2019 RETIREE MEDICAL PLAN Information Session
|
|
- Jack Johnston
- 5 years ago
- Views:
Transcription
1 2019 RETIREE MEDICAL PLAN Information Session
2 Freedom, Journey & Retiree National Choice Freedom, Journey & Retiree National Choice Program Name U of M Retiree Plan with Group reblue SM Rx re Supplement Group Plan F (High Deductible) with Group reblue SM Rx Freedom Plan, Journey Plan & Retiree National Choice Freedom Plan, Journey Plan & Retiree National Choice Type of Policy Coordinates with re and includes re Prescription Drug Plan re Supplement Plan with re Prescription Drug Plan - re Cost Plan with re Prescription Drug Coverage - Prescription Drug Plan with a re contract - re Advantage Plan Monthly Premium $ $ $ $ How Plan Works with re and re Assignment U of M Retiree Plan pays after applying U of M Retiree Plan inpatient deductible and coinsurance. You pay re Part B annual deductibles. re pays first. You pay Part A and B deductibles and/ or coinsurance until you meet your Plan F (High Deductible) - $2,240 (2018); then plan pays 100%. Deductible may change in Freedom - In general, re pays primary for Part A services. pays Part B provider expenses. Retiree National Choice - re pays primary for A and B. pays secondary. Journey - is responsible for all re expenses. re Assignment You are encouraged to use BCBS network providers, but you do not assign your re benefits to Blue Cross. You are allowed to use your re benefits outside of the BCBS network. You can use any recontracted provider nationwide. Freedom members are encouraged to use network providers, but are able to use re benefits outside of the Freedom network. Retiree National Choice members may see any provider who accepts re. Journey members must see providers in our re Advantage network. Out-of-network benefits are available. Outpatient Hospital Outpatient Surgery 100% 100% after $75 copay Lab/X-Ray, CT scan, MRI, other outpatient diagnostic tests 100% of remaining balance after re Part B deductible is met Lab services at 100% and all other services at $15 Lab services at 100% and all other services at $30 copay Emergency Services 100% after $50 copay 100% after $100 copay Ambulance 100% 80% 2 Open Enrollment
3 Program Name Group Group Group re Group re Type of Policy re Cost Plan with re Prescription Drug Coverage or re Advantage PPO plan with re Prescription Drug Coverage re Cost Plan with re Prescription Drug Coverage or re Advantage PPO plan with re Prescription Drug Coverage re Advantage Plan including Prescription Drug Coverage re Advantage Plan including Prescription Drug Coverage Monthly Premium $ $ $ $ How Plan Works with re and re Assignment Cost: re pays primary for Part A inpatient hospital, skilled nursing facility, and home health care expenses. pays re Part B provider expenses. re Advantage: pays primary for Part A hospitalization and Part B provider expenses. Cost: re pays primary for Part A inpatient hospital, skilled nursing facility, and home health care expenses. pays re Part B provider expenses. re Advantage: pays primary for Part A hospitalization and Part B provider expenses. administers benefits and claims payment of re Parts A and B, as well as additional benefits included in plan, such as Prescription Drug coverage (Part D) and preventive care. Bills for health care services are sent directly to by providers (not to re) and are processed in Claims department. administers benefits and claims payment of re Parts A and B, as well as additional benefits included in plan, such as Prescription Drug coverage (Part D) and preventive care. Bills for health care services are sent directly to by providers (not to re) and are processed in Claims department. re Assignment Cost Plan: You are encouraged to use network providers, but you do not assign your re benefits to. You are allowed to use your re benefits outside of the network. re Advantage Plan: You can see any provider that accepts re assignment. Cost Plan: You are encouraged to use network providers, but you do not assign your re benefits to. You are allowed to use your re benefits outside of the network. re Advantage Plan: You can see any provider that accepts re assignment. Travel anywhere within the U.S. and pay only your in-network copay on routine care, including clinic and specialist visits, physical therapy and counseling services through s Point-of-Service benefit. You may see any provider that accepts re. will also cover 80% of many other services throughout the U.S. Outpatient Hospital Outpatient Surgery 100% 100% after $50 copay 100% 100% after $100 copay Lab/X-Ray, CT scan, MRI, other outpatient diagnostic tests Lab Services 100%. All other services $15 copay Lab Services 100% All other services $20 copay Primary or Specialty - 100% OP Hospital / Surg. Ctr. $25 copay Primary or Specialty - 100% OP Hospital / Surg. Ctr. $25 copay Emergency Services 100% after $50 copay 100% after $65 copay (20% coinsurance outside the U.S. Expenses do not apply to Out-of-Pocket Maximum) 100% after $50 copay 100% after $75 copay Ambulance 100% 80% coinsurance 100% 100% after $100 copay Open Enrollment 3
