FOURTH QUARTER 2017 SMALL GROUP PRODUCT PORTFOLIO
|
|
- Vivien Bell
- 5 years ago
- Views:
Transcription
1 FOURTH QUARTER 2017 SMALL GROUP PRODUCT PORTFOLIO
2
3 THE CARD THAT OPENS DOORS IN 50 STATES. Benefits of Blue Plan options NEW tiered benefit plans Tiered benefit plans offered at every metal level (align and focus plans) Lower premium, same benefits, full network employees choose preferred providers/facilities A comprehensive online benefits solution Premium Savings * Expanded (EX) network plans Enhanced network access with locally, PPO for out-of-area Available for employees who work and/or live in Western New York Preventive services NEW $0 preventive drugs available on non-standard HSA plans More than 50 free check-ups and preventive services Health and wellness Health assessment rewards $25 for taking assessment in the first 6 months of plan year An additional $25 when a covered spouse takes the health assessment $250 wellness debit card offered with every plan We ve got you covered Vision coverage included with all medical plans Pediatric and adult dental plans available BlueConnect is an online health management platform that helps employers manage their costs while delivering benefits to their employees in a more efficient manner. Streamlined new group registration Easy enrollment and management Online bill pay Real-time reporting Better for the employee, easier for the employer, affordable for everyone. Visit bcbswny.com/blueconnect today.
4 Platinum * Fourth Quarter Premium Savings * Plan/market name Platinum Standard Platinum Platinum align align* Platinum Platinum focus focus* Platinum HMO 110 Plus Platinum PPO 843 Network PPO Optimum Preferred Flexible $0 $0 $1,500/$3,000 $0 $500/$1,000 Coinsurance N/A N/A 4 N/A 2 Out-of-pocket maximum (single/family) Out-of-network $2,000/$4,000 $5,000/$10,000 $4,000/$8,000 $1,500/$3,000 $4,000/$8,000 $1,500/$3,000 $1,000/$2,000 $500/$1,000 Coinsurance Out-of-pocket maximum (single/family) Medical services PCP/specialist $15/$35 $20/$30 $4,000/$8,000 $20/4 $4,000/$8,000 $5,000/$10,000 $20/$30 2 Laboratory services $35 $0 4 $0 2 Diagnostic X-rays $35 $30 4 $30 2 Hospital services Inpatient hospital (per admission) $500 $500 4 $500 2 Outpatient facility $100 $150 4 $150 2 Emergency room visit $100 $100 $100 $100 2 Urgent care $55 $40 $40 $40 2 Prescription drugs Generic/formulary/non-formulary $10/$30/$60 $5/$30/5 $5/$30/5 Preventive drug list $10/$30/5 HSA-eligible Creditable coverage Product name Platinum Standard Platinum align Platinum focus Platinum HMO 110 Plus Platinum PPO 843 Rates Single $ $ $ $ Employee and child $1, $ $ $1, Employee and spouse/domestic partner $1, $1, $1, $1, Family $1, $1, $1, $1, Available in Erie and Niagara counties only *Minimum of 6% savings compared to our other plans; savings may vary based on plan design
5 * Fourth Quarter Plan/market name Standard align align* focus focus* Aqua Complete 7100 NQ EX Network PPO $600/$1,200 Optimum Preferred Premium Savings * Flexible First Dollar $500/$1,000 $1,000/$2,000 $2,500/$5,000 PPO 7100 Coinsurance N/A N/A 4 2 after first dollar and N/A N/A Out-of-pocket maximum (single/family) Out-of-network $4,000/$8,000 $5,000/$10,000 $4,000/$8,000 $6,000/$12,000 $1,000/$2,000 $2,500/$5,000 $2,500/$5,000 $4,000/$8,000 $4,000/$8,000 Coinsurance Out-of-pocket maximum (single/family) Medical services $2,500/$5,000 4 after $10,000/ $20,000 4 PCP/specialist $25/$40 $20/$40 $20/4 2 after first dollar and $20/$40 $20/$40 Laboratory services $40 $ after first dollar and $40 $40 Diagnostic X-rays $40 $ after first dollar and $40 $40 Hospital care Inpatient hospital (per admission) Outpatient facility Emergency room Urgent care Prescription drugs $1,000 after $100 after $150 after $60 $500 $ $150 $75 2 after first dollar 2 after first dollar and 2 after first dollar and 2 after first dollar and $500 $150 $150 $75 $500 $150 $150 $75 Generic/formulary/ non-formulary $10/$35/$70 $5/$30/$50 $15/$50/5 $5/$30/$50 $5/$30/$50 Preventive drug list HSA-eligible Creditable coverage Product name Rates Standard align focus Aqua Complete 7100 NQ EX Single $ $ $ $ $ $ $ $ $ Employee and child $ $ $ $ $ $ $ $ $ Employee and spouse/ domestic partner $1, $ $ $ $ $ $ $1, $1, Family $1, $1, $1, $1, $1, $1, $1, $1, $1, PPO 7100 *Minimum of 6% savings compared to our other plans; savings may vary based on plan design
