COMPASS ROSE HEALTH PLAN PROTECTING OUR MEMBERS SINCE 1948
|
|
- Bruce Bishop
- 5 years ago
- Views:
Transcription
1 PLAN YEAR 2019 COMPASS ROSE HEALTH PLAN PROTECTING OUR MEMBERS SINCE 1948 POWERED BY compassrosebenefits.com 1
2 WELCOME WE ARE HERE TO HELP YOU SOLVE THE COMPLEXITIES OF INSURANCE PLAN HIGHLIGHTS COMPASS ROSE HEALTH PLAN NETWORK + COVERAGE HEALTH BENEFITS COORDINATION WITH MEDICARE PRESCRIPTIONS WELLNESS REWARDS PROGRAM HEALTH TOOLS & WELLNESS PROGRAMS RATES + ENROLLMENT compassrosebenefits.com 2
3 COMPASS ROSE HEALTH PLAN Using the UnitedHealthcare Choice Plus Network: $15 $0 $25 $5 PRIMARY CARE DOCTOR TELEHEALTH VISITS SPECIALIST VISITS GENERIC PRESCRIPTIONS Lab Work 100% *LabCorp Preventive Care 100% Maternity 100% WORLDWIDE COVERAGE NO REFERRALS Intelligence Community EXCLUSIVE MEMBERSHIP Department of Defense Department of State compassrosebenefits.com 3
4 YOUR HEALTH, OUR PLAN WE ARE COMMITTED TO SERVING OUR MEMBERS WHO WE ARE The Compass Rose Health Plan offers a nationwide PPO giving you and your family access to high-quality health care. We work with the Office of Personnel Management to bring you our Federal Employees Health Benefits (FEHB) Plan. We strive to keep your out-of-pocket expenses low and are committed to providing you with exceptional service. We raise the bar on what you can expect from a health care company. We originated in 1948 as the preferred plan for employees of the Central Intelligence Agency (CIA). Over the years, we have expanded our eligibility to include Active and Retired civilian employees of the Intelligence Community, the Department of Defense and the Department of State. To see if you are eligible, visit compassrosebenefits.com/eligibility SERVICE. STABILITY. SECURITY. We pride ourselves on offering individual attention to each insured employee and their family. Our mission is to provide you with a health plan that best meets your personal needs. compassrosebenefits.com 4
5 HOW OUR PLAN WORKS YOU CHOOSE YOUR OWN HEALTH CARE PROVIDERS OUR NETWORK The Compass Rose Health Plan is a nationwide Preferred Provider Organization (PPO). When you visit a network provider, you receive covered services at a reduced cost. The Plan is powered by the UnitedHealthcare (UHC) Choice Plus network in all states. The UHC network consists of over 350,000 primary care providers, 800,000 specialists and more than 6,750 hospitals. Our health plan gives you the freedom to choose ANY doctor or hospital, in- or out-of-network, and we never require a referral. FIND THE RIGHT DOCTOR HELPFUL TIP Providers may not recognize our Plan name, be sure to ask if your provider participates in the UnitedHealthcare Choice Plus network. Our online Provider Directory allows you to search our large network of doctors, hospitals, labs and facilities 24 hours a day, seven days a week. Visit compassrosebenefits.com/uhc. COVERAGE In-Network Coverage: covered at 90% Out-of-Network Coverage: covered at 70% Overseas Coverage*: no networks, covered at 90% * Members are required to pay 100% at the time of service, and submit a claim for reimbursement at 90%. ANNUAL DEDUCTIBLE In-Network Annual Deductible: Self - $350 Self Plus One - $700 Self and Family - $700 Out-of-Network Annual Deductible: Self - $400 Self Plus One - $800 Self and Family - $800 CATASTROPHIC PROTECTION Catastrophic Medical PPO & Pharmacy Network Coverage: Self - $4,000 Self Plus One and Self and Family - $5,000 Catastrophic Medical Non-PPO Coverage: Self - $7,000 Self Plus One and Self and Family - $9,000 compassrosebenefits.com 5