4 Urgent Care Visit Part B annual deductible $183 for 2018/subject to change for % after $15 copay 100% after $30 copay Inpatient Hospital Plan pays 80% of first $2,900 of total allowed amount following $100 annual inpatient deductible; then 100% through end of calendar year. Out-of-pocket expense limited to $680 per year including $100 deductible. No limit on number of days covered by plan 100% 100% after $200 copay per visit Skilled Nursing Plan pays 80% of first $2,900 of total allowed amount following $100 annual inpatient deductible; then 100% through end of calendar year. Out-of-pocket expense limited to $680 per year including $100 deductible. No 3-day hospital stay requirement 100% after 3-day hospitalization for up to 100 days per benefit period after deductible 100% after 3-day hospitalization for up to 100 days per benefit period 100% after 3-day hospitalization for up to 100 days per benefit period Mental Health Plan pays 80% of first $2,900 of total allowed amount following $100 annual inpatient deductible; then 100% through end of calendar year. Out-of-pocket expense limited to $680 per year including $100 deductible is satisfied up to 190 days of inpatient psychiatric hospital care in a lifetime. This limitation does not apply to inpatient psychiatric services furnished in a general hospital 100% 100% after $200 copay per visit Chemical Dependency Plan pays 80% of first $2,900 of total allowed amount following $100 annual inpatient deductible; then 100% through end of calendar year. Out-of-pocket expense limited to $680 per year including $100 deductible 100% 100% after $200 copay per visit Outpatient l Preventive 100% 100% 100% Physician Office Visit Part B annual deductible $183 for 2018/subject to change for % after $15 copay 100% after: Primary Care $20 copay/ Specialist $30 copay 4 Open Enrollment
5 Urgent Care Visit 100% after $15 copay 100% after $30 copay 100% after $20 copay 100% after $35 copay Inpatient Hospital 100% 100% after $200 copay 100% 100% after $200 copay Skilled Nursing 100% after 3-day hospitalization for up to 100 days per benefit period 100% after 3-day hospitalization for up to 100 days per benefit period 100% coverage for up to 100 days per benefit period; no 3-day hospital stay requirement 100% coverage for up to 100 days per benefit period; no 3-day hospital stay requirement Mental Health 100% 100% after $200 copay 100% 100% after $200 copay Chemical Dependency 100% 100% after $200 copay 100% 100% after $200 copay Outpatient l Preventive 100% 100% 100% 100% Physician Office Visit 100% after $15 copay 100% after: Primary Care $20 copay/ Specialist $30 copay 100% after $15 copay 100% after: Primary Care $20 copay/ Specialist $30 copay Open Enrollment 5
6 tions Delivered in Physician Office Setting and Paid under re Part B 100% after $15 copay (If Part B drugs are billed separately, coverage is 80%) 100% after Primary Care $20 copay/specialist $30 copay (If Part B drugs are billed separately, coverage is 80%) Routine Eye and Hearing Exams 100% No coverage 100% 100% Outpatient Mental Health 100% after $15 individual/ $7.50 group 100% after $30 individual/ $15 group Outpatient Chemical Dependency 100% after $15 copay 100% after $30 copay Chiropractic Care 100% 100% after $30 copay Podiatry 100% after $15 copay 100% after $30 copay Physical & Occupational Therapy 100% after $15 copay 100% after $30 copay Speech & Language Therapy 100% after $15 copay 100% after $30 copay Home Health Care 100% 100% l Equipment DME Prosthetics 90% 80% Hearing Aids No coverage. Discounts available. 80% coverage for 1 selected hearing aid for each ear every 3 years. No implantable devices No coverage. Discounts available 6 Open Enrollment
7 tions Delivered in Physician Office Setting and Paid under re Part B Routine Eye and Hearing Exams Outpatient Mental Health Coverage is 80% Coverage is 80% 80% covered 80% covered 100% 100% 100% 100% 100% after $15 copay 100% after $30 copay 100% after $15 copay 100% after $30 copay Outpatient Chemical Dependency 100% after $15 copay 100% after $30 copay 100% after $15 copay 100% after $30 copay Chiropractic Care 100% after $15 copay 100% after $20 copay 100% 100% Podiatry 100% after $15 copay 100% after $30 copay 100% after $15 copay 100% after $30 copay Physical & Occupational Therapy 100% after $15 copay 100% after $30 copay 100% after $15 copay 100% after $30 copay Speech & Language Therapy 100% after $15 copay 100% after $30 copay 100% after $15 copay 100% after $30 copay Home Health Care 100% 100% 100% 100% l Equipment DME Prosthetics 100% 80% coinsurance 80% DME/ 100% Prosthetics 80% DME/ 100% Prosthetics Hearing Aids $500 allowance per year No coverage $500 allowance every 36 months $500 allowance every 36 months Open Enrollment 7
8 Prescription Drugs Generic Drugs Retail $10 copay $10 copay $10 copay Preferred Generic - $10 copay Non-preferred Generic - $20 copay Formulary Brand Drugs Retail Non-preferred Formulary Brand Retail $30 copay $25 copay $30 copay $35 copay $50 copay $60 copay $30 copay $70 copay Specialty Drugs $50 copay Participants will pay 25% coinsurance $50 copay 75% coverage Supplemental Drugs Participants will pay 25% coinsurance Participants will pay 25% coinsurance Covered at generic and brand copays shown above Covered at generic and brand copays shown above Mail Order 3-month supply for 2 copays through mail order or if using Preferred Extended Network (PXT) within Group reblue Rx pharmacy network 3-month supply for 2 copays through mail order or if using Preferred Extended Network (PXT) within Group re- Blue Rx pharmacy network 3-month supply for 2 copays 3-month supply for 2 copays Benefits in the re Coverage Gap (Between $3,820 total prescription costs and $5,100 total outof-pocket expenses) 100% coverage after $10 generic copay, $30 brand copay or $50 non-preferred brand and specialty copays. 25% coinsurance for supplemental drugs 100% coverage after $10 generic copay, $25 brand copay or $60 non-preferred brand copay. 