6 * Fourth Quarter Plan/market name Standard EX Network PPO 200 Coinsurance Out-of-pocket maximum (single/family) Out-of-network Coinsurance Out-of-pocket maximum (single/family) Medical services PCP/specialist Laboratory services $2,000/$4,000 N/A $6,750/$13,500 $5,000/$10,000 5 $30/$50 $50 Optimum Preferred 3 Flexible $3,500/$7,000 5 $6,550/$13,100 $3,500/$7,000 5 $30/$50 3 after Premium Savings * align focus $30/5 after 5 after $2,000/$4,000 N/A $6,500/$13,000 $2,000/$4,000 4 $25/$50 $50 PPO 8100 $2,000/$4,000 2 $5,500/$11,000 $2,000/$4, Blended $3,000/$6,000 2 $6,550/$13,100 $3,000/$6,000 4 $25/$50 $0 for first three adult PCP visits $50 Diagnostic X-rays Hospital care Inpatient hospital (per admission) Outpatient facility Emergency room Urgent care Prescription drugs $50 $1,500 $100 $250 $70 3 after 3 after 3 after 5 after 5 after 5 after 3 3 Generic/formulary/non-formulary $10/$35/$70 $5/$30/5 $50 $750 $150 $250 $75 $5/$30/5 2 $ $5/$30/5 $15/$50/5 Preventive drug list HSA-eligible Creditable coverage Product name Rates Standard align focus EX PPO 8100 Blended Single $ $ $ $ $ $ $ $ Employee and child $ $ $ $ $ $ $ $ Employee and spouse/domestic partner $ $ $ $ $ $ $1, $ Family $1, $1, $1, $1, $1, $1, $1, $1, Available in Erie and Niagara counties only *Minimum of 6% savings compared to our other plans; savings may vary based on plan design
7 Fourth Quarter Bronze Plan/market name Bronze Standard Bronze 8100EX Bronze PPO 8100 Premium Savings * Bronze align Bronze focus * Network PPO 200 $4,000/$8,000 $5,500/$11,000 Optimum Preferred $7,000/$14,000 Flexible $7,150/$14,300 Coinsurance Out-of-pocket maximum (single/family) Out-of-network $7,150/$14,300 $5,000/$10,000 $6,550/$13,100 $5,500/$11,000 $7,150/$14,300 $7,150/$14,300 Coinsurance Out-of-pocket maximum (single/family) Medical services Pcp/specialist / Laboratory services Diagnostic X-rays Hospital care Inpatient hospital (per admission) 5 2 Outpatient facility 5 2 Emergency room 5 2 Urgent care Prescription drugs Generic/formulary/non-formulary $10/$35/$70 $15/$50/5 $10/5/5 Preventive drug list 4 HSA-eligible 4 Creditable coverage 4 Product name Bronze Standard Bronze 8100EX Bronze PPO 8100 Rates Single $ $ $ Employee and child $ $ $ Employee and spouse/domestic partner $ $ $ Family $1, $1, $1, Bronze align Bronze focus $ $ $ $1, *Minimum of 6% savings compared to our other plans; savings may vary based on plan design
8 Pediatric and Adult Dental Plans Dental care is important to overall health. That s why our dental plans include essential benefits to ensure members receive complete oral health coverage through our own dental network. Blue Value dental plans have no participation requirements you can add to your medical plan or purchase one separately. New for 2017 Blue Value Dental 3, a richer plan with coverage for cosmetic orthodontics (routine braces) for children and adults. Pediatric Dental is an essential health benefit as outlined in the Affordable Care Act. Groups can choose one Blue Value dental plan to offer their employees in addition to Blue Pediatric dental. Blue Pediatric Dental* (PPO) Blue Value Dental 1* (PPO) Blue Value Dental 2 (PPO) Blue Value Dental 3*** (PPO) Monthly Premium Benefits Deductible () $19.14 (per child) Children to age 19 years N/A $18.03 (one adult) $36.06 (two adults) $46.99 (subscriber and child(ren)) $75.09 (family) $24.18 (one adult) $48.36 (two adults) $56.54 (subscriber and child(ren)) $91.81 (family) $27.85 (one adult) $55.70 (two adults) $63.83 (subscriber and child(ren)) $ (family) Adult/Family** Adult/Family** Adult/Family** $50 per member/ $150 family maximum $50 per member/ $150 family maximum $50 per member/ $150 family maximum Annual benefit maximum N/A $750 per member per plan year $1,250 per member per plan year $1,500 per member per plan year Out-of-pocket maximum $350 - one child $700 - two or more children (per plan year) N/A N/A N/A Orthodontic lifetime maximum (pediatric and adult cosmetic, routine braces) N/A N/A N/A $1,000 per member per lifetime Preventive/diagnostic (exams, cleaning, X-rays) Basic restorative (fillings, extractions, periodontics, endodontics) Major dental (bridges, crowns, dentures) $20 copay $0 copay $0 copay $0 copay Orthodontics (medically necessary only; routine braces not covered), subject to out-of-pocket max Not covered Not covered (adult and pediatric cosmetic orthodontics), subject to lifetime max Note: Members can receive dental services from a provider who does not participate in the BlueCross BlueShield contracted network of providers. Out-of-network services are reimbursed at 10 of the in-network fee schedule and the non-participating provider may balance bill the member for the remainder. * Available on SHOP ** Blue Pediatric dental benefits and cost-sharing are included in all Blue Value dental plans. *** Blue Value Dental 3 includes coverage for children up to age 19 for medically necessary orthodontics subject to an out-of-pocket maximum (see Blue Pediatric Benefits) and cosmetic orthodontics (routine braces) subject to a lifetime maximum per member. Adults and adult dependents have coverage for cosmetic orthodontics (routine braces) subject to a lifetime maximum per member.