6 BENEFITS GET THE MOST FROM YOUR PLAN TO HELP YOU SAVE MONEY Your cost when you use in-network providers for covered services: BENEFIT ROUTINE PREVENTIVE CARE (ADULT AND CHILDREN) DOCTOR OFFICE VISITS - PRIMARY PHYSICIAN DOCTOR OFFICE VISITS - SPECIALIST STATESIDE AND OVERSEAS $0 $15 copayment (No Deductible*) $25 copayment (No Deductible) TELEHEALTH: DOCTOR ON DEMAND $0 LABWORK PROGRAM THROUGH LABCORP $0 X-RAY & OTHER DIAGNOSTIC SERVICES URGENT CARE FACILITY EMERGENCY ROOM INPATIENT HOSPITAL CARE 1 SURGICAL SERVICES 1 10% of the Plan Allowance $50 copayment, waived if admitted (No Deductible) $100 copayment, waived if admitted (No Deductible) $200 copayment per hospital stay (No Deductible) 10% of the Plan Allowance (No Deductible) ROUTINE MATERNITY CARE $0 BASIC CHIROPRACTIC CARE ACUPUNCTURE CARE OUTPATIENT THERAPY 1,2 ALLERGY CARE OFFICE VISIT ANNUAL DEDUCTIBLE OUT-OF-POCKET MAXIMUM $20 copayment (No Deductible, 20 visits max) 10% of the Plan Allowance (24 visits max) 10% of the Plan Allowance (90 visits max) $15 co-pay in Primary Physician s office (No Deductible) $25 co-pay for Specialists (No Deductible) $350 Self Only $700 Self Plus One or Self and Family $4,000 Self Only, $5,000 Self Plus One and Self and Family 1) Precertification is required. 2) Combined 90 visits for Physical, Occupational and Speech therapy services. * A deductible is the annual amount you pay for medical bills before the Plan pays. It is not required for some covered services. For details, see FEHB Plan Brochure. Please refer to the 2019 FEHB Plan Brochure for complete benefit information at compassrosebenefits.com/brochure. compassrosebenefits.com 6
7 HOW WE WORK WITH MEDICARE DUAL COVERAGE, DOUBLE PROTECTION MEDICARE BASICS Medicare is a health insurance program for people 65 years of age or older. Medicare has four parts: Part A (Hospital Insurance), Part B (Medical Insurance), Part C (Medicare Advantage) and Part D (Medicare Prescription Drug Coverage). PARTNERING TOGETHER Being enrolled in Medicare and the Compass Rose Health Plan can help significantly decrease your out-of-pocket health care costs. Even though enrolling in Medicare is not required, there are some definite advantages to having BOTH Medicare and the Compass Rose Health Plan. Below is a list of covered benefits available when you enroll in both Medicare Part A and Part B and the Compass Rose Health Plan. HELPFUL TIP Did you know that there are limited times to enroll in a Medicare Plan? Look out for a notification from the Social Security Administration. Inpatient Hospital Care Expenses Outpatient Provider Expenses Pharmacy Network of Physicians and Hospitals Compass Rose waives hospital copayments and coinsurance. Compass Rose waives most calendar year deductibles, copayments and coinsurance for medical services and supplies. Compass Rose offers prescription drug copayments at a reduced rate for 90-day Home Delivery or 30-day Retail Pharmacy in Express Scripts Rx Network (for Medicare Part B participants). Once you are enrolled in Part B, you have the freedom to be seen by ANY participating Medicare provider WITHOUT penalty (whether PPO or non-ppo). You can verify that your provider participates in Medicare by visiting compassrosebenefits.com/medicare. Other Covered Services Hearing Aids Diabetes testing supplies Respiratory supplies Immunosuppressive medications Oral anti-cancer medications compassrosebenefits.com 7
8 PRESCRIPTION DRUG PROGRAM CONVENIENT OPTIONS TO FILL PRESCRIPTIONS PHARMACY BENEFITS Express Scripts, a leader in pharmaceutical care and services, is the Pharmacy Benefit Manager for the Compass Rose Health Plan. For more information, or to find out if your prescription is covered, please call (877) To access our list of preferred medications and exclusions, visit compassrosebenefits.com/formulary. RETAIL PHARMACY IN-NETWORK You may fill your prescription at a network pharmacy. To locate a pharmacy in your area, please call (877) or visit express-scripts.com/pharmacy. HOME DELIVERY PROGRAM HELPFUL TIP With the Home Delivery Program, members receive a 3-month supply of their prescription for the cost of 2 months. Eliminate the trip to the pharmacy and consider home delivery for maintenance drugs drugs that can be prescribed for at least 90 days. Prescriptions are delivered to your front door at no additional shipping cost, with an option for automatic refills making it easy and convenient. SPECIALTY PHARMACY BENEFIT Specialty medications used to treat severe, chronic medical conditions (usually administered by injection or infusion), are obtained through Accredo. Specialty medications are NOT eligible for the home delivery benefit, nor can they be filled at retail pharmacies. If you have questions regarding Specialty medications, please contact Accredo at (800) compassrosebenefits.com 8