25% coinsurance for specialty and supplemental drugs 100% coverage after $10 generic, $30 brand, or $50 specialty copay 100% coverage after $10 or $20 generic copay. Participants will pay 35% coinsurance for their brand or specialty medications Catastrophic Level (after $5,100 in total out-of-pocket expenses) Member cost will be the greater of $3.40 for covered generic or multisource preferred brand drugs and $8.50 for all other covered drugs, or 5% of the cost of the drug Member cost will be the greater of $3.40 for covered generic or multi-source preferred brand drugs and $8.50 for all other covered drugs, or 5% of the cost of covered drugs The lesser of 5% or the above copays Member cost will be the greater of 5% of drug cost or $3.40 copay for generic drugs, and $8.50 copay for brand/ formulary drugs Wellness Benefits Fitness Club Membership Fitness discount that credits your fitness center account $20 a month for membership fees when you work out 12 times a month Silver & Fit Exercise and Healthy Aging Program provides a fitness club membership at participating facilities or home exercise kits Fitness club membership provided at no cost for participating facilities. You may also request a home exercise kit. Nurseline 24-hour Nurse Line 24-hour Nurse Line Free access to registered nurses 24/7 through the CareLine SM nurse line Other Wellness Benefits Stop Smoking Program Wellness Discount Marketplace blue365deals.com/bcbsmn Stop Smoking support Wellness Discount Marketplace blue365deals.com/bcbsmn Free, unlimited number of virtuwell visits for Freedom and Journey Plan members. Available for a fee to Retiree National Choice members. Healthy discounts on hearing aids, eating services, delivery services, fitness equipment and much more Up to 35% discount off eyewear 8 Open Enrollment
9 Prescription Drugs Generic Drugs Retail Preferred Generic - $10 Copay Non-Preferred Generic - $30 Copay Preferred Generic - $10 Copay Non-Preferred Generic - $20 Copay $10 copay $10 copay Formulary Brand Drugs Retail Non-preferred Formulary Retail $30 copay $30 copay $30 copay $30 copay $30 copay $70 copay $50 copay $60 copay Specialty Drugs $30 copay 75% coverage $50 copay 75% coverage Supplemental Drugs Not covered Not covered Mail Order 90-day supply for 2 copays 90-day supply for 2 copays Covered at generic and brand copays shown above 90-day supply for 2 copays through mail order or Preferred Pharmacy network (retail) Not covered 90-day supply for 2 copays through mail order or Preferred Pharmacy network (retail) Benefits in the re Coverage Gap (Between $3,820 total prescription costs and $5,100 total out-of-pocket expenses) 100% coverage after $10 or $30 generic copay or $30 brand copay 100% coverage after $10 or $20 copay for generic medications. 65% coverage for brand name medications. 50% reimbursement from brand drug manufacturer at pharmacy counts toward the $5,000 OOP expenses. 100% coverage after $10 generic copay, $30 preferred brand copay, $50 non-preferred drug or specialty drug copay (counts toward the OOP max.) 100% coverage after $10 generic copay. Participant will pay 25% for brand and specialty drugs. (counts toward the OOP max.) Catastrophic Level (after $5,100 in total out-of-pocket expenses) 100% coverage after $10 generic copay or $30 brand copay Member cost will be the greater of 5% of drug cost or $3.40 copay for generic drugs and $8.50 copay for brand/ formulary drugs 100% coverage after $10 generic copay, $30 preferred brand copay, $50 nonpreferred drug or specialty drug copay Member cost will be the greater of 5% of drug cost or $3.40 copay for generic drugs and $8.50 copay for brand/ formulary drugs Wellness Benefits Fitness Club Membership Nurseline Other Wellness Benefits Silver Sneakers Fitness Program Personal Health Advocate can help navigate the healthcare system as well as provide access to registered nurses for guidance and support 24 hours a day/7 days a week Hearing Aid Discount program A survey for senior members that is reviewed by nurses in s Care Management area to assess additional needs tion Therapy Management (MTM) program provides information and resources to improve medication use and patient care Silver Sneakers Fitness Program Health Club Savings Program Health Connections 24-Hour Nurse Line $15 Community Education Class reimbursement three classes per year, My Health Decisions Online Tool Hearing Aid Discount program $150 Annual Eyewear allowance Quit Smoking, plus Disease and Case Management Programs Falls Prevention Program Mammogram Incentive Programs Open Enrollment 9
10 Travel and Out-of-Area Benefits Travel benefits No limitations No Limitation Broad-based travel benefits available for up to 9 consecutive months. Broad-based travel benefits available for up to 9 consecutive months. Option to live outside of service area Yes Yes Yes, through Retiree National Choice Yes, through Retiree National Choice Maximums Annual Out-of-Pocket $863 that includes $680 plus $183 (for 2018) Part B deductible (Pharmacy copays do not apply). Part B deductible subject to change in 2019 Annual deductible amount ($2,240 in 2018). Deductible amount subject to change in Pharmacy copays do not apply. $3,000 (Pharmacy copays do not apply) $3,000 (Pharmacy copays do not apply) Lifetime Unlimited Unlimited Unlimited Unlimited 10 Open Enrollment
11 Plan features Travel and Out-of-Area Benefits Travel benefits You can see any provider that accepts re assignment while out of the service area. You can see any provider that accepts re assignment while out of the service area. Members may be out of service area for up to 6 consecutive months. Emergency benefits apply. 80% coverage for non-emergency services anywhere in the U.S. $100,000 plan benefit maximum; $10,000 OOP maximum. Out-of-Network physician office visits will be covered with in-network office visit copayments. Members may be out of service area for up to 6 consecutive months. Emergency benefits apply. 80% coverage for non-emergency services anywhere in the U.S. $100,000 plan benefit maximum; $10,000 OOP maximum. Out-of-Network physician office visits will be covered with in-network office visit copayments. Option to live outside of service area No No No No Maximums Annual Out-of-Pocket $1,000 on l (Pharmacy copays do not apply) $3,000 on l (Pharmacy copays do not apply) $3,400 l Out-of- Pocket Maximum (Pharmacy copays do not apply) $3,400 l Out-of-Pocket Maximum (Pharmacy copays do not apply) Lifetime Unlimited Unlimited Unlimited Unlimited 2019 Monthly Premium (includes premium for re Part D) l Plan U of M Retiree Plan re Supplement Group Plan F High Deductible Journey, Freedom Plan and Retiree National Choice Group Plan Cost per person* Plan 1: $ Plan 2: $ Plan 1: $ Plan 2: $ Plan 1: $ Plan 2: $ Group re Plan 1: $ Plan 2: $ * Retiree, spouse, surviving spouse, and participant on disability status with re Part A and Part B Open Enrollment 11