9 Pediatric Vision Benefit Platinum Standard Platinum align Platinum focus Platinum HMO 110 Plus Platinum PPO 843 Optimum Preferred* Flexible Pediatric exam (routine and well) $15 copayment $30 copayment 4 coinsurance $30 copayment Pediatric eyewear, incl. frames, lenses, contact lenses 1 coinsurance 1 coinsurance 4 coinsurance 1 coinsurance 1 coinsurance Standard Aqua Complete 7100 NQ Optimum Preferred* align focus Flexible EX PPO 7100 Pediatric exam (routine and well) $25 copayment after first dollar coinsurance $40 copayment $40 copayment 4 coinsurance $40 copayment Pediatric eyewear, incl. frames, lenses, contact lenses after first dollar and coinsurance 4 coinsurance Standard Optimum Preferred* align focus Flexible EX PPO 8100 Blended Pediatric exam (routine and well) $30 copayment $50 copayment $50 copayment $50 copayment Pediatric eyewear, incl. frames, lenses, contact lenses 3 coinsurance 3 coinsurance 3 coinsurance 3 coinsurance 3 coinsurance Bronze Standard Bronze 8100EX Bronze PPO 8100 Optimum Preferred* Bronze align Bronze focus Flexible Pediatric exam (routine and well) coinsurance Pediatric eyewear, incl. frames, lenses, contact lenses Pediatric routine eye exams and eyewear are covered only in-network. Pediatric routine eye exams covered in full every other year for non-standard plans. Off year follows specialist cost-share. Standard plans covered in full every year (cost-share reflects multiple visits). * EyeMed providers covered under Optimum Preferred cost-share.
10 Annual benefit limits Habilitation (PT/OT/ST)1 60 combined visits, per plan year Rehab, outpatient (PT/OT/ST)1 60 combined visits, per plan year Hospice 210 days per plan year, 5 visits per plan year for family bereavement Rehab, inpatient (PT/OT/ST) 60 combined visits, per plan year Substance abuse, outpatient Unlimited, 20 visits per plan year for family counseling Home health care 40 visits per plan year Skilled nursing facility 2 Unlimited 1 Hearing aids Single purchase every 3 years For standard plans: 1 60 combined visits per condition, per lifetime days per year
11 THE NAME TRUSTED FOR OVER 80 YEARS.
12 bcbswny.com A division of HealthNow New York Inc., an independent licensee of the BlueCross BlueShield Association _WNY_QT4_5_17 Printed by the proud members of OPEIU Local 153.
FIRST QUARTER 2018 SMALL GROUP PRODUCT PORTFOLIO
FIRST QUARTER 2018 SMALL GROUP PRODUCT PORTFOLIO Benefits of Blue Innovative plan designs Full-network tiered benefit plans at every metal level align and focus plans are designed to help keep your costs
More informationFIRST QUARTER 2018 SMALL GROUP PRODUCT PORTFOLIO
FIRST QUARTER 2018 SMALL GROUP PRODUCT PORTFOLIO Benefits of BlueShield Innovative plan designs Expanded (EX) network plans Enhanced network access with POS locally and PPO for out-of-area Available for
More informationTHIRD QUARTER 2018 SMALL GROUP PRODUCT PORTFOLIO
THIRD QUARTER 2018 SMALL GROUP PRODUCT PORTFOLIO A 1 2 Benefi ts of BlueShield Innovative plan designs Expanded (EX) network plans Enhanced network access with POS locally and PPO for out-of-area Available
More information2018 INDIVIDUAL AND FAMILY PLANS
2018 INDIVIDUAL AND FAMILY PLANS 2018 Individual Plans 2018 PLATINUM PLAN Platinum Standard Individual $815.03 Monthly premium individual/family Individual and child(ren) $1,385.55 Individual and spouse/domestic
More informationSECOND QUARTER 2019 SMALL GROUP PRODUCT PORTFOLIO
SECOND QUARTER 2019 SMALL GROUP PRODUCT PORTFOLIO A Benefi ts of BlueShield Innovative plan designs Expanded (EX) network plans Enhanced network access with POS plans locally and PPO plans for out-of-area
More information2017 Denver Employees Retirement Plan Non-Medicare Medical Plan Summary
HDHP* 2017 Denver Employees Retirement Plan Non-Medicare Summary Colorado HDHP HDHP** DHMO* Colorado DHMO Navigate (Colorado only) Annual Deductible Single $1,350 $1,350 $1,350 $500 $500 $500 Family $2,700
More informationWashington Counties Insurance Fund 2017 Benefit Plan Comparison for Retirees
Washington Counties Insurance Fund 2017 Benefit Plan Comparison for Retirees Retiree Medical Plans for Under Age 65 (former WCIF medical enrollees only) Retiree Medical Plans for Over Age 65 (all eligible
More informationGUIDE TO MEDICAL AND DENTAL PLANS
GUIDE TO MEDICAL AND DENTAL PLANS B e n e f i t s e f f e c t i v e J u l y 1, 2 0 1 4 t h r o u g h J u n e 3 0, 2 0 1 5 Choosing your benefits is an important decision. This guide provides you with the
More informationMedical Plan 2019 Coverage Options
Medical Plan 2019 Coverage Options These documents provide a convenient overview of your health care insurance rates and coverage (medical, including pharmacy; dental; vision) and your contribution limits
More informationBluePreferred PPO Platinum 500 Non-Integrated Deductible
BluePreferred PPO Platinum 500 Non-Integrated Deductible Summary of Benefits Services In-Network You Pay 1 Out-of-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice from a registered nurse.