9 PRESCRIPTION DRUG CO-PAYS CONVENIENT OPTIONS TO FILL PRESCRIPTIONS BENEFIT IN-NETWORK RETAIL 30-day supply YOUR COST Level 1 (Generics): $5 copayment (no deductible) Level 2 (Formulary/preferred brand name): $35 copayment (no deductible) Level 3 (Non-formulary/non-preferred brand name): $50 copayment or 30%, whichever is greater (no deductible) IN-NETWORK RETAIL MEDICARE PART B PRIMARY 30-day supply Level 1 (Generics): $3 copayment (no deductible) Level 2 (Formulary/preferred brand name): $18 copayment (no deductible) Level 3 (Non-formulary/non-preferred brand name): $35 copayment or 30%, whichever is greater (no deductible) HOME DELIVERY 90-day supply Level 1 (Generics): $10 copayment (no deductible) Level 2 (Formulary/preferred brand name): $70 copayment (no deductible) Level 3 (Non-formulary/non-preferred brand name): $100 copayment or 30%, whichever is greater (no deductible) HOME DELIVERY MEDICARE PART B PRIMARY 90-day supply Level 1 (Generics): $6 copayment (no deductible) Level 2 (Formulary/preferred brand name): $36 copayment (no deductible) Level 3 (Non-formulary/non-preferred brand name): $45 copayment or 30%, whichever is greater (no deductible) SPECIALTY MEDICATIONS 30-day supply Generic: 20% up to a maximum of $150 (no deductible) Formulary brand name: 20% up to a maximum of $200 (no deductible) Non-formulary brand name: 25% up to a maximum of $300 (no deductible) compassrosebenefits.com 9
10 LIVE HEALTHY, GET REWARDED EARN REWARDS FOR TAKING AN ACTIVE ROLE IN YOUR HEALTH WELLNESS REWARDS PROGRAM Having a partner to help you reach your health goals can make a difference. That is why we offer tools and programs to support members on their journey to better health. Adult members and their covered spouse can each earn up to $250 per calendar year by completing qualifying activities and screenings through our Wellness Rewards Program. WAYS TO EARN Complete an online clinical health risk assessment (CHRA) 50 reward points Receive your yearly biometric screening 50 reward points Get your annual routine preventive care check-up 50 reward points Receive certain preventive care screenings: 100 reward points - cervical cancer screening 100 reward points - mammogram 50 reward points - colorectal cancer screening Use the UMR Health Cost Estimator tool 50 reward points Complete health coaching like Care Management, Tobacco Cessation and Maternity Management 100 reward points HOW REWARD POINTS WORK One reward point equals one dollar. The money you earn will be applied to your deductible the following calendar year. Members who have Medicare B as their primary insurance will receive their reward in a health reimbursement account that can be used for qualified medical expenses such as medical and prescription drug copayments and Medicare premiums. Learn more at compassrosebenefits.com/rewards. compassrosebenefits.com 10
11 HEALTH TOOLS & WELLNESS PROGRAMS GET THE MOST OUT OF YOUR COVERAGE + LIVE A HEALTHIER LIFE COMPASS ROSE MEMBER PORTAL The Member Portal provides secure online access to claims, Explanation of Benefits (EOBs), ID cards and more. The Member Portal allows you to: Print and request Health Plan Member ID card(s) View Explanation of Benefits (EOBs) Review claims status Locate in-network providers Estimate the cost for health services Access health and wellness resources Manage prescriptions WEIGHT LOSS PROGRAM Need help losing weight? We offer a FREE online weight loss program through Real Appeal to motivate eligible members to make long-term healthy lifestyle changes. This program provides: A Transformation Coach to motivate you to reach your goals Online tools and trackers available 24/7 A Success Kit with scales, recipes, workout