deductible applies separately to each participant, each Plan Year, unless the Family Plan Year Deductible is satisfied. All services covered at a percentage of the cost (coinsurance) are subject to the applicable Deductible before the Plan pays benefits, except that services covered at 100% are not subject to the Deductible. Special Provisions for the Core 60 Plan Deductible: The full Plan Deductible must be satisfied before the Plan begins to pay benefits. The full Plan Deductible is based on the coverage level you elect (e.g., Associate Only, Associate plus Child, Family), as there is no Individual Deductible on the Core 60 Plan option when you enroll in a coverage level that includes dependents. IMPORTANT NOTES: (1) Basic Labs and Imaging services are only subject to coinsurance after you reach your full Deductible. You will pay 100% of the cost of these services prior to reaching your full Deductible. (2) Preventive Care services, as defined by the Affordable Care Act, will be covered at 100% and you are not required to meet your Deductible for these services. The Out-of-Pocket Maximum is the maximum amount you may be required to pay each Plan Year for covered services. Covered expenses incurred after you have reached your Out-of-Pocket Maximum will be covered at 100%. The Out-of-Pocket Maximums related to Medical services will include out-of-pocket expenses for both medical services and prescriptions. The Out-of-Pocket Maximum includes your Deductible, copayments, and coinsurance. Out-of-Pocket expenses are subject to separate Out-of-Pocket Maximums for in-network and out-of-network services. SPECIAL NOTE: An Individual Out-of-Pocket Maximum applies separately to each participant, each Plan Year, unless the Family Plan Year Out-of-Pocket Maximum is satisfied. Pre-treatment Estimates For questions about coverage, costs or recommended pre-treatment estimates, call (866) and choose the prompts for Medical Health Concierge for information about your treatment options, coverage, and the cost for those options. Pre-certification Requirements: Authorization is required for any inpatient or residential admission for medical, mental health, substance abuse treatment, home health care, hospice, or complex radiology procedures. (Emergency admissions should be reported no later than 48 hours after the admission.) If you don t get the required authorization for an admission, you will be subject to the Precertification Penalty (see below). In-network providers are responsible for requesting precertification on your behalf. To be sure precertification is completed for these types of services, call (866) and choose the Medical - Health Concierge prompts. A $500 Precertification Penalty applies to the allowed costs for each admission and surgery that required an authorization but did not have one prior to the service. This penalty does not apply toward the annual Out-of-Pocket Maximum or Plan Deductibles. 1 Refer to the Medical Management section of the Summary Plan Description for authorization provisions, penalties, and restrictions. Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 5 of 8

6 Health Spending Accounts Health Spending Accounts can help you save money on health expenses! CarMax offers you accounts to help you save on the cost of health care services. The Medical Plan you choose determines the accounts(s) you are eligible to participate in. The information below provides you with an overview of the accounts and the CarMax Medical Plan options to which they apply. Additional information about these accounts is available on the CarMax Benefits website. Health Care Flexible Spending Account (HCFSA) The Health Care Flexible Spending Account (HCFSA) Plan is available to eligible full-time Associates. Please note, if you participate in a Health Savings Account, IRS regulations restrict you from participating in a general purpose Health Care Flexible Spending Account such as this one. You may pledge to contribute up to $2,600 a year for eligible health expenses that are not paid through your medical, dental, or vision programs. The Plan Year is from March 1 through February 28/29. Money you contribute to your HCFSA is withheld from your paycheck on a pre-tax basis. The HCFSA allows you to rollover up to $500 in unused contributions each Plan Year. Any unused contributions in excess of $500 are forfeited after the Plan s Run-out Period. Health Reimbursement Account (HRA) A Benefit of the Select 70 option Select 70 Medical Plan members can use the HRA to cover out-of-pocket expenses for health care services, including the Deductible. CarMax will automatically fund your HRA when you elect the Select 70 Medical Plan option. No claim forms are needed for visits to doctors in the Plan s Aetna Choice POS II Network. The HRA fund automatically pays eligible health care expenses when claims are processed. The HRA funds don t count as taxable income; that means some of members health care costs are covered with tax-free dollars. Please note: HRA funds may only be used toward your or your Legal Tax Dependent s health expenses. Funds are flexible. If you don t use all the funds in your HRA, the balance rolls over to the next Plan Year provided you remain enrolled in the Select 70 Medical Plan option. This can help you save for anticipated medical needs down the road. If you re a Select 70 Medical Plan member, you can log in at aetna.com to check your HRA account balance and manage your HRA funds. Health Savings Account (HSA) A Benefit of the Core 60 option Core 60 Medical Plan members have the option to enroll in a Health Savings Account (HSA). If you do enroll in the HSA, CarMax will automatically deposit funds into your account. You may also elect to contribute to your HSA on a pre-tax basis. You can use your HSA to cover out-of-pocket expenses for health care services, including your Medical Plan Deductible, when they are incurred, or, you can pay the expenses out of pocket and save your HSA monies for future use. You can also use your HSA to pay for dental and vision expenses. There s no use it or lose it requirement with an HSA the money in your account is yours to keep, even after you leave CarMax! For more information about the Health Savings Account, please go to the CarMax Benefits website and review the Health Savings Account FAQs. Limited Purpose Flexible Spending Account (LPFSA) Intended for HSA Participants Associates who enroll in the Core 60 Medical Plan option and elect to participate in the Health Savings Account may not enroll in the Health Care Flexible Spending Account. However, for those who wish to contribute to both HSA and FSA accounts, the Company has established a Limited Purpose Flexible Spending Account (LPFSA). The LPFSA can be used for your dental and vision expenses. You may also use this account for medical expenses incurred after you have met the applicable Medical Plan Deductible. For more information about the Limited Purpose Flexible Spending Account, please go to the CarMax Benefits website. Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 6 of 8