12 U of M Retiree Plan Toll Free: TTY: Call the National Relay Center at 711 and ask for re Supplement Group Plan F (High Deductible) with Group reblue Rx Toll Free: Current Members Prospective Members TTY: Call the National Relay Center at 711 and ask for Prescription Pharmacy for BCBS: Group reblue Rx Telephone: TTY: Group Plan U of M Plans 1 & 2 Telephone: Toll Free: TTY: Please call the National Relay Center at and ask for Group re U of M Plans 1 & 2 Telephone: Toll Free: TTY: TTY: Groupsales@ucare.org Contact Center Telephone: Toll Free: humanresources.umn.edu/benefits Journey, Freedom and Retiree National Choice U of M Plans 1 & 2 Telephone: Toll Free: TYY: Call the National Relay Center at 711, Then ask for Open Enrollment
Medical Plan Options - Retirees Age 65 or Over/ Disabled Participants with Medicare Coverage
l Plan Options - Retirees Age 65 or Over/ Disabled Participants with re Program Name Group Prime Solution Group Prime Solution for Seniors for Seniors Type of Policy re Cost Plan with re Prescription Drug
More informationBENEFITS ANNUAL ENROLLMENT
Current Retirees and Participants on Disability Status: Open Enrollment changes effective January 1, 2018 Application for Coverage Inside BENEFITS ANNUAL ENROLLMENT New Retirees and Participants on Disability
More information2017 Pre-Retirement Planning
2017 Pre-Retirement Planning We are expecting a large number of participants for today s program. Please help eliminate empty seats by moving to the center of your row. As a courtesy to your colleagues,
More informationMedical Benefits Comparison Book 2018 Medicare Retirees in the Rochester Area
Medical Benefits Comparison Book 2018 Medicare Retirees in the Rochester Area Human Resources Finance & Administration Rochester Institute of Technology Medical Benefit Comparison This information provides
More information2018 Independence Blue Cross Medicare Group Options
2018 Independence Blue Cross Medicare Group Options Medical Coverage Keystone 65 Select HMO Value Standard Enhanced CovID H672, 10010705, QN, Y H673, 10010706, QN, Y H675, 10013103, QN, Y Plan premium
More informationSummary of Benefits. January 1, 2018 December 31, Providence Medicare Harbor + RX (HMO) Providence Medicare Summit + RX (HMO-POS)
Summary of Benefits January 1, 2018 December 31, 2018 These Plans are available in Snohomish and King Counties in Washington. 2018 Advantage Plans is an HMO, HMO-POS, and HMO SNP plan with a Medicare and
More informationMedicare PPO Blue (PPO)
Benefits Overview 2016 Drug Copayments $10 $20 $35 Medicare PPO Blue (PPO) Medicare PPO Blue (PPO) is a Medicare Advantage plan from Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Blue Cross
More informationHealthPartners Freedom (Cost) Group Plan with Rx
HealthPartners Freedom (Cost) Group Plan with Rx 2018 Summary of Benefits Minnesota Jan. 1, 2018 Dec. 31, 2018 Hennepin County #3096 Use this summary document to get to know the Freedom plan. It shows
More information2018 MEDICARE. summary of benefits. advantage plan. Serving Members in Josephine & Jackson Counties
2018 MEDICARE advantage plan summary of benefits Serving Members in Josephine & Jackson Counties Table of Contents About the Summary of Benefits... 1 Who Can Join?... 1 Which doctors, hospitals and pharmacies
More informationSERVICES WITH A 1 MAY REQUIRE PRIOR AUTHORIZATION
Monthly Plan Premium YOU PAY $0 You must continue to pay your Medicare Part C Deductible YOU PAY nothing This plan does not have a medical Maximum Out of Pocket $6,000 annually The most you pay for Copayments,
More informationFirstMedicare Direct Healthy State HMO Plus (HMO) 2018 Summary of Benefits
State HMO Plus (HMO) 2018 Summary of Benefits This is a summary of drug and health services covered January 1, 2018-December 31, 2018 by the FirstMedicare Direct Healthy. The benefit information provided
More informationSummary of Benefits. FirstMedicareDirect Healthy State HMO Plus (HMO) H
2017 Summary of Benefits FirstMedicareDirect Healthy State HMO Plus (HMO) H6306-007 This is a summary of drug and health services covered by FirstMedicare Direct Healthy State HMO Plus January 1, 2017
More informationQualChoice Advantage. Classic Plus Rx (HMO), Plan 001
QualChoice Advantage (HMO), Plan 001 This is a summary of drug and health services covered by QualChoice Advantage January 1, 2017 - December 31, 2017 QualChoice Advantage is an HMO plan with a Medicare
More informationMedicare Plus Blue Group PPO SM
Medicare Plus Blue Group PPO SM St. Clair County Retirees Working with Medicare to simplify your health coverage Today s Agenda Medicare Advantage What is Medicare Advantage? Who is eligible? Medicare
More informationFirstMedicare Direct Healthy State HMO Prime (HMO) 2018 Summary of Benefits
Healthy State HMO Prime (HMO) 2018 Summary of Benefits This is a summary of drug and health services covered January 1, 2018-December 31, 2018 by the FirstMedicare Direct. The benefit information provided
More informationMedical Plan Summary: PPO Core Plan
Medical Plan Summary: PPO Core Plan Healthcare is one of the most important and necessary parts of your benefit package. The following is a summary of our benefit plan. For a more detailed explanation
More information2019 Summary of Benefits
2019 Summary of Benefits P.O. BOX 15349 Tallahassee, Florida 32317-5349 H5938_DP1479_M2019 An Independent Licensee of the Blue Cross and Blue Shield Association SM 2019 Summary of Benefits and This is
More information2016 Summary of Benefits. Preferred Rx (PPO)
2016 Summary of s Preferred Rx (PPO) January 1, 2016 - December 31, 2016 This booklet gives you a summary of what we cover and what you pay. It doesn t list every service that we cover, or list every limitation
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 informationSummary of Benefits. Join the WELLfluent Miami-Dade County AvMed Medicare Circle HMO H1016, Plan 023 GET FIT. EAT RIGHT. CONNECT. GROW.