DVDs and more DENTAL & VISION DISCOUNT PROGRAM We partner with Careington International Corporation to provide members with a national Dental and Vision Discount Program at no additional cost. (This plan is not insurance and is not intended to replace health insurance.) DOCTOR ON DEMAND Skip the waiting room with Doctor On Demand a service that lets you see a board-certified physician face-to-face over live video from your smartphone, tablet or computer. They can diagnose, treat and even prescribe medication if necessary. They are available 7 days a week even when other health care options are closed. MATERNITY MANAGEMENT PROGRAM A healthy pregnancy is key to having a healthy baby. Our FREE Maternity Management program provides access to a nurse coach who will help you learn about healthy lifestyle choices and good medical care during pregnancy. Participants also receive educational materials and their choice of one out of six pregnancy books. WELLNESS SUPPORT If you need help navigating the health care system, we have several FREE resources. For instance, if you have certain medical conditions such as high blood pressure, diabetes or congestive heart failure, we provide a Care Management Program that can help you manage your condition. If you would like more information on any of the resources listed above, please visit compassrosebenefits.com. compassrosebenefits.com 11
12 PLAN RATES 2019 MEMBER PREMIUMS ENROLLMENT TYPE & CODE BIWEEKLY RATE MONTHLY RATE Self Only (421) $91.18 $ Self Plus One (423) $ $ Self & Family (422) $ $ ENROLLMENT CONVENIENT + EASY Open Season is November 12 - December 10 don t miss your chance to enroll. To see if you are eligible, visit compassrosebenefits.com/eligibility. ACTIVE EMPLOYEES Contact your Health Benefits Officer or Human Resources Representative within your organization/agency. You will need to complete a Health Benefits Election Form (SF 2809). RETIREES Contact OPM directly: - During Open Season: (800) Outside of Open Season: (888) Visit opm.gov for additional enrollment options. QUESTIONS? WE ARE HERE FOR YOU CALL: (888) from 8:00am - 8:00pm (EST) askcrbg@compassrosebenefits.com ONLINE: compassrosebenefits.com/openseason compassrosebenefits.com 12
COMPASS ROSE HEALTH PLAN PROTECTING OUR MEMBERS SINCE 1948
PLAN YEAR 2018 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 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 informationIndividual & Family Plans Insured by Connecticut General Life Insurance Company. Cigna Health Savings Plans for Tennessee. medical & b 12/12
Individual & Family Plans Insured by Connecticut General Life Insurance Company Cigna Health Savings Plans for Tennessee medical & PHARMACY INSURANCE for a VERY UNIQUE INDIVIDUAL. YOU. 858437 b 12/12 Services
More informationGEHA Health Savings AdvantageSM High-deductible health plan with a health savings account (HSA) (800) 262-GEHA geha.com
GEHA 2015 Health Savings AdvantageSM High-deductible health plan with a health savings account (HSA) (800) 262-GEHA geha.com CODE Self Only 341 Self + Family 342 Enrollment checklist 1. Research health
More informationAsuris Northwest Health Medicare Advantage PPO Plans. Decision Guide
2016 Northwest Health Medicare Advantage PPO Plans Decision Guide STEP-BY-STEP STEP 1 STEP 2 STEP 3 STEP 4 READ. Learn about all the programs and benefits you can enjoy as an Northwest Health member. This
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 informationGroup Health Options, Inc.
FEDERAL EMPLOYEES RATES & BENEFITS Group Health Options, Inc. 2016 Federal Plans Compare your plan options Choose the plan that fits you and your family Why choose Group Health Options, Inc. The Network
More informationWelcome to Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES
Welcome to Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES Your Personalized Medicare Manager Is Waiting for You Online. Go to My.Medicare.gov and get the personalized information you need to make better
More informationTOGETHER. BETTER HEALTH.