More informationRegence BlueShield: Regence Gold 1000 Preferred
Regence BlueShield: Regence Gold 1000 Preferred Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016 12/31/2016 Coverage for: Individual & Eligible Family
More informationClergy Benefit Comparison Effective January 1, 2018
Clergy Benefit Comparison Effective January 1, 2018 HMO-POS Plan Personal Care Account (Provided by VUMPI) There is no Personal Care Account There is no Personal Care Account $750 Individual, $2,250 Family
More informationHEALTH PLAN BENEFITS AND COVERAGE MATRIX
HEALTH PLAN BENEFITS AND COVERAGE MATRIX THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. THE EVIDENCE OF COVERAGE AND PLAN CONTRACT SHOULD BE CONSULTED FOR
More information2018 Summary of Benefits. BlueCross Secure SM (HMO)
2018 Summary of Benefits BlueCross Secure SM (HMO) Jan. 1, 2018 Dec. 31, 2018 855-204-2744 TTY 711 Seven Days a Week, 8 a.m. to 8 p.m. (Oct. 1, 2017, to Feb. 14, 2018) Monday-Friday, 8 a.m. to 8 p.m. (All
More informationIt Pays to Think Ahead Benefit Summary
It Pays to Think Ahead. 2013 Benefit Summary Benefits Overview Aurora Public Schools is proud to offer a comprehensive benefits package to eligible employees. The complete benefit package is briefly summarized
More informationNortel FLEX 2012 Enrollment. Summary of Health Benefits
Nortel FLEX 2012 Enrollment Summary of Health Benefits 1 Summary of Health Benefits Medical Network Area The chart below outlines the main features of the Medical Plan options available to you if you live
More informationAN INDIVIDUAL S guide to THE. Right Health Insurance
AN INDIVIDUAL S guide to THE Right Health Insurance TURN TO The right health insurance. Right now. To find the health insurance that s right for you, begin by asking yourself one simple question: What
More informationImportant 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 information2018 Benefit Summary
2018 Benefit Summary Benefits Overview Knox College is proud to offer a comprehensive benefits package to eligible employees. Eligibility is based on employees scheduled to work 30 hours or more per week,
More informationBluePreferred PPO Silver 1500 BlueFund HSA Integrated Deductible
BluePreferred PPO Silver 1500 BlueFund HSA Integrated Deductible Summary of Benefits Services In-Network You Pay 1 Out-of-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice from a registered
More informationPLUMBERS LOCAL 75 HEALTH FUND BENEFIT HIGHLIGHTS SUMMARY
PLUMBERS LOCAL 75 HEALTH FUND BENEFIT HIGHLIGHTS SUMMARY Prepared by: Lee Jost and Associates October, 2005 PLUMBERS LOCAL 75 HEALTH FUND Benefit Highlights Benefit Description Class A Employees and Dependents
More information(30- to 34-day supply) 100% after $40 copay; significant or new therapeutic class drugs: 50%
C O U N T Y S I N T R A N E T S I T E : H T T P : / / I N T R A N E T. C O. R I V E R S I D E. C A. U S 25 Exclusive Care Select Medicare Coordination Plan Tier 1: Exclusive Care Network Tier 2: Any Provider
More informationEmployer Health Insurance
Employer Health Insurance PRODUCT GUIDE 2016 PLANS FOR EMPLOYERS WITH 1-50 EMPLOYEES 1 AND 51-99 EMPLOYEES 2 1 These plans are offered to employers considered small for purposes of the Affordable Care
More information2018 Medical Plan Comparison Chart
2018 Medical Plan Comparison Chart USC TROJAN CARE EPO USC Custom Is a referral required to see a specialist? No No Yes Yes Medical Deductibles Individual $100 $100 $250 $600 $0 $300 $0 Family (3+ members)
More informationAnthem Blue Cross and Blue Shield Your Plan: Anthem Bronze Pathway PPO 5000/30%/7150 Your Network: Pathway PPO
Anthem Blue Cross and Blue Shield Your Plan: Anthem Bronze Pathway PPO 5000/30%/7150 Your Network: Pathway PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection
More informationMaryland. CareFirst BlueChoice-Saver
Maryland CareFirst BlueChoice-Saver CareFirst BlueChoice-Saver Leaving more money in your hands If you ve been searching for low-cost, quality health care coverage, you ve just found it! CareFirst BlueChoice-Saver