Join the WELLfluent GET FIT. EAT RIGHT. CONNECT. GROW. Summary of Benefits 2019 Miami-Dade County AvMed Medicare Circle HMO H1016, Plan 023 This is a summary of drug and health services covered by AvMed
More informationSummary Of Benefits. UTAH Davis, Salt Lake, Utah and Weber. Healthy Advantage Plus (HMO)
Summary Of Benefits UTAH Davis, Salt Lake, Utah and Weber Healthy Advantage Plus (HMO) (877) 644-0344, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local time HealthyAdvantagePlus.org 2018 H5628_18_1099_0007_HPSB
More informationCHRISTUS Health Plan Generations (HMO) Summary of Benefits. Finally, access to the doctor and hospital you know and trust. christushealthplan.
CHRISTUS Health Plan Generations Summary of Benefits Finally, access to the doctor and hospital you know and trust. christushealthplan.org Summary of Benefits CHRISTUS Health Plan Generations H1189 This
More informationSummary Of Benefits. WASHINGTON Pierce. Molina Medicare Options (HMO) (800) , TTY/TDD days a week, 8 a.m. 8 p.m.
Summary Of Benefits WASHINGTON Pierce Molina Medicare Options (HMO) (800) 665-1029, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local time MolinaHealthcare.com/Medicare 2018 H5823_18_1099_0008_WASB Accepted
More information2019 Summary of Benefits
2019 Summary of MVP Health Plan, Inc. (HMO-POS) (HMO-POS) (HMO-POS) H3305: Plan 030, Plan 015 and Plan 007 This is a summary of drug and health services covered by MVP Health Plan January 1, 2019 - December
More information2019 Summary of Benefits
2019 Summary of Benefits P.O. BOX 15349 Tallahassee, Florida 32317-5349 H5938_RA385_M An Independent Licensee of the Blue Cross and Blue Shield Association SM This is a summary of drug and health services
More informationSummary of Benefits. Join the WELLfluent Broward County. AvMed Medicare Choice HMO H1016, Plan 021 GET FIT. EAT RIGHT. CONNECT. GROW.
Join the WELLfluent GET FIT. EAT RIGHT. CONNECT. GROW. Summary of Benefits 2019 Broward County AvMed Medicare Choice HMO H1016, Plan 021 This is a summary of drug and health services covered by AvMed Medicare
More informationSummary of Benefits. FirstMedicareDirect HMO Standard (HMO) H
2017 Summary of Benefits FirstMedicareDirect HMO Standard (HMO) H6306-003 This is a summary of drug and health services covered by FirstMedicare Direct HMO Standard January 1, 2017 - December 31, 2017
More information2016 Summary of Benefits. Classic Rx (HMO)
2016 Summary of s Classic Rx (HMO) Summary Of s January 1, 2016 - December 31, 2016 This booklet gives you a summary of what we cover and what you pay. It doesn t list every service that we cover, or list
More informationAnother choice is to get your Medicare benefits by joining a Medicare health plan (such as Senior Care Plus: Freedom Rx Select Plan (PPO)).
SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS You have choices about how to get your Medicare benefits One choice is to get your Medicare benefits through Original Medicare (fee-for-service Medicare).
More informationGroup Health Choice 500. Schedule of Benefits. Intended For GuideStone Participant Use Only
Group Health Choice 500 Schedule of Benefits Blue Cross Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent
More informationSummary Of Benefits. IDAHO Ada, Canyon. Molina Medicare Options (HMO) (844) , TTY/TDD days a week, 8 a.m. 8 p.m.
Summary Of Benefits IDAHO Ada, Canyon Molina Medicare Options (HMO) (844) 560-9811, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local time MolinaHealthcare.com/Medicare 2018 H5628_18_1099_0009_IDSB Accepted
More information2018 Summary of Benefits MEMORIAL HERMANN ADVANTAGE HMO AND PPO.
2018 Summary of Benefits MEMORIAL HERMANN ADVANTAGE HMO AND PPO. 2018 Summary of Benefits Memorial Hermann Advantage HMO H7115-001 This Summary of Benefits document provides an outline of health and drug
More information2019 Summary of Benefits. BlueCross Secure SM (HMO)
2019 Summary of Benefits BlueCross Secure SM (HMO) Jan. 1, 2019 Dec. 31, 2019 855-204-2744 TTY 711 Seven Days a Week, 8 a.m. to 8 p.m. (Oct. 1, 2018, to Mar. 31, 2019) Monday-Friday, 8 a.m. to 8 p.m. (All
More information2017 Summary of Benefits
2017 Summary of Benefits MVP Health Plan, Inc. 2017 GoldValue with Part D (HMO-POS) Preferred Gold without Part D (HMO-POS) H3305: Plan 015, Plan 007 This is a summary of drug and health services covered
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 informationSoundpath Health. Our service area includes the following counties in Washington State:
Soundpath Health Peak (HMO), H9302-011, Sound (HMO), H9302-007, Charter +Rx (HMO), H9302-003 This is a summary of drug and health covered by Soundpath Health from January 1, 2018 - December 31, 2018. To
More information2018 Summary of Benefits
2018 Summary of MVP Health Plan, Inc. BasiCare with Part D (PPO) Gold PPO with Part D (PPO) H9615: Plan 010, Plan 009 This is a summary of drug and health services covered by MVP Health Plan January 1,
More informationSummary of Benefits. Join the WELLfluent Miami-Dade County. AvMed Medicare Choice HMO H1016, Plan 001 GET FIT. EAT RIGHT. CONNECT. GROW.