All postal employees are welcome. TOGETHER. BETTER HEALTH. HONORED TO SERVE YOU. apwuhp.com Comprehensive benefits at an affordable price. Nationwide network more than 1 million providers No referrals
More informationWelcome to Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES
Welcome to Medicare CENTERS FOR MEDICARE & MEDICAID SERVICES Your Personalized Medicare Manager Is Waiting for You Online. Register at www.mymedicare.gov Medicare s secure online service for accessing
More informationCoventryOne Fusion 100%/50% POS Plans
CoventryOne Fusion 100%/50% POS Plans $3,000 $5,000 In-Network Out-of-Network In-Network Out-of-Network Lifetime Max (per Member) $6,000,000 $6,000,000 Deductible (per benefit year) - Maximum 3 per family
More informationIndividual & Family Plans Insured by Connecticut General Life Insurance Company. Cigna Open Access Plans for TEXAS ONE-AND-ONLY.
Individual & Family Plans Insured by Connecticut General Life Insurance Company Cigna Plans for TEXAS medical & PHARMACY INSURANCE with the ONE-AND-ONLY YOU IN MIND. 858482 a 05/13 Services with you in
More informationBenefit Guide. Oregon Large Group. For employer groups of 51 or more employees, enrolling or renewing, effective on or after Aug.
Benefit Guide effective on or after Aug. 1, 2012 Oregon Large Group For employer groups of 51 or more employees, enrolling or renewing, You choose Bob s Red Mill, Bob s Red Mill chose Providence. We really
More informationSimple Facts About Medicare
Simple Facts About Medicare What is Medicare? Medicare is a federal system of health insurance for people over 65 years of age and for certain younger people with disabilities. There are two types of Medicare:
More informationSchedule of Benefits. Plan Information Participating Provider Non-Participating Provider. Deductible: $250 / $750 Rx: $10/$25/$40/$40 Coinsurance: 0%
Schedule of Benefits UPMC Business Advantage PPO - Premium Network Primary Care Provider: $20 Copayment per visit Specialist: $20 Copayment per visit Deductible: $250 / $750 Rx: $10/$25/$40/$40 Coinsurance:
More informationGetting started with Medicare
Getting started with Medicare Look inside to: Learn about Medicare Find out about coverage and costs Discover when to enroll Medicare Made Clear Learning about Medicare can be like learning a new language.
More informationMember Cost Sharing Participating Provider Non-Participating Provider Annual Deductible Individual $250 $750 Family $750 $2,250
Schedule of Benefits UPMC Business Advantage PPO - Premium Network Deductible: $250 / $750 Coinsurance: 0% Total Annual Out-of-Pocket: $6,350 / $12,700 Primary Care Provider: $20 Copayment per visit Specialist:
More information2016 HealthFlex Plan Comparison: PPO B1000 with HRA and CDHP C2000 with HRA
Caring For Those Who Serve 1901 Chestnut Avenue Glenview, Illinois 60025-1604 1-800-851-2201 www.gbophb.org 2016 HealthFlex Plan Comparison: PPO B1000 with HRA and CDHP C2000 with HRA Please note: This
More informationHuman Resources. October 28, Name Address City, State Zip
Human Resources October 28, 2013 Name Address City, State Zip Effective January 1, 2014, the University of Arkansas is changing the retiree health insurance for retirees and covered spouses who have Medicare
More informationDecision Guide Regence Medicare Advantage HMO Plan
2016 Decision Guide Regence Medicare Advantage HMO Plan Regence BlueShield serves select counties in the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association
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 informationFOREIGN 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 informationCoventryOne Qualified High Deductible 100%/60% POS Plans
CoventryOne Qualified High Deductible 100%/60% POS Plans $1,250/$2,500 $3,000/$5,500 $5,000/$10,000 In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network Lifetime Max (per Member)
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 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 informationWhat 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.anthem.com/cuhealthplan or by calling 1-800-735-6072.