7 Choosing the Right Provider In-Network Providers (Finding a Doctor) 24-Hour Nurseline Retail Walk In Clinic Teladoc Service Primary Care Office Visit Specialist Office Visit Urgent Care Clinic Emergency Room In-network providers for all three Medical Plan options include those physicians and hospitals that participate in Aetna s Choice POS II (Open Access) network. Choosing in-network providers gives you the most value from your Medical Plan benefits. For help finding a provider in your area, visit aetna.com, click Find a Doctor and select Choice POS II (Open Access). Or call (866) Using an out-of-network provider will increase your out-of-pocket costs through Deductibles and coinsurance amounts, and have a higher Out-of-Pocket Maximum. Aetna offers Plan Members a free 24-Hour Nurseline to help you anytime day or night. To reach a nurse, call and select the option to speak to a nurse. The nurses can help you: Learn about medical procedures and treatment options Prepare for a conversation with your doctor Determine if you need immediate care (e.g., the Emergency Room) or if you can wait to see your doctor during normal business hours. Retail Walk In Clinics are typically found in retail businesses such as CVS Pharmacies, Target stores, or Walgreens Pharmacies. These clinics are run by either RNs, Nurse Practitioners, or Physician Assistants. You should consider a Retail Walk In Clinic when you have the need for immediate care that is not urgent examples include the treatment of cold/flu symptoms, rashes, or basic infections. You can also get many wellness exams and routine physicals. CVS, Target and Walgreens clinics are all in the Aetna network! Aetna members have access to the Teladoc program which provides you with 24/7/365 access to doctors by phone or online video. Teladoc is a convenient and affordable option that allows you to talk to a doctor who can diagnose, recommend treatment and prescribe medication, when appropriate, for many of your medical issues. You should consider Teladoc when you have sinus problems, allergies, cold and flu symptoms, ear infections, etc. To access the Teladoc program, simply set up an account on the Teladoc website, then you can request an appointment anytime and from any place where you have access to a phone or online video. Certain states have restrictions around telemedicine. Please see the Summary Plan Description for additional information. You should always talk with your Primary Care Physician about all your health issues so that he or she can understand and help you manage your overall health. Your Primary Care Physician should handle your annual physical, any health concerns, and coordinate treatment plans. Although referrals are not required by the Plan, before going to a Specialist, we recommend that you talk with your Primary Care Physician to make sure you are seeking care from the right provider. When seeking a Specialist, remember to look for the blue star on the DocFind section of the aetna.com website. This designates the provider as a member of the Aexcel Network, which means they have been recognized by Aetna as a high quality, cost-effective provider. Urgent care is treatment for non-life-threatening injuries or illnesses such as fractures, whiplash, sport injuries, falls (less than 7 feet), cuts and minor lacerations, allergic reactions, infections, flu, gallstones, burns, or rashes. Urgent care clinics are freestanding buildings in busy areas. They typically have a physician on site and accept walk ins. Costs are typically higher than Retail Walk In Clinics, Teladoc or a Primary Care Physician office visit, but are much less than an Emergency Room visit. If you do need to use an Urgent Care Clinic, you can find an in-network clinic through DocFind, or by calling Aetna Member Services and speaking to a Health Concierge. Emergency Room visits should be limited to significant medical emergencies like: broken bones, head injury, knife/gunshot wound, or a severe burn; non-accidental, but critical life-threatening situations (e.g. heart attack, stroke, acute asthma attack, etc.); sudden onset of symptoms that suggest a serious or life-threatening situation could develop if left untreated (loss of consciousness, paralysis, shock, coughing blood, trouble breathing, chest pain, choking, etc.); and life endangering mental health or substance abuse situations. If you get care in an emergency room and your symptoms did not indicate an emergency, no benefits will be paid. If you are admitted to the hospital or surgery is performed, you must notify Medical Management of an emergency admission within 48 hours or you will be subject to a Precertification Penalty (see above). Emergency Room visits will vary widely in cost, based on the services rendered. Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 7 of 8