More informationEmployee. Package. Benefits N O V E M B E R 1, O C T O B E R 3 1,
2017-2018 Employee Benefits Package ENROLLMENT ELECTIONS EFFECTIVE: N O V E M B E R 1, 2 0 1 7 - O C T O B E R 3 1, 2 0 1 8 TBC- FISHERBROYLES OE 2017-2018 Medical Plan- W2 In-Network In-Network In-Network
More informationMAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF BENEFITS
Fiscal Year 2016 2017 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
More informationThis 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
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.networkhealth.com/benefits/sbc/individualpolicy.pdf or
More informationBluePreferred PPO HSA/HRA 5500 ON/ OFF SHOP Integrated Deductible
BluePreferred PPO HSA/HRA 5500 ON/ OFF SHOP Integrated Deductible Summary of Benefits Services In-Network You Pay 1 Out-of-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice from a registered
More informationMORE FOR YOUR BUSINESS
MORE FOR YOUR BUSINESS A nonprofit independent licensee of the Blue Cross Blue Shield Association MORE FOR YOUR BUSINESS thanks to the power of Blue As health care continues to change, we ll be here to
More information2018 Medical Plan Comparison Chart
2018 Medical Plan Comparison Chart Benefit Is a referral required to see a specialist? No No Yes Yes Medical Deductibles Individual $100 $100 $250 $600 $0 $300 $0 Family (3+ members) $300 $300 $750 $1,800
More informationEarly Retiree Plan Benefit Options
Early Retiree Plan Benefit Options November 2017 An Independent Licensee of the Blue Cross and Blue Shield Association. Agenda Introductions Plans and Rates Benefit Plan Options (Plan Year 2017/18) $900
More informationCongressional National Plan BlueChoice Advantage Gold 500 Non-Integrated Deductible
Congressional National Plan BlueChoice Advantage Gold 500 Non-Integrated Deductible Summary of Benefits Services In-Network You Pay 1 Out-of-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice
More informationMySHL Solutions PPO Platinum 2
MySHL Solutions PPO Platinum 2 Attachment A Benefit Schedule Lifetime Maximum Benefit for all Covered Services: Unlimited Calendar Year Deductible ( CYD ): There is no Calendar Year Deductible for Plan
More informationCongressional National Plan HealthyBlue Advantage Gold 1500 Non-Integrated Deductible
Congressional National Plan HealthyBlue Advantage Gold 1500 Non-Integrated Deductible Summary of Benefits Services In-Network You Pay 1 Out-of-Network You Pay 1 FIRSTHELP 24/7 NURSE ADVICE LINE Free advice
More informationBridgeSpan Health Company: BridgeSpan Bronze Essential 6850 Value PPO
BridgeSpan Health Company: BridgeSpan Bronze Essential 6850 Value PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Questions: Call 1 (855) 857-9943 or visit us at www.bridgespanhealth.com.
More informationMEDICAL PLAN SUMMARY 2017
MEDICAL PLAN SUMMARY 2017 General Plan Information RED PLAN WHITE PLAN BLUE PLAN Blue Choice PPO SM BlueOptions SM Blue Choice PPO SM In Out of Blue Preferred SM Blue Choice PPO SM Blue SM Traditional
More informationAetna Medicare 2015 Benefits at a Glance
02 Aetna Medicare 2015 Benefits at a Glance Colorado Aetna Medicare SM Plan (HMO) (PPO) Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson Compare our medical and prescription drug coverage
More information$0 $0 $2,000 $4, % after deductible 80% after deductible Medical Care (including inpatient visits and consultations)/surgical Expenses
Summary of Premier Balance PPO $0 Platinum A Benefits On the chart below, you'll see what your plan pays for specific services. You may be responsible for a facility fee, clinic charge or similar fee or
More informationAnthem Blue Cross and Blue Shield Your Plan: Anthem Bronze PPO 6000/30%/7150 Your Network: PPO
Anthem Blue Cross and Blue Shield Your Plan: Anthem Bronze PPO 6000/30%/7150 Your Network: PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process.