More informationPLAN DESIGNS AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY INC
Aetna Pharmacy Management Custom RX PLAN FEATURES Deductible (per calendar year) $250 Deductible Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member Coinsurance
More information2017 Group Retiree Medicare Plans
2017 Group Retiree Medicare Plans Standard Health Maintenance Organization (HMO) Plans Empire BlueCross BlueShield is an HMO and PDP plan with a Medicare contract. Enrollment in Empire BlueCross BlueShield
More informationFor more information on your plan, please refer to the final page of this document.
Schedule of Benefits Panther Blue - General Student Health Plan PPO - Premium Network Deductible: $250 / $500 Coinsurance: 10% Total Annual Out-of-Pocket: $4,200 / $8,400 This document is your Schedule
More informationSchedule of Benefits. Plan Information. Primary Care Provider: $10 Copayment per visit
Schedule of Benefits PPO IA - Premium Network Deductible: $500 / $1,000 Coinsurance: 0% Total Annual Out-of-Pocket: $6,450 / $12,900 Primary Care : $10 Copayment per visit Specialist: $30 Copayment per
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 informationBluePreferred-Saver. Maryland. More to feel good about.
BluePreferred-Saver Maryland More to feel good about. BluePreferred-Saver is a product for people like you: people who know they need health coverage, but don t want to spend a lot of money for it. With
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 informationHealthEZ 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 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 informationEmergency Department: $175 Copayment per visit Coinsurance: 0%
Schedule of Benefits UPMC Small Business Advantage Primary Care Provider: $25 Copayment per visit Gold PPO $1,000 $25/$50 - Premium Network Specialist: $50 Copayment per visit Deductible: $1,000 / $2,000
More informationGetting Started with Medicare
Getting Started with Medicare TABLE OF CONTENTS 2 What is Medicare? 3 Original Medicare Parts A and B 5 Medicare Part C Medicare Advantage Plans 6 Medicare Part D Prescription Drug Coverage 8 How to Enroll
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 informationA plan designed to work for you.
YOUR ADVANTAGE: A plan designed to work for you. 2019 Benefit Plan NMRHCA Plan Benefits and Features Group Medicare Advantage PPO Plans Your Medicare Advantage plan The advantages of a single plan. Medicare
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 informationHealthEZ 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 informationAn Overview of Your Health and Dental Benefits
An Overview of Your Health and Dental Benefits Educators Health Alliance Direct Bill Plan 2 \ EDUCATORS HEALTH ALLIANCE HEALTH AND DENTAL PLAN OPTIONS Exclusively for Educators Health Alliance Direct Bill
More informationHealth 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 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 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 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 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 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 information*Health Insurance enrollment sssumes you do not cancel your UA retiree health insurance.
Human Resources October 28, 2013 Name Address City, State Zip Effective January 1, 2014, the University of Arkansas changing the retiree health insurance for retirees and covered spouses who have Medicare
More informationForeign Service Benefit Plan
Foreign Service Benefit Plan Summary of 2018 Benefits Health Plan Accredited by The FOREIGN SERVICE BENEFIT PLAN has Health Plan Accreditation from the Accreditation Association for Ambulatory Healthcare,
More informationWhat to Know About Your Health Plan
What to Know About Your Health Plan 1 Given the ever changing nature of health care, it s no surprise many people have a diffcult time understanding their health benefts. However, learning the basics of
More informationYour 2017 guide to choosing a Kaiser Permanente MEDICARE health plan
This is an advertisement. Your 2017 guide to choosing a Kaiser Permanente MEDICARE health plan INCREASE YOUR COVERAGE without increasing your FEHB monthly premium* Kaiser Permanente Senior Advantage for
More informationYour 2017 guide to choosing a Kaiser Permanente MEDICARE health plan
This is an advertisement. Your 2017 guide to choosing a Kaiser Permanente MEDICARE health plan INCREASE YOUR COVERAGE without increasing your FEHB monthly premium* Kaiser Permanente Senior Advantage for
More informationLive 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 informationAnnual Notice of Changes for 2018
Providence Medicare Compass + RX (HMO-POS) offered by Providence Health Assurance Annual Notice of Changes for 2018 You are currently enrolled as a member of Providence Medicare Compass + RX (HMO-POS).
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 informationHaving a plan designed to work for you.