8 Prescription Drug Program Generic Medications Preferred Brand Medications Non-Preferred Brand Medications Maintenance Choice Preventive Drug List (Core 60 only) Important Reminders Generics are cost effective and offer the same benefits as their brand alternatives. The Premium 80 and Select 70 Medical Plan options include coverage for generics at an affordable copayment to encourage medication adherence. If you are enrolled in the Core 60 Plan option, you will pay the full cost of the prescription until you reach your full Deductible, unless your prescription is included in the Preventive Drug List (see below). Once you reach the full Plan Deductible, standard copayments will apply for future purchases within the Plan Year. Talk with your doctor to see if a generic alternative is right for you. CVS/caremark s Generics First program promotes the use of generic prescription drugs to address specific conditions (when generic options have a track record of success). This means that coverage for certain brand prescriptions will be limited when certain generic alternatives are available. If you are affected by this change, you or your doctor will be notified by CVS/caremark. Medications included in CVS/caremark s formulary of brand medications have a lower cost to you and to the Plan. Please visit benefits.carmax.com or caremark.com to review the Caremark Performance Drug List of preferred brand medications. The Performance Drug List is subject to change at any time. Any brand medication that is not a generic and is not included on the Caremark Performance Drug List is non-preferred. Talk with your doctor to see if a generic or preferred brand medication is right for you. The Maintenance Choice program is a convenient and cost effective way to receive your Maintenance Medication prescriptions. Maintenance Choice lets you choose to receive your Maintenance Medications at a local CVS Pharmacy or by mail from the CVS Caremark Mail Service Pharmacy. Maintenance Medications must be filled through the Maintenance Choice program. Members are encouraged to ask their doctors for a 90-day supply to maximize the benefit of the Maintenance Choice program. CVS list of Maintenance Medications is available on the CarMax Benefits website. Note: Some pharmacies offer a low cost generic program for certain maintenance medications that may provide you with a greater savings. Generally, when you use these programs, you will not use your CVS Caremark Member ID card and your purchase will not go through the Medical Plan. Caremark has established a list of preventive prescriptions which have been approved for copayments while meeting your Deductible in High Deductible Health Plans, like the Core 60 Plan option. If your prescription is included in the Caremark Preventive Drug List, your prescription will be subject to the standard copayment, including minimums and maximums that would apply after you reach your Plan Deductible. The Caremark Preventive Drug List is available on the CarMax Benefits website or at caremark.com. The Preventive Drug List is subject to change at any time. Retail pharmacies should be used for short-term prescriptions with no more than a 30-day supplies. Your prescription copayments or coinsurance amounts will count toward the Medical Plan s Out-of- Pocket Maximum. This summary provides Medical Plan Highlights and does not include all plan information. Refer to the Summary Plan Description for details. If there are any variations between this document and the Summary Plan Description, the Summary Plan Description prevails. Updated: 12/31/2016 Online in CarMax World and at benefits.carmax.com Page 8 of 8

Department of Defense Nonappropriated Fund Health Benefits Program. Get Ready. To Enroll

Department of Defense Nonappropriated Fund Health Benefits Program. Get Ready. To Enroll Department of Defense Nonappropriated Fund Health Benefits Program Get Ready To Enroll DoD NAF Open Enrollment: November 7 December 2, 2016 Get prepared for Open Enrollment During Open Enrollment, November

More information

Health Benefits Program

Health Benefits Program Department of Defense Nonappropriated Fund Health Benefits Program What s new in 2017 with your Health Benefits Program DoD NAF Open Enro lment: November 7 December 2, 2016 Learn about updates to your

More information

Department of Defense Nonappropriated Fund Health Benefits Program. What s New in 2017 with your NAF Benefits

Department of Defense Nonappropriated Fund Health Benefits Program. What s New in 2017 with your NAF Benefits Department of Defense Nonappropriated Fund Health Benefits Program What s New in 2017 with your NAF Benefits DoD NAF Open Enrollment: November 7 December 2, 2016 Get prepared for Open Enrollment During

More information

DoD NAF HBP. Retirees, Medicare and Aetna AREA Luncheon

DoD NAF HBP. Retirees, Medicare and Aetna AREA Luncheon DoD NAF HBP Retirees, Medicare and Aetna AREA Luncheon Agenda Medicare and DoD NAF HBP/Aetna Coverage of Flu, Pneumonia, and Shingles Shots Maintenance Choice NEW for 2017 Exclusions Drug List NEW for

More information

Adobe 2014 Aetna Medical Plans

Adobe 2014 Aetna Medical Plans Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Adobe 2014 Aetna Medical Plans 2012 Aetna 2014 Medical Plan Options Aetna HealthSave (HSA) new for 2014 Aetna

More information

Medical Plan User Guide

Medical Plan User Guide Ventura EPO Medical Plan User Guide EFFECTIVE JANUARY 1, 2019 Your health. Your benefits. Your choice. Dignity Health Medical Plan User s Guide Dignity Health is committed to offering you comprehensive,

More information

Medical Plan User s Guide

Medical Plan User s Guide Medical Plan User s Guide Dignity Health Medical Plan User s Guide Dignity Health is committed to offering you comprehensive, affordable, and quality health care benefits. This guide will help you understand

More information

UnitedHealthcare Choice Plus Health Savings Account (HSA) Plans User Guide

UnitedHealthcare Choice Plus Health Savings Account (HSA) Plans User Guide UnitedHealthcare Choice Plus Health Savings Account (HSA) Plans User Guide Tips for Healthy Saving and Spending CHOOSE HEALTH. SPEND WISELY. We are committed to offering you a comprehensive benefits program

More information

Health Savings Account (HSA) Plan User Guide

Health Savings Account (HSA) Plan User Guide Page 1 Health Savings Account (HSA) Plan User Guide Welcome to Symantec s Health Savings Account (HSA) Plan You ve enrolled in the Health Savings Account (HSA) Plan, a medical plan option that represents