Join the WELLfluent GET FIT. EAT RIGHT. CONNECT. GROW. Summary of Benefits 2018 Miami-Dade County AvMed Medicare Choice HMO H1016, Plan 001 This is a summary of drug and health services covered by AvMed
More information2017 Summary of Benefits
2017 Summary of Benefits MVP Health Plan, Inc. 2017 WellSelect with Part D (PPO) H9615: Plan 012 This is a summary of drug and health services covered by MVP Health Plan January 1, 2017 - December 31,
More informationYou have choices about how to get your Medicare benefits
SECTION 1 Introduction to the Summary of Soundpath Health Charter + Rx (HMO), Soundpath Health Sound + Rx (HMO), Soundpath Health Peak + Rx (HMO) Summary of January 1, 2016 - December 31, 2016 This booklet
More informationCentral Health Medicare Plan (HMO)
Central Health Medicare Plan (HMO) MONTHLY PREMIUM, DEDUCTIBLE, AND LIMITS ON HOW MUCH YOU PAY FOR COVERED SERVICES How much is the monthly premium? How much is the deductible? Is there any limit on how
More informationhealth. Our focus Summary of Benefits Health Partners Medicare Prime (HMO) Bucks, Chester, Delaware and Philadelphia counties
Your health. Our focus. 2019 Summary of Benefits (HMO) Bucks, Chester, Delaware and Philadelphia counties 2019 Summary of Benefits Health Partners Medicare (H9207) (HMO) (plans 002 and 005) This is a summary
More informationYou have from October 15 until December 7 to make changes to your Medicare coverage for next year.
Explorer Rx 7 (PPO) offered by PacificSource Medicare Annual Notice of Changes for 2018 You are currently enrolled as a member of Explorer Rx 7 (PPO). Next year, there will be some changes to the plan
More information*2017 Plan Cost Comparison
*2017 Plan Cost Comparison The following health insurance plans are available to Medicare-eligible plan participants enrolled in both Medicare Part A and Part B, unless you have Medicare due to ESRD and
More information2019 Summary of Benefits Medicare Advantage Plans with Part D Prescription Drug Coverage
2019 Summary of Benefits Medicare Advantage Plans with Part D Prescription Drug Coverage Plus H1035-002 H1035-006 H1035-014 January 1, 2019 December 31, 2019 The plan's service area includes: Flagler and
More informationExplorer Rx 7 (PPO) Summary of Benefits
Explorer Rx 7 (PPO) Summary of Benefits Coos and Curry Counties, Oregon January 1, 2017 December 31, 2017 This booklet gives you a summary of what we cover and what you pay. It doesn't list every service
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 informationSummary of Benefits 2019 Explorer Rx 7 (PPO) Coos County, Curry County
Summary of Benefits 2019 Explorer Rx 7 (PPO) Coos County, Curry County Y0021_H4754_MED43_0818_M Accepted 08262018 Things to Know About PacificSource Medicare Explorer Rx 7 (PPO) Who can join? To join PacificSource
More informationSummary Of Benefits. IDAHO Kootenai, Twin Falls. Molina Medicare Options (HMO) (844) , TTY/TDD days a week, 8 a.m. 8 p.m.
Summary Of Benefits IDAHO Kootenai, Twin Falls Molina Medicare Options (HMO) (844) 560-9811, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local time MolinaHealthcare.com/Medicare 2018 H5628_18_1099_0010_IDSB
More information2019 Summary of Benefits Medicare Advantage Plans with Part D Prescription Drug Coverage. BlueMedicare Choice (Regional PPO) R
2019 Summary of Benefits Medicare Advantage Plans with Part D Prescription Drug Coverage R3332-001 January 1, 2019 December 31, 2019 The plan s service area includes: 1 Y0011_92076_M 0818 CMS Accepted
More informationPlan changes are in red In-Network 2015 Out-of-Network
General Information Lifetime Maximum Benefit Unlimited Unlimited Annual Maximum Benefit Unlimited Unlimited Coinsurance Percentage 80.00% 50.00% Precertification Requirements Precertification Penalty Covered
More informationMAPD HMO Summary of Benefits
MAPD HMO Summary of Benefits January 1, 2015 December 31, 2015 Call toll-free 1-877-795-6131 8 a.m. to 8 p.m. daily TTY/TDD 711 HealthAllianceRetiree.org/SOI ste-statemedsob-0914 SECTION I INTRODUCTION
More informationSummary of Benefits. Join the WELLfluent Broward County AvMed Medicare Choice HMO H1016, Plan 021 GET FIT. EAT RIGHT. CONNECT. GROW.