YOUR ADVANTAGE: Having a plan designed to work for you. Northwestern University Post- 65 Retiree 2018 Benefit Plans Y0066_170927_092703 Proprietary information of UnitedHealth Group. Do not distribute
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 informationGetting Started with Medicare
Getting Started with Medicare TABLE OF CONTENTS 2 What is Medicare? 3 Original Medicare Parts A and B 5 Medicare Part C Medicare Advantage Plans 6 Medicare Part D Prescription Drug Coverage 8 How to Enroll
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 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 informationMHBP 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 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 informationVersion: 15/02/2017 [ TPID: ] Page 1
PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not required Not required Deductible (per calendar year) $1,500 Individual $3,000 Family $3,000 Individual $9,000 Family
More informationSchedule of Benefits (GR-29N OK)
Schedule of Benefits (GR-29N 01-01 01 OK) Employer: Group Policy Number: HS-Real Estate, Inc. dba Hal Smith Restaurant Group GP-493042 Issue Date: April 28, 2017 Effective Date: March 1, 2017 Schedule:
More informationYour Guide. to Choosing a Kaiser Permanente MEDICARE Health Plan. INCREASE YOUR COVERAGE without increasing your FEHB monthly premium.
This is an advertisement. Kaiser Permanente Senior Advantage for Federal Members (HMO) Your Guide to Choosing a Kaiser Permanente MEDICARE Health Plan INCREASE YOUR COVERAGE without increasing your FEHB
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 informationSummary of Benefits. CareMore Care Access (HMO) - Medicare Only. Available in Pima County. SB_CM_AZ_CA Y0114_18_32747_U_028 CMS Accepted ( )
Summary of Benefits Available in Pima County SB_CM_AZ_CA Y0114_18_32747_U_028 CMS Accepted (10012017) Introduction This is a summary of health services and drugs covered by from January 1, 2018 - December
More information2019 Summary of Benefits
2019 Summary of Benefits CHRISTUS Health Plan Generations H1189, Plan 001 This is a summary of drug and health services covered by CHRISTUS Health Plan Generations, January 1, 2019 December 31, 2019. CHRISTUS
More informationHow to Get the Most from. Your Health Plan Group Plans Highmark Blue Cross Blue Shield
How to Get the Most from Your Health Plan Group Plans Highmark Blue Cross Blue Shield Effective January 1, 2013 How to Get the Most from Your Health Plan Welcome to your GuideStone health plan. We count
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 informationDeductible plus $50 Deductible plus $50 40% after Deductible 1, 6. Deductible plus $50
204 Benefits Summary - RETIREMENT VISION PAID TIME OFF MEDICAL DENTAL LIFE DISABILITY RETIREMENT VISION PAID TIME OFF MEDICAL DENTAL LIFE DISABILITY RETIREMENT VISION PAID TIME OFF MEDICAL DENTAL LIFE
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 informationSCHEDULE OF BENEFITS UPMC HEALTH PLAN PA CHILD WELFARE RESOURCE PPO
SCHEDULE OF BENEFITS UPMC HEALTH PLAN PA CHILD WELFARE RESOURCE PPO This document is called a Schedule of Benefits. It is part of your Certificate of Coverage or your Summary Plan Description. Your Schedule
More informationSchedule of Benefits. Plan Information Participating Provider Non-Participating Provider
Schedule of Benefits Panther Basic HSA PPO - Premium Network Deductible: $1,500 / $3,000 Coinsurance: 30% Total Annual Out-of-Pocket: $5,000 / $10,000 Primary Care Provider: 30% after Deductible Specialist:
More informationEnsuring your health Health Plans for Oregon Individuals and Families
Ensuring your health 2019 Health Plans for Oregon Individuals and Families At your service The PacificSource difference is our exceptional customer service. We re focused on making health insurance easier
More informationState Employees PPO Plan
2014 Benefits State Employees PPO Plan Florida Blue is a trade name of Blue Cross and Blue Shield of Florida, Inc., an Independent Licensee of the Blue Cross and Blue Shield Association. Coverage that
More informationStride (HMO) Medicare Advantage Plan
Maine 2018 Stride (HMO) Medicare Advantage Plan SM In Step With Your Health Care Coverage Needs Y0098_18012 Approved Welcome Letter...3 Introduction to Medicare Basics...4 Stride SM (HMO) Plan overview...5
More informationYour 2018 guide to choosing a Kaiser Permanente MEDICARE health plan
This is an advertisement. Your 2018 guide to choosing a Kaiser Permanente MEDICARE health plan INCREASE YOUR COVERAGE without increasing your FEHB monthly premium* Kaiser Permanente Senior Advantage for
More informationANNUAL NOTICE OF CHANGES FOR 2018
Cigna HealthSpring Preferred (HMO) offered by Cigna HealthSpring ANNUAL NOTICE OF CHANGES FOR 2018 You are currently enrolled as a member of Cigna HealthSpring Preferred (HMO). Next year, there will be
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 informationLow cost, high quality: It s what you get when you focus on what counts.