More informationthe options the options
Invested in Invested in all weighing weighing all the options the options 207 Health Coverage Comparison Chart Making the right choice is important. Here s some information you ll need, to help you make
More informationMAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF BENEFITS
Fiscal Year 2018 2019 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
More informationIn-network: $5,000 single / $10,000 family per calendar year. Out-of-network: $10,000 per insured per
Regence BlueShield: Regence Direct Bronze HSA Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible
More informationQuote Effective: 04/01/ /30/2019 Version Updated: 01/07/2019
Quote Effective: 04/01/2019-06/30/2019 Version Updated: 01/07/2019 Print Package: HIOS ID (Enrollment Code) 78124NY1000265-00 (SON5) Plan Name: Rating Region: Rate Rochester For the Benefits described
More informationTeva 2013 Open Enrollment Your Choices and Options
2013 COBRA Guide Open Enrollment Your Choices and Options 2 HEALTHCARE 2 Medical (includes vision) 5 Prescription Drug 6 Dental Enroll November 5 16 More information will be provided by our vendor, Conexis.
More informationRetirees with Medicare (RETIREMENT DATE BEFORE March 1, 2015) Benefits Comparison Benefits effective January 1, December 31, 2019
Network Eligible OGB Members Pelican HRA1000 Blue Cross and Blue Shield of Louisiana Preferred Care Providers & Blue Cross National Providers Magnolia Local Plus Blue Cross and Blue Shield of Louisiana
More informationINDIVIDUAL & FAMILY HEALTH BENEFIT PLANS FOR NORTHEAST OHIO
INDIVIDUAL & FAMILY HEALTH BENEFIT PLANS FOR NORTHEAST OHIO Understanding what Offers: New Plans offer: Guaranteed Coverage / no pre-existing conditions Prescription Drug benefits $0 cost preventative
More informationRetirees with Medicare (RETIREMENT DATE ON or AFTER March 1, 2015) Benefits Comparison Benefits effective January 1, December 31, 2019
Pelican HRA1000 Magnolia Local Plus Network Blue Cross and Blue Shield of Louisiana Preferred Care Providers & Blue Cross National Providers Blue Cross and Blue Shield of Louisiana Preferred Care Providers
More information2018 Health Coverage Comparison Chart
Invested in weighing the possibilities 08 Health Coverage Comparison Chart Making the right choice is important. Here s some information you ll need to help make more informed decisions. What s Inside
More informationImportant 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/ca or by calling 1-855-333-5730. Important
More informationGarfield Heights Board of Education SuperMed Plus Effective 1/1/
Garfield Heights Board of Education SuperMed Plus Effective 1/1/2011 687072 461 Benefits Network Non-Network January 1 st through December 31 st Dependent Age Older Aged Child 26 26 Removal upon Birth
More informationAetna 1-50 PPOMedical WA 01/01/2019
Plan Name WA Gold PPO 500 80/50 WA Gold PPO 1000 80/50 WA Silver PPO 2000 70/50 Deductible (Individual/Family) $500/$1,000 $5,000/$10,000 $1,000/$2,000 $5,000/$10,000 $2,000/$4,000 $8,000/$16,000 Out-of-pocket
More informationBenefits-at-a-Glance for MSU Student Health Plan
Benefits-at-a-Glance for MSU Student Health Plan 2016-2017 This is intended as an easy-to-read summary and provides only a general overview of your benefits. It is not a contract. Additional limitations
More informationHealth Care Plan Open Enrollment
Health Care Plan Open Enrollment 2017-18 Agenda ACA Update Benefits update Health Care plan review Tips to save health care dollars FSA Open Enrollment Dental Open Enrollment Vision Open Enrollment Employee
More informationSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/18 12/31/18
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/1/18 12/31/18 Wood County Employee Health Benefits Plan: Health & RX only Coverage for: Single/Family
More informationINDIVIDUAL & FAMILY HEALTH BENEFIT PLANS FOR NORTHEAST OHIO
INDIVIDUAL & FAMILY HEALTH BENEFIT PLANS FOR NORTHEAST OHIO Understanding what Offers: New Plans offer: Guaranteed Coverage / no pre-existing conditions Prescription Drug benefits $0 cost preventative
More information2014 Side-by-side comparison between the Aetna CDHP and the Aetna PPO for Medical Coverage
2014 Side-by-side comparison between the and the for Medical Coverage Medical Coverage Carrier Aetna Aetna Aetna Aetna Deductible Individual $1,750 $3,250 $750 $2,250 Family $3,500 $6,500 $1,500 $4,500
More informationYour Plan: Anthem Silver PPO 3400/0%/3400 w/hsa Your Network: Anthem PPO
Your Plan: Anthem Silver PPO 3400/0%/3400 w/hsa Your Network: Anthem PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not
More informationSmall Group Plans Plan Information
Small Group Plans 2018 Plan Information Good health begins with good choices. We want coverage to be as clear and understandable as possible. Whatever your budget, we can help find the right health plan
More informationMAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF BENEFITS
Fiscal Year 2016 2017 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HMO COMPARISON OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
More informationBridgeSpan Health Company: BridgeSpan Silver HDHP 2000 MyChoice Northwest
BridgeSpan Health Company: BridgeSpan Silver HDHP 2000 MyChoice Northwest Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016 12/31/2016 Coverage for: Individual
More informationOur plans fit your plans
Individual and Family Health Care Plans for California Our plans fit your plans Premier Plus CABR10003XPR (11/10) Our plans fit the way you live. In a world that's constantly changing, one thing's for
More informationSummary of Benefits. Community Blue Medicare Plus PPO. Northeastern Pennsylvania. January 1, 2018 December 31, Service Area
Northeastern Pennsylvania Community Blue Medicare Plus PPO Summary of Benefits January 1, 2018 December 31, 2018 Service Area Our service area includes the following counties in Pennsylvania: Clinton,
More information2018 Medical Plan Comparison Chart
2018 Medical Plan Comparison Chart Benefit Is a referral required to see a specialist? No No Yes Yes Medical Deductibles Individual $100 $100 $250 $600 $0 $300 $0 Family (3+ members) $300 $300 $750 $1,800
More informationYour Plan: Anthem Bronze PPO 6350/30%/6850 Plus Your Network: Anthem PPO
Your Plan: Anthem Bronze PPO 6350/30%/6850 Plus Your Network: Anthem PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not
More information2018 Medical Plan Comparison Chart
2018 Medical Plan Comparison Chart USC TROJAN CARE EPO USC Custom TIER 1: Keck Medicine TIER 2: Anthem TIER 3: Out-of-network TIER 1: USC Custom TIER 2: Anthem Is a referral required to see a specialist?