Join the WELLfluent GET FIT. EAT RIGHT. CONNECT. GROW. Summary of Benefits 2018 Broward County AvMed Medicare Choice HMO H1016, Plan 021 This is a summary of drug and health services covered by AvMed Medicare
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 informationbenefits Summary of BlueMedicare SM Regional PPO A Medicare Advantage Regional PPO Plan State of Florida
2016 Summary of benefits BlueMedicare SM Regional PPO A Medicare Advantage Regional PPO Plan State of Florida Florida Blue is a trade name of Blue Cross and Blue Shield of Florida Inc., an Independent
More information2016 Forever Blue Medicare PPO
2016 Forever Blue Medicare PPO H5526 Summary of Benefits FOREVER BLUE MEDICARE PPO VALUE (PPO) (a Medicare Advantage Preferred Provider Organization (PPO) offered by HEALTHNOW NEW YORK INC. with a Medicare
More informationSummary Of Benefits. Idaho Ada, Canyon. Molina Medicare Options (HMO) (844) , TTY/TDD days a week, 8 a.m. 8 p.m.
Summary Of Benefits Idaho Ada, Canyon Molina Medicare Options (HMO) (844) 560-9811, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local time MolinaHealthcare.com/Medicare 2019 H5628_19_1099_0009_IDSB_M Accepted
More informationAnother choice is to get your Medicare benefits by joining a Medicare health plan (such as Senior Care Plus: Value Rx Plan (HMO)).
Summary of Benefits Report SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS You have choices about how to get your Medicare benefits One choice is to get your Medicare benefits through Original Medicare
More informationCoverage for: Individual/Family Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
More information2018 NMRHCA Benefits Presentation Presbyterian Senior Care (HMO-POS) Plan I and Plan II
2018 NMRHCA Benefits Presentation Presbyterian Senior Care (HMO-POS) Plan I and Plan II Who we are Started in 1908 as a Tuberculosis Sanatorium Presbyterian Today Locally owned, nonprofit healthcare system
More informationLee s Summit School District
Plan Type Plan Description (Visit our website at www.bluekc.com to receive a complete listing of network hospitals and physicians) Lee s Summit School District Effective Date: 1/1/16 Health Benefit Plan
More information2016 Benefits Overview
2016 Benefits Overview ASPIRE HEALTH ADVANTAGE VALUE (HMO) BENEFIT Monthly Plan Premium Out-of-Pocket Limit (In-Network Medicare-covered benefits) Annual Part C Deductible (all services except for Prescription
More information2018 MetroPlus Platinum Plan (HMO) Summary of Benefits
2018 MetroPlus Platinum Plan (HMO) Summary of Benefits MetroPlus Platinum Plan is an HMO plan with a Medicare contract. Enrollment in the Plan depends on contract renewal. The benefit information provided
More information2017 NMRHCA Benefits Presentation
2017 NMRHCA Benefits Presentation Presbyterian Senior Care (HMO-POS) Plan I and Plan II _[code]_[mmddyyyy] Who we are Started in 1908 as a Tuberculosis Sanatorium Presbyterian Today Locally owned, nonprofit
More informationPLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY INC. Cost Share. $0 Deductible. Unlimited
PLAN FEATURES Deductible (per calendar year) $0 Deductible Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member Coinsurance Applies to all expenses unless otherwise
More information2019 Summary of Benefits Medicare Advantage Plans with Part D Prescription Drug Coverage
2019 Summary of Benefits Medicare Advantage Plans with Part D Prescription Drug Coverage H5434-023 H5434-024 January 1, 2019 December 31, 2019 The plan s service area includes:, Manatee, and Sarasota Counties
More informationHorizon BCBSNJ 2018 Medicare Advantage Offerings
January 3, 2018 Applies to: Employer groups with five or more employees Horizon BCBSNJ 2018 Medicare Advantage Offerings Horizon Blue Cross Blue Shield of New Jersey is once again offering Medicare Advantage
More information2015 Summary of Benefits
2015 Summary of Benefits Effective January 1, 2015, through December 31, 2015 H3909 Y0041_H3909_PC_15_18889 Accepted 09/01/2014 Section I: Introduction to Summary of Benefits You have choices about how
More informationSummary of Benefits. for Anthem MediBlue Select (HMO) Available in Hartford county, CT
Summary of Benefits for Available in Hartford county, CT Anthem Blue Cross and Blue Shield is an HMO plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.
More information2019 Summary of Benefits
Your health. Our focus. 2019 Summary of Benefits Health Partners Medicare Special (HMO SNP) 2019 Summary of Benefits Health Partners Medicare (H9207) Health Partners Medicare Special (HMO SNP) (plan 004)
More informationBenefits Summaryof. Health Net Violet 2 (PPO) Benton, Linn, and Yamhill counties, OR H
2018 Summaryof Benton, Linn, and Yamhill counties, OR H5439-014-002 Benefits effective January 1, 2018 Health Net Life Insurance Company H5439_18_3171SB_Accepted 09102017 1 Benefits This booklet provides
More informationSummary of Benefits. for Anthem MediBlue Select (HMO) Available in Hartford county, CT
Summary of Benefits for Available in Hartford county, CT Anthem Blue Cross and Blue Shield is an HMO plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.