Low cost, high quality: It s what you get when you focus on what counts. Connecticut Introducing Primary Advantage SM When it comes to health care coverage options, your first choice should be the one
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 informationNo 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 information2019 RETIREE MEDICAL PLAN Information Session
2019 RETIREE MEDICAL PLAN Information Session Freedom, Journey & Retiree National Choice Freedom, Journey & Retiree National Choice Program Name U of M Retiree Plan with Group reblue SM Rx re Supplement
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 informationBlueOptions. Making the Important Choices Easier. floridablue.com. Enrollment Guide For Group Employees
BlueOptions Enrollment Guide For Group Employees Making the Important Choices Easier. floridablue.com Health plan benefits Enrolling in your benefits When your employer offers Florida Blue benefits, we
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 informationHOW THE MEDICAL PLANS COMPARE
HOW THE MEDICAL PLANS COMPARE FEATURE Cigna and UPMC High Deductible Health Plans (HDHP) Cigna Open Access Plus (OAP) UPMC Health Plan Organization (EPO) Type of Plan With a High Deductible Health Plan/Health
More informationA Great Opportunity for Very Valuable Healthcare Coverage
A Great Opportunity for Very Valuable Healthcare Coverage Welcome to the Connecticut (CT) Partnership Plan a low-/no-deductible Point of Service (POS) plan now available to you (and your eligible dependents
More informationWhat is the overall deductible?
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 7/1/2018 6/30/2019 WEA Trust Essential Health Plan: Kenosha School District Coverage for: Individual/Family
More informationService Participating Providers: Non-participating Providers:
Bend Chamber of Commerce Provider Network: SmartChoice Medical Benefit Summary SmartChoice 3000+25-50_30 S2 Annual Deductible Per Person, Per Calendar Year Per Family, Per Calendar Year All Providers $3,000
More informationbenefits know your 2018 City of Jacksonville Benefits Guide Do you have questions about your medical or prescription drug coverage?
2018 B E N E F I T S G U I D E We are pleased to announce that we will be renewing our medical and pharmacy benefit plans with Florida Blue for 2018. This Benefit Guide provides important information and
More informationMemorial Hermann Advantage (PPO)
Memorial Hermann Advantage (PPO) INTRODUCTION TO SUMMARY OF BENEFITS January 1, 2015 December 31, 2015 This booklet gives you a summary of what we cover and what you pay. It doesn t list every service
More informationNot applicable. Immunizations 1 exam per 12 months for members age 18 to age 65; 1 exam per 12 months for adults age 65 and older.
PLAN FEATURES NON- Deductible (per calendar year) $300 Employee $600 Employee $900 Family $1,800 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Once Family
More informationCS VEBA 2016 UnitedHealthcare Medicare Advantage PPO Plan
CS VEBA 2016 UnitedHealthcare Medicare Advantage PPO Plan Replaced Senior Supplement Plan in 2016 UnitedHealthcare Group Medicare Advantage (PPO) plan. Also known as a Medicare Part C, this plan offers
More informationMedicare at a Glance. Are you Eligible for Medicare?
Medicare at a Glance Medicare is the federal health insurance program for Americans age 65 and older and for younger adults with permanent disabilities, End-Stage Renal Disease (ESRD), or Amyotrophic Lateral
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 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 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 information