More information2019 Allwell Medicare Essentials II (HMO) H0351: 050 Maricopa and Pinal counties, AZ
2019 Allwell Medicare Essentials II (HMO) H0351: 050 Maricopa and Pinal counties, AZ H0351_19_7906SB_050_M_Accepted 09072018 This booklet provides you with a summary of what we cover and your cost-sharing
More informationParticipating MEMBER RESPONSIBILITY
Deductible 80% $500 Preferred Provider Organization Underwritten by Coventry Health and Life Insurance Company (d.b.a. HealthAmerica) DEDUCTIBLES AND MAXIMUMS Annual Deductible Individual $500 $1,000 Family
More informationNon-Medicare Retirees (RETIREMENT DATE BEFORE March 1, 2015) Benefits Comparison Benefits effective January 1, December 31, 2019
Network Pelican HRA1000 Blue Cross and Blue Shield of Louisiana Preferred Care Providers & Blue Cross National Providers Magnolia Local Plus Blue Cross and Blue Shield of Louisiana Preferred Care Providers
More informationALL RETIRED LABORERS AND THEIR ELIGIBLE DEPENDENTS COVERED UNDER THE RETIRED LABORERS PLAN EFFECTIVE NOVEMBER 1, 2017
Laborers Health and Welfare Trust Fund for Northern California 220 Campus Lane * Fairfield, California 94534-1498 Telephone: (707) 864-2800 Toll-Free: (800) 244-4530 Website: www.norcalaborers.org TO:
More informationBooklet Contents. Senior Blue (HMO) (H3384) Summary of Benefits. Forever Blue Medicare (PPO) (H5526) Summary of Benefits
MEDICARE ADVANTAGE 2017 Booklet Contents Senior Blue (HMO) (H3384) Summary of Benefits Forever Blue Medicare (PPO) (H5526) Summary of Benefits Optional Supplemental Dental Benefits Summary of Benefits
More informationNV Silver Health Network HMO 2000 $30/60. In Network In Network In Network $0/$0 $2,000/$4,000 $5,000/$10,000
HMO NV Gold Health Network HMO $30/60 NV Silver Health Network HMO 2000 $30/60 NV Silver Health Network HMO 5000 $25/60 In Network In Network In Network Deductible (Individual/Family) Out-of-pocket limit
More informationEmployee Benefits Guide
Employee Benefits Guide Plans effective January 1, 2017 Regular Part-Time Administrators Welcome to Montgomery County Community College! Montgomery County Community College (the College) strives to offer
More informationPlease Note: This is a high level summary of your benefits. Please see your certificate booklet for detailed benefits and exclusions.
Insured and/or administered by: Cigna Health and Life Insurance Company University of Notre Dame du Lac Benefits at a Glance Policy #06946A Effective Date January 1, 2019 This plan provides minimum essential
More information2019 Allwell Medicare Essentials II (HMO) H0351: 050 Maricopa and Pinal counties, AZ
2019 Allwell Medicare Essentials II (HMO) H0351: 050 Maricopa and Pinal counties, AZ H0351_19_7906SB_050_M_Accepted 09072018 This booklet provides you with a summary of what we cover and your cost-sharing
More informationBridgeSpan Health Company: BridgeSpan Oregon Standard Silver Plan Value PPO
BridgeSpan Health Company: BridgeSpan Oregon Standard Silver Plan Value PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Questions: Call 1 (855) 857-9943 or visit us at www.bridgespanhealth.com.