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 information2018 SUMMARY OF BENEFITS
2018 SUMMARY OF BENEFITS Overview of your plan UnitedHealthcare Group Medicare Advantage (PPO) H2001-816 Group Name (Plan Sponsor): Illinois Department of Central Management Services State Employees Group
More informationPLAN COMPARISON (Blue Cross Blue Shield of Massachusetts) For Members Who Are Eligible For Medicare
Quarterly Premium Rate * Per Person $2,215.08 $1,789.50 $618.99 $890.70 Rates effective: 1/1/16 through 12/31/16 1/1/16 through 12/31/16 1/1/16 through 12/31/16 1/1/16 through 12/31/16 Eligibility Service
More informationPLAN COMPARISON (Blue Cross Blue Shield of Massachusetts) For Members Who Are Eligible For Medicare
Quarterly Premium Rate * Per Person $2,358.60 $1,905.33 $658.74 $1,165.11 Rates effective: 1/1/17 through 12/31/17 1/1/17 through 12/31/17 1/1/17 through 12/31/17 1/1/17 through 12/31/17 Eligibility Service
More information2019 UCARE. Group Medicare. Minneapolis School Retirees
2019 UCARE Group Medicare Minneapolis School Retirees ABOUT UCARE Serve 80,000 Medicare members in Minnesota and western Wisconsin Friendly customer service with a real person, located in Northeast Minneapolis
More informationAnnual Notice of Changes for 2016
Secure Blue Idaho, (PPO) offered by Blue Cross of Idaho Care Plus, Inc. Annual Notice of Changes for 2016 You are currently enrolled as a member of Secure Blue Idaho (PPO). Next year, there will be some
More informationSchedule of Benefits Phoenix Health Plans, Inc.
Your Policy gives You important information about Your health care benefits. It includes information such as Pre-Authorization requirements. This Schedule of Benefits is issued to You with Your Policy.
More informationOPERATING ENGINEERS TRUST FUNDS
OPERATING ENGINEERS TRUST FUNDS I.U.O.E. LOCAL 12 HEALTH & WELFARE / PENSION / VACATION / TRAINING 100 CORSON STREET, SUITE 100 PASADENA, CALIFORNIA 91103 (866) 400-5200 P.O. BOX 7063, PASADENA, CALIFORNIA
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
2018 SUMMARY OF BENEFITS Overview of your plan UnitedHealthcare Group Medicare Advantage (PPO) H2001-816 Group Name (Plan Sponsor): CalPERS with Dental and Vision Look inside to learn more about the plan
More information2018 Medicare Program Overview
2018 Medicare Program Overview State College of Florida Florida College System Risk Management Consortium #78800 Retirees Eligible for Medicare Florida Blue is an Independent Licensee of the Blue Cross
More information2016 Senior Blue HMO H3384. Summary of Benefits
2016 Senior Blue HMO H3384 Summary of Benefits BLUECROSS BLUESHIELD SENIOR BLUE HMO 601 (HMO) (a Medicare Advantage Health Maintenance Organization (HMO) offered by HEALTHNOW NEW YORK INC. with a Medicare
More information2017 Summary. Choice (HMO) Value Preferred Choice (HMO) H0545, Plan 014
It s Personal. 2017 Summary Desert Preferred of Benefits Choice (HMO) Value Preferred Choice (HMO) H0545, Plan 014 This is a summary of drug and health services covered by Value Preferred Choice (HMO)
More informationHNE Medicare Value (HMO)
2016 Medicare Advantage Summary of Benefits January 1, 2016 - December 31, 2016 H8578_2016_453 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2016 SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS You have
More informationSummary of BenefitS. Cigna-HealthSpring Preferred (Hmo) H Cigna H0354_15_19948 Accepted
Summary of BenefitS Coverage Cigna-HealthSpring Preferred (Hmo) H0354-001 2014 Cigna H0354_15_19948 Accepted SeCtion i - introduction to Summary of BenefitS you have choices about how to get your medicare
More information2019 Summary of Benefits
2019 Summary of MVP Health Plan, Inc. WellSelect PPO with Part D (PPO) Gold PPO with Part D (PPO) H9615: Plan 010, Plan 009 This is a summary of drug and health services covered by MVP Health Plan January
More information2014 CDPHP Medicare Choices Group PPO Benefit Summary
2014 CDPHP Medicare Choices Group PPO Benefit Summary Services In-Network Out-of-Network Physician Services Primary care physician visits $10 copayment $10 copayment Specialty visits $15 copayment $15
More informationCoverage for: Individual/Family Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
More informationCDPHP Medicare Choices Group Plan 2014 PPO Renewal Information
CDPHP Medicare Choices Group Plan 2014 PPO Renewal Information Paperwork Due Date: Return on or before 10/31/2013 Health Benefits Administrator Group Number: 10006176 Otsego County Chamber of Commerce
More informationCoverage for: Individual/Family Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
More informationSummary of Benefits 2019 MyCare Rx 39 (HMO) MyCare Rx 40 (HMO) Clackamas, Multnomah, and Washington County
Summary of Benefits 2019 MyCare Rx 39 (HMO) MyCare Rx 40 (HMO) Clackamas, Multnomah, and Washington County Y0021_H3864_MED57_0818_M Accepted 08262018 Things to Know About PacificSource Medicare MyCare
More information2018 SUMMARY OF BENEFITS
2018 SUMMARY OF BENEFITS Overview of your plan UnitedHealthcare Group Medicare Advantage (PPO) H2001-816 Group Name (Plan Sponsor): Illinois Department of Central Management Services Teachers Retirement
More informationMyCare Rx 23 (HMO) Summary of Benefits
MyCare Rx 23 (HMO) Summary of Benefits Southwestern Idaho January 1, 2017 December 31, 2017 This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover
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 information2018 Summary of Benefits
2018 Summary of Benefits MVP Health Plan, Inc. GoldValue with Part D (HMO-POS) H3305: Plan 022 This is a summary of drug and health services covered by MVP Health Plan January 1, 2018 - December 31, 2018.
More information2010 Group Smart Solutions from The Blues
2010 Group Smart Solutions from The Blues Community-rated Medicare offerings for new groups. Products available for new IBC Medicare customers and existing customers adding additional lines of coverage.
More informationService AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network
2016 Advantage Plans Comparison Chart This comparison chart is a side-by-side representation of services offered through the AvMed, Cigna, UHC, and Humana Advantage Plans for both in-network and out-of-network
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 information