2018 M EC PLA NS. Wh en You're Look i ng f or th e Bare Necessi ti es. But Coul d Use A Few Bel l s & Wh i stl es. emi h eal th.
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1 2018 M EC PLA NS Wh en You're Look i ng f or th e Bare Necessi ti es But Coul d Use A Few Bel l s & Wh i stl es emi h eal th.com
2 M i ni mum Essenti al Cov erage Pl ans th rough EM I Heal th You'r e l ooking to save money. But you don't have to give up all of your benefits in the process. EMI Health's three Minimum Essential Coverage (MEC) plans not only save you a lot money, but also get you some bells and whistles that'll leave you and your employees feeling great about your health coverage. Work with your agent to choose which is best for you and your group. I ncl uded w i th al l EM I Heal th M EC Pl ans Bel l s & Wh i stl es Pair any MEC Pl an al ongside major medical pr oducts. - Tel emed - Discount Vision Find secur ity with a 3% r ate cap for one additional year. Rates stay the same for vol untar y or contr ibutor y th e l egal stuf f PLEASE NOTE: These are summaries only and do not guarantee benefits. All benefits are subject to the terms, limitations, and exclusions set forth in the Plan document and in the Summary Plan Description (SPD)/handbook of the Plan. Any discrepancies between this summary, the SPD/handbook, and the Plan document are resolved in favor of the Plan document. For more information, refer to the SPD/handbook or the Plan document, or contact EMI Health Customer Service. All services are subject to the EMI Health Table of Allowances. There will be no benefit when using a Non-participating Provider. THIS IS A MINIMUM ESSENTIAL COVERAGE PLAN. BENEFITS ARE NOT INTENDED TO COVER ALL MEDICAL EXPENSES. Read your plan document carefully! Administered by EMI Health
3 Tel em ed $0. Zip. Zilch. That is your cost for 24/7/365 TeleMed consultations. Some 70% of doctor visits can be handled over the phone, and 40% of urgent care visits can be managed using TeleMedicine. Why not save time and money? Not to mention the convenience of care from your own home. Di scount V i si on Great discounts on the VSP vision network, the largest vision network in the U.S. Ser vice Reduced Pr ices and Savings WellVision Exam $50 with purchase of a complete pair of prescription glasses 20% savings without purchase Retinal Screening Guaranteed pricing with WellVision Exam, not to exceed $39 Lenses With purchase of a complete pair of prescription glasses: - Single vision $40 - Lined trifocals $75 - Lined bifocals $60 - Polycarbonate for children $0 Lens Enhancements Average savings of 20-25% on lens enhancements such as progressive, scratch-resistant, and anti-reflective coatings Frames 25% savings when purchasing a complete pair of prescription glasses Contact Lenses 15% savings on contact lens exam (fitting and evaluation) Laser Vision Correction Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities Di scount Dental * A v ai l abl e w i th th e M EC Enh anced Pl an onl y Are the discounts any good? Of course we think so. We'll let you decide with some actual numbers: Dental Pr ocedur e Typical Cost Discount Cost % Savings Periodic Oral Exam $40 $17 57% Resin-Based Composite (Two Surface Posterior Filling) $173 $80 54% Porcelain Crown $915 $495 46% Bitewings - Four Images $51 $15 71%
4 M EC Th e bare necessi ti es Gener al Infor mation Benefit Accumulator Calendar Year Dependent Age Limit 26 years old Pr escr iption Dr ug Benefits Participating Pharmacy (30 day supply) ACA Preventive Care Mandates - All Others - Discount Only Non-Participating Pharmacy Mail Order (90 day supply) ACA Preventive Care Mandates - All Others - Discount Only Specialty Pharmacy Pr eventive Ser vices