More informationWhat is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueShield: Regence Direct Silver with Dental, Vision, Individual Assistance Program Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers &
More informationBridgeSpan Health Company: BridgeSpan Oregon Standard Silver Plan Coverage Period: 01/01/2015
BridgeSpan Health Company: BridgeSpan Oregon Standard Silver Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2015 01/01/2015 12/31/2015-12/31/2015 Coverage
More informationYou 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 informationHealthKeepers, 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 informationYou 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.bcbswny.com or by calling 1-855-344-3425. Important Questions
More informationYour Plan: Anthem Bronze PPO 3250/50%/6550 Plus w/hsa Your Network: Anthem PPO
Your Plan: Anthem Bronze PPO 3250/50%/6550 Plus w/hsa Your Network: Anthem PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does
More information[Ambetter Secure Care 1 (2018) with 3 Free PCP Visits-Standard Gold On Exchange Plan]
[Plan Information] [Health Plan:] [Primary Member:] [Ambetter Secure Care 1 (2018) with 3 Free PCP Visits-Standard Gold On Exchange Plan] [John Doe] [Member ID:] [01213456] [Date of Birth:] [08/12/62]
More information2017 Benefits Open Enrollment
2017 Benefits Open Enrollment Benefits Open Enrollment Is October 31 November 11, 2016. Ready to Choose? As recently announced by President Zach Green, Colas Inc. continues to align aspects of its business.
More informationChoice 100+ A defined contribution plan can help control your costs and offer your 100+ employees more options
Choice 100+ A defined contribution plan can help control your costs and offer your 100+ employees more options With Choice 100+, employees choose the plan that best meets their needs from the options you
More informationYour Plan: Anthem Silver Blue Access PPO 2000/50%/6350 Your Network: Blue Access
Your Plan: Anthem Silver Blue Access PPO 2000/50%/6350 Your Network: Blue Access This summary of benefits is a brief outline of coverage, designed to help y ou with the selection process. This summary
More informationYou 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.crystalrunhealthinsurancecompany.com or by calling 1-844-638-6506.
More informationOPEN ENROLLMENT 2009
Questions? Call 1-800-252-6571 OPEN ENROLLMENT 2009 Time Sensitive Material SAVE TIME BY COMPLETING YOUR ENROLLMENT ON-LINE From the Trustees Page 2 Your Plan Choices Page 3 The Enrollment Process Page
More informationYou don't have to meet deductibles for specific services.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Excellus BCBS: Excellus BluePPO A nonprofit independent licensee of the BlueCross BlueShield Association The
More informationINDIVIDUAL & FAMILY Health Benefit Plans for Northeast Ohio. Let us show you.
INDIVIDUAL & FAMILY Health Benefit Plans for Northeast Ohio Let us show you. WHAT DOES AULTCARE OFFER? As a leader in the health care industry for over 30 years, AultCare continues to keep members satisfied
More informationEmployee Benefits Renewal Plan Year: July 1, 2017 June 30, 2018
Employee Benefits Renewal Plan Year: July 1, 2017 June 30, 2018 Prepared for: Florence Unified School District Governing Board Presented by: A Division of Gallagher Benefit Services, Inc. April 11, 2017
More informationImportant 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 https://eoc.empireblue.com/eocdps/fi or by calling 1-855-220-3341.
More informationCOMPREHENSIVE MEDICAL BENEFITS
CEMENT MASONS HEALTH AND WELFARE TRUST FUND ACTIVE CEMENT MASONS AND THEIR ELIGIBLE DEPENDENTS EFFECTIVE JANUARY 1, 2010 DIRECT PAYMENT When You Can Change Plans Type of Plan Geographical Area Covered
More informationIU Health Plans Silver Enhanced Plus Dental & Vision CSR 94. Schedule of Benefits
IU Health Plans Silver Enhanced Plus Dental & Vision CSR 94 Schedule of s Schedule of s / 1 The Schedule of s is a summary of your s and Cost Sharing. The definitions stated in your Contract apply to this
More informationSummary of Benefits and Coverage:
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: Beginning on or after 01/01/2018 Community Preferred (Silver) Employer Coverage for: Individual
More informationBUSINESS TRUE BLUE. My employees want great health care coverage. I need a plan with more choices.
BUSINESS TRUE BLUE My employees want great health care coverage. I need a plan with more choices. This is our plan. Business True Blue SM PLAN FEATURES Business True Blue offers you flexible options to
More informationA BETTER WAY. to take care of business. For Oregon groups with 101 or more employees Product portfolio OREGON
A BETTER WAY to take care of business OREGON 2016 For Oregon groups with 101 or more employees Product portfolio 50LBG-15/9-15 All plans offered and underwritten by Kaiser Foundation Health Plan of the
More informationBenefits At A Glance Independence Choice
Benefits At A Glance Independence Choice Plan Year 2017 This information is intended to provide only an overview of the major features of Insperity s employee benefits programs. Full details are contained
More informationThe Affordable Care Act
The Affordable Care Act Employers Guide to 2015 and Beyond For Small Groups Summary Jan. 1, 2014, ushered in new Affordable Care Act (ACA) health insurance market reforms. These changes are impacting the
More information