More information

2015 HSA Plan Quick Guide

2015 HSA Plan Quick Guide 2015 HSA Plan Quick Guide The HSA Plan consists of two parts that work together to give you more control over how you receive and pay for medical care and services, both now and in the future: the Health

More information

Guide to the Health Investment Option with Health Savings Account (HSA) Make the most of your Fordham medical benefits, all year round

Guide to the Health Investment Option with Health Savings Account (HSA) Make the most of your Fordham medical benefits, all year round Guide to the Health Investment Option with Health Savings Account (HSA) Make the most of your Fordham medical benefits, all year round Fordham cares about your health and is committed to helping you make

More information

2017 Open Enrollment is October 31 November 18, 2016

2017 Open Enrollment is October 31 November 18, 2016 Non-Union Support Staff and Local 2110 2017 Open Enrollment is October 31 November 18, 2016 Your Columbia University Benefits As a member of Non-Union Support Staff or Local 2110, you can take advantage

More information

Welcome to your Premera health plan

Welcome to your Premera health plan Welcome to your Premera health plan Plug in to the power of your plan Power up your plan at premera.com Find in-network doctors, urgent care, pharmacies, and hospitals. Get details of your plan in your

More information

YOUR HEALTH, YOUR CHOICE

YOUR HEALTH, YOUR CHOICE 2017 OPEN ENROLLMENT IMPORTANT INFORMATION YOUR HEALTH, YOUR CHOICE» CHOICEPLUS MEDICAL FOR 2017, NORFOLK SOUTHERN will continue offering two medical options, both of which allow eligible participants

More information

BENEFITS ENROLLMENT

BENEFITS ENROLLMENT 2019 2020 BENEFITS ENROLLMENT Open Enrollment begins February 18, 2019. This is your annual opportunity to choose the benefits coverage that s right for you and your family. You will have until March 1,

More information

News and Updates on Your Health Benefits Program

News and Updates on Your Health Benefits Program News and Updates on Your Health Benefits Program DoD NAF Open Enrollment: Nov ember 2 27, 2015 Take charge of your health care costs This newsletter contains information and important changes to your DoD

More information

2017 Open Enrollment is October 31 November 18, 2016

2017 Open Enrollment is October 31 November 18, 2016 TWU 2017 Open Enrollment is October 31 November 18, 2016 Your Columbia University Benefits As a member of TWU, you can take advantage of a comprehensive benefits package. Now is the time to review your

More information

The Leona Group Medical Benefit Plan Design

The Leona Group Medical Benefit Plan Design The Leona Group 2015-2016 Medical Benefit Plan Design PLAN NAME BASE PLAN BUY-UP PLAN CONSUMER-DRIVEN PLAN Provider Network Choice Choice Choice In -Network Out-of-Network In -Network Out-of-Network In

More information

HealthEZ doesn t serve clients; we serve people. We are here to take care of you. We are here to serve you!

HealthEZ doesn t serve clients; we serve people. We are here to take care of you. We are here to serve you! Benefit Overview Welcome! HealthEZ is proud to serve as your benefits administrator. We help companies all over the US provide custom, personalized benefits to their employees. We re here to make your

More information

2018 HRA Core Plan Member Guide. Aetna, Anthem, Cigna, CVS Caremark

2018 HRA Core Plan Member Guide. Aetna, Anthem, Cigna, CVS Caremark 2018 HRA Core Plan Member Guide Aetna, Anthem, Cigna, CVS Caremark What s Inside 3 Your Medical and Prescription Drug ID Cards 4 Plan Features 6 Health Reimbursement Account 8 Your Non-Emergency Care Options

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS Annual Enrollment GENERAL What s changing for 2017? How did Progressive determine the rates for our medical plans in 2017? Who can I cover on my benefits? Can I make a change

More information

AGREEMENT BENEFITS INFORMATION FOR NEW HIRES

AGREEMENT BENEFITS INFORMATION FOR NEW HIRES AGREEMENT BENEFITS INFORMATION FOR NEW HIRES Labor Relations Version Date: February 3, 205 A new hire kit will be mailed to you about one to three weeks after you begin working at Union Pacific. This kit

More information

Your Benefits Connected

Your Benefits Connected Annual Enrollment 2013: November 7 through 21 Your Benefits Connected It s Time to Review Your Verizon Benefit Options BenefitsConnection www.verizon.com/benefitsconnection Annual Enrollment will begin

More information

The Belden Medical Plan At a Glance (for the Highmark BCBS Outside of the Richmond area)

The Belden Medical Plan At a Glance (for the Highmark BCBS Outside of the Richmond area) The Belden Medical Plan At a Glance (for the Highmark BCBS Outside of the Richmond area) --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

More information

HealthKeepers, Inc. Your Plan: Anthem HealthKeepers Platinum OAPOS 10/0%/3000 Your Network: HealthKeepers

HealthKeepers, Inc. Your Plan: Anthem HealthKeepers Platinum OAPOS 10/0%/3000 Your Network: HealthKeepers HealthKeepers, Inc. Your Plan: Anthem HealthKeepers Platinum OAPOS 10/0%/3000 Your Network: HealthKeepers This summary of benefits is a brief outline of coverage, designed to help you with the selection

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-585-343-0055 ext. 6415. Important Questions Answers

More information

2019 HSA Guide. Read more inside! 2019 HSA Guide

2019 HSA Guide. Read more inside! 2019 HSA Guide The HSA Plan consists of two parts that work together to give you more control over how you receive and pay for medical care and services, both now and in the future: the Health Savings Account and the

More information

2019 FAQs Medical plan. Frequently Asked Questions from employees

2019 FAQs Medical plan. Frequently Asked Questions from employees 2019 FAQs Medical plan Frequently Asked Questions from employees September 2018 Medical plan benefits Here are some commonly asked questions about the Medical Plan Benefits that our employees have raised.

More information

Live it 2019 Aetna Federal Plans

Live it 2019 Aetna Federal Plans Live it 2019 Aetna Federal Plans The health plan that gets you 19.02.319.1-FED E (9/18) aetnafeds.com From the comfort of your home. Getting in touch is easier than ever. Whether it s a health plan question

More information

2013 Benefits. Open Enrollment Is Coming. Take Three Steps to Get Ready. e Review your enrollment materials. This newsletter and the open

2013 Benefits. Open Enrollment Is Coming. Take Three Steps to Get Ready. e Review your enrollment materials. This newsletter and the open 2013 OPEN ENROLLMENT NEWSLETTER SEPTEMBER 2012 2013 Benefits Open Enrollment Is Coming 2013 Open Enrollment Sneak Preview CPChem s Pharmacy Benefit Changes for 2013 A Year in Their Shoes What s in Your

More information

HealthEZ doesn t serve clients; we serve people. We are here to take care of you. We are here to serve you!

HealthEZ doesn t serve clients; we serve people. We are here to take care of you. We are here to serve you! Benefit Overview Welcome! HealthEZ is proud to serve as your benefits administrator. We help companies all over the US provide custom, personalized benefits to their employees. We re here to make your

More information

AGREEMENT BENEFITS INFORMATION FOR NEW HIRES

AGREEMENT BENEFITS INFORMATION FOR NEW HIRES AGREEMENT BENEFITS INFORMATION FOR NEW HIRES UPREHS Labor Relations New hire kits will be mailed to you about one to three weeks after you begin working at Union Pacific. These kits will contain enrollment

More information

Anthem Blue Cross Your Plan: Premier HMO 10/100% - MUST Trust Your Network: California Care HMO

Anthem Blue Cross Your Plan: Premier HMO 10/100% - MUST Trust Your Network: California Care HMO Anthem Blue Cross Your Plan: Premier HMO 10/100% - MUST Trust Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process.

More information

+Additional Benefits (see page 5)

+Additional Benefits (see page 5) HOW THE 2017 CHS LIVEWELL HEALTH PLAN WORKS TEAMMATE ONLY CHS Contributes = $350 You earn all LiveWELL Incentives = $750 You contribute premium savings = $1,050 $2,150 $1,850 CHS LiveWELL Health Plan 75%

More information

Important Questions. Why this Matters:

Important Questions. Why this Matters: Important Questions What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca/calpers

More information

Welcome! Eligibility When to Enroll How to Enroll Making Changes Medical Coverage You Can Count On...

Welcome! Eligibility When to Enroll How to Enroll Making Changes Medical Coverage You Can Count On... December 18, 2017 Contents Welcome!... 3 Eligibility... 3 When to Enroll... 3 How to Enroll... 3 Making Changes... 3 Medical Coverage You Can Count On... 4 How to Find an In-Network Provider... 5 Teladoc

More information

Important Questions Answers Why this Matters: What is the overall deductible? $0 Are there other deductibles for specific services?

Important Questions Answers Why this Matters: What is the overall deductible? $0 Are there other deductibles for specific services? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcbsga.com/usg or by calling 1-800-424-8950. Important

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-855-333-5735. Important Questions

More information

Guide to the Enhanced Standard Option with Health Reimbursement Account (HRA) Make the most of your Fordham medical benefits, all year round

Guide to the Enhanced Standard Option with Health Reimbursement Account (HRA) Make the most of your Fordham medical benefits, all year round Guide to the Enhanced Standard Option with Health Reimbursement Account (HRA) Make the most of your Fordham medical benefits, all year round Fordham cares about your health and is committed to helping

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. Medical benefits are covered through Anthem Blue Cross and Blue Shield. If you want more detail about your coverage and costs for health benefits, you can get the complete terms

More information

Introducing the benefits of the HDHP. Get the most out of the High Deductible Health Plan

Introducing the benefits of the HDHP. Get the most out of the High Deductible Health Plan Introducing the benefits of the HDHP Get the most out of the High Deductible Health Plan HDHP Comparing the HDHP to Lehigh s other health plan offerings. There are many similarities between the HDHP and

More information

BENEFITS CHI. Summary of Benefits Coverage. Basic Blue Cross Blue Shield of Illinois. Effective January 1, 2015

BENEFITS CHI. Summary of Benefits Coverage. Basic Blue Cross Blue Shield of Illinois. Effective January 1, 2015 CHI BENEFITS Summary of Benefits Coverage Basic Blue Cross Blue Shield of Illinois Effective January 1, 2015 The following is an overview of your Catholic Health Initiatives Basic medical plan option for

More information

HealthTrust: Access Blue 20-RX10/20/45 Coverage Period: 07/01/ /30/2017

HealthTrust: Access Blue 20-RX10/20/45 Coverage Period: 07/01/ /30/2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-870-3122. Important Questions

More information

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/ /31/2017

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/ /31/2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkbcbs.com or by calling 1-800-241-5704. Important

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pibf.org or by calling 1-918-280-4800. Important Questions

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Glatfelter: Coverage Period: 01/01/2014 12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Single+2Party+Family Plan Type: PPO This is only a summary. If you

More information

Benefits Guide. A quick reference guide

Benefits Guide. A quick reference guide 2018 Benefits Guide A quick reference guide Welcome to your 2018 Katy ISD benefits As always, we re here to help. If you have any questions, just give a Benefits Outlook specialist a call at 866-222-KISD

More information

COMPASS ROSE HEALTH PLAN PROTECTING OUR MEMBERS SINCE 1948

COMPASS ROSE HEALTH PLAN PROTECTING OUR MEMBERS SINCE 1948 PLAN YEAR 2019 COMPASS ROSE HEALTH PLAN PROTECTING OUR MEMBERS SINCE 1948 POWERED BY compassrosebenefits.com 1 WELCOME WE ARE HERE TO HELP YOU SOLVE THE COMPLEXITIES OF INSURANCE PLAN HIGHLIGHTS COMPASS

More information

Veritas Management Group EMPLOYEE BENEFITS

Veritas Management Group EMPLOYEE BENEFITS Veritas Management Group EMPLOYEE BENEFITS Benefit plans effective February 1, 2017 January 31, 2018 Table of Contents How Benefits Work Benefits Eligibility... 3 Enrollment... 3 Changing Your Benefits

More information

You can see the specialist you choose without permission from this plan.

You can see the specialist you choose without permission from this plan. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.pibf.org or by calling 1-918-280-4800. Important Questions

More information

Montgomery County Public Schools- PPO Coverage Period: 10/01/ /30/2017

Montgomery County Public Schools- PPO Coverage Period: 10/01/ /30/2017 Montgomery County Public Schools- PPO Coverage Period: 10/01/2016 09/30/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO This

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-421-1880. Important Questions

More information

Important Questions Answers Why this Matters: For PPO Providers: $1,500 Member/$3,000 Family For Non-PPO Providers:

Important Questions Answers Why this Matters: For PPO Providers: $1,500 Member/$3,000 Family For Non-PPO Providers: Anthem Blue Cross Life and Health Insurance Company ACWA / JPIA: Account Based Health Plan (EV85) Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it

More information

DoD NAF HBP Open Enrollment Overview

DoD NAF HBP Open Enrollment Overview DoD NAF HBP Open Enrollment Overview For the 2018 Open Enrollment Period, you will receive an announcement postcard mailed to your home. The postcard will direct you to www.nafhealthplans.com for all coverage

More information

Health and Insurance Highlights Powering You to Live Well

Health and Insurance Highlights Powering You to Live Well Health and Insurance Highlights Powering You to Live Well Eaton recognizes how important health and insurance benefits are in meeting the varying needs of today s employees and their families. This highlights

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.arcsvs.com or by calling 1-877-309-2955. Important Questions

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.crystalrunhp.com or by calling 1-844-638-6506. Important

More information

Salaried Team Total Benefits Summary

Salaried Team Total Benefits Summary Salaried Team 2018 Total Benefits Summary Compensation Gentex total compensation is engineered specifically for those of us wired with an ownership mentality mindset. Take a minute to study up it is innovative,

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: HealthKeepers Anthem HealthKeepers 25 POS / $10/$30/$50 or 20% Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 10/01/2014-09/30/2015 Coverage For: Individual/Family

More information

Choices as unique as you are

Choices as unique as you are 2018 Benefits It s time to choose your benefits. To get started, use the checklist inside and also visit bswhbenefits.com. Choices as unique as you are Eligibility We offer a full menu of benefits to eligible

More information

Embrace it 2019 Aetna Federal Plans

Embrace it 2019 Aetna Federal Plans Embrace it 2019 Aetna Federal Plans The health plan that gets you 19.02.308.1-FED K (9/18) aetnafeds.com From the comfort of your home. Getting in touch is easier than ever. Whether it s a health plan

More information

Aetna Open Access Managed Choice POS HDHP 2

Aetna Open Access Managed Choice POS HDHP 2 Aetna Open Access Managed Choice POS HDHP 2 Managed Choice POS HDHP 2 MEDICAL PLAN ENROLLMENT CODE AMHD2 Estimated Metal Level Silver Carrier Network Managed Choice POS In-Network Out-of-Network Calendar-Year

More information

Anthem Blue Cross University of the Pacific Student Health Plan PPO with Student Health Center (100/80/60) Coverage Period: 08/01/ /31/2016

Anthem Blue Cross University of the Pacific Student Health Plan PPO with Student Health Center (100/80/60) Coverage Period: 08/01/ /31/2016 Anthem Blue Cross University of the Pacific Student Health Plan PPO with Student Health Center (100/80/60) Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 08/01/2015-07/31/2016

More information

BOSTON UNIVERSITY Your Guide to 2016 Medical Options

BOSTON UNIVERSITY Your Guide to 2016 Medical Options BOSTON UNIVERSITY Your Guide to 2016 Medical Options Contents Resources to Learn More...3 Two Medical Options...4 2016 Health Plans at a Glance...6 The New PPO Plan...7 The New PPO Plan in Action...10

More information

Nationwide Life Insurance Co.: University of Southern Maine (International) Coverage Period: 8/1/13-7/31/14

Nationwide Life Insurance Co.: University of Southern Maine (International) Coverage Period: 8/1/13-7/31/14 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.chpstudent.com or by calling 1-800-633-7867. Important

More information

What is the overall deductible? Are there other deductibles for specific services?

What is the overall deductible? Are there other deductibles for specific services? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-624-6300. Important Questions Answers Why this

More information

Anthem Blue Cross Your Plan: Value HMO 30/40/500/3 day Your Network: Priority Select HMO

Anthem Blue Cross Your Plan: Value HMO 30/40/500/3 day Your Network: Priority Select HMO Anthem Blue Cross Your Plan: Value HMO 30/40/500/3 day Your : Priority Select HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary

More information

You must pay all of the costs for these services up to the specific deductible amount before this plan begins to pay for these services.

You must pay all of the costs for these services up to the specific deductible amount before this plan begins to pay for these services. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.avmed.org or by calling 1-800-477-8768. Important Questions

More information

You can see the specialist you choose without permission from this plan.

You can see the specialist you choose without permission from this plan. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cvtrust.org or by calling 1-800-288-9870. Important Questions

More information

In-network $1,000 person / $3,000 family Out-of-network $3,000 person / $9,000 family. What is the overall deductible?

In-network $1,000 person / $3,000 family Out-of-network $3,000 person / $9,000 family. What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.loomisco.com or by calling 1-800-367-3721. Important

More information

NEW for 2019 High Deductible Health Plan

NEW for 2019 High Deductible Health Plan NEW for 2019 High Deductible Health Plan In addition to the Standard and Choice PPO plans, Larimer County will be offering a third option for the 2019 plan year. What? Why? The IRS defines a high deductible

More information

Anthem Blue Cross Your Plan: Classic PPO 1000/35/20 (Essential Formulary $5/$20/$30/$50/30%) Your Network: Prudent Buyer PPO

Anthem Blue Cross Your Plan: Classic PPO 1000/35/20 (Essential Formulary $5/$20/$30/$50/30%) Your Network: Prudent Buyer PPO Anthem Blue Cross Your Plan: Classic PPO 1000/35/20 (Essential Formulary $5/$20/$30/$50/30%) Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you

More information

FOREIGN SERVICE BENEFIT PLAN

FOREIGN SERVICE BENEFIT PLAN FOREIGN SERVICE BENEFIT PLAN Summary of 2017 Benefits Health Plan Accredited by The FOREIGN SERVICE BENEFIT PLAN has Health Plan Accreditation from the Accreditation Association for Ambulatory Healthcare,

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-877-309-2955. Important Questions

More information

Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA)

Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA) Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA) Interact with this ebrochure. Here s how. This ebrochure is designed for onscreen viewing, allowing you to navigate through the document

More information

Veritas Management Group EMPLOYEE BENEFITS

Veritas Management Group EMPLOYEE BENEFITS Veritas Management Group EMPLOYEE BENEFITS Benefit plans effective February 1, 2016 January 31, 2017 Table of Contents How Benefits Work Benefits Eligibility... 3 Enrollment... 3 Changing Your Benefits

More information

PLAN DESIGN AND BENEFITS - New York Open Access MC 3-11 HSA Compatible

PLAN DESIGN AND BENEFITS - New York Open Access MC 3-11 HSA Compatible PLAN FEATURES Deductible (per plan year) $3,000 Individual $6,000 Individual $6,000 Family $12,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered

More information

Your Plan: 2018 HMO Plan (2940) Your Network: California Care HMO

Your Plan: 2018 HMO Plan (2940) Your Network: California Care HMO Anthem Blue Cross Your Plan: 2018 HMO Plan (2940) Your : California Care HMO ACWA JPIA C00361 This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This

More information

MHBP Consumer Option Part health plan, part health savings account

MHBP Consumer Option Part health plan, part health savings account MHBP Consumer Option MHBP Consumer Option Part health plan, part health savings account A different kind of health plan You may consider it rather unusual that a health plan would give a portion of your

More information

Your PG&E Benefits Glossary of Technical Terms

Your PG&E Benefits Glossary of Technical Terms Your PG&E Benefits Glossary of Technical Terms Medical Plan Terms Acute medical condition Allowed amount Balance-billed charges A medical condition that involves a sudden onset of symptoms due to an illness,

More information

Aetna Open Access Managed Choice POS 3

Aetna Open Access Managed Choice POS 3 Aetna Open Access Managed Choice POS 3 Managed Choice POS 3 MEDICAL PLAN ENROLLMENT CODE AMPS3 Estimated Metal Level Gold Carrier Network Managed Choice POS In-Network Out-of-Network Calendar Year Deductible

More information

Land of Lincoln Health : LAND OF LINCOLN PREFERRED PPO GOLD Coverage Period: 01/01/ /31/2015

Land of Lincoln Health : LAND OF LINCOLN PREFERRED PPO GOLD Coverage Period: 01/01/ /31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.landoflincolnhealth.org or by calling 1-844-674-3834.

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: Glatfelter: Ohio Union Hourly Employees* Coverage Period: 01/01/2014 12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Single + Family Plan Type: PPO This

More information

Glossary of Terms. Adjudication: The way a health plan decides how much it will pay for certain expenses.

Glossary of Terms. Adjudication: The way a health plan decides how much it will pay for certain expenses. Page 1 Glossary of Terms Adjudication: The way a health plan decides how much it will pay for certain expenses. Affordable Care Act (ACA): The comprehensive health care reform law enacted in March 2010.

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.capitalhealth.com or by calling 1-850-383-3311. Important

More information

2017 What s New Guide

2017 What s New Guide 2017 What s New Guide 2 Click on a link in the sidebar to get started. At XL Catlin, you partner with us to serve our clients, so we partner with you to provide valuable health and welfare benefits. Each

More information

Cost if you use a Non-Network Provider. Cost if you use an In-Network Provider. Covered Medical Benefits

Cost if you use a Non-Network Provider. Cost if you use an In-Network Provider. Covered Medical Benefits Anthem Blue Cross California State University Risk Management Authority Your Plan: Custom Premier HMO 20/200 admit/100 OP (Custom Rx $5/$20/$60/20%) Your Network: California Care HMO This summary of benefits

More information

Even though you pay these expenses, they don t count toward the out-ofpocket limit.

Even though you pay these expenses, they don t count toward the out-ofpocket limit. Anthem HealthKeepers Premier POS: Henrico County General Government and Public Schools Coverage Period: 1/1/2017-12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage

More information

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.gbophb.org (click on HealthFlex/WebMD) or by calling

More information

Yes. Some of the services this plan doesn t cover are listed on page 4

Yes. Some of the services this plan doesn t cover are listed on page 4 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.centuryhealthcare/com/user/login or by calling 1-877-685-2432.

More information

Anthem Blue Cross Your Plan: Modified Premier HMO 15/100% (Essential formulary $5/$15/$25/$45/30%) Your Network: California Care HMO

Anthem Blue Cross Your Plan: Modified Premier HMO 15/100% (Essential formulary $5/$15/$25/$45/30%) Your Network: California Care HMO Anthem Blue Cross Your Plan: Modified Premier HMO 15/100% (Essential formulary $5/$15/$25/$45/30%) Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to

More information

City of Monroe: City of Monroe Medical Care Plan Coverage Period: July 1, 2016 June 30, 2017

City of Monroe: City of Monroe Medical Care Plan Coverage Period: July 1, 2016 June 30, 2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.tuckeradministrators.com or by calling 704 525-9666.

More information

Your Health Benefits Program: News, Facts and Reminders

Your Health Benefits Program: News, Facts and Reminders nafhealthplans.com 2019 DoD NAF Open Enrollment: November 1 30, 2018 Your Health Benefits Program: News, Facts and Reminders Fresh for 2019! New look, same great benefits. What s new for 2019 The changes

More information

$500 Individual/$1,000 Family See the chart starting on page 2 for your costs for services this plan covers.

$500 Individual/$1,000 Family See the chart starting on page 2 for your costs for services this plan covers. This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cvtrust.org or by calling 1-800-288-9870. Important Questions

More information

No Charge Primary care visit to treat an injury or illness. 20% Specialist care visit

No Charge Primary care visit to treat an injury or illness. 20% Specialist care visit Effective: January 1, 2018 UC Medicare PPO Plan Please Note: this medical plan is a complement to your existing Medicare plan. Medicare benefits are primary and then the benefits of this plan are calculated

More information

Health. Savings. FAQs. The following are frequently asked questions and answers regarding the Health+Savings Option in the BP Medical Plan.

Health. Savings. FAQs. The following are frequently asked questions and answers regarding the Health+Savings Option in the BP Medical Plan. Health Savings FAQs The following are frequently asked questions and answers regarding the Health+Savings Option in the BP Medical Plan. Note: Health Savings Account (HSA) tax laws vary by state. You might

More information

Important Questions Answers Why this Matters: In-network: $0/Individual; $0/Family Out-of-network: $750/Individual; $1,500/Family

Important Questions Answers Why this Matters: In-network: $0/Individual; $0/Family Out-of-network: $750/Individual; $1,500/Family This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-421-1880. Important Questions

More information

Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services?

Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.myscrippshealthplan.com or by calling 1-877-552-7247.

More information

LVAIC-Muhlenberg College: Lehigh Valley Flex Blue PPO Coverage Period: 01/01/ /31/2017

LVAIC-Muhlenberg College: Lehigh Valley Flex Blue PPO Coverage Period: 01/01/ /31/2017 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.highmarkblueshield.com or by calling 1-800-345-3806.

More information

Anthem BlueCross BlueShield Christian Care Communities Blue Access PPO Coverage Period: 01/01/ /31/2015 Summary of Benefits and Coverage:

Anthem BlueCross BlueShield Christian Care Communities Blue Access PPO Coverage Period: 01/01/ /31/2015 Summary of Benefits and Coverage: This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-888-650-4047. Important Questions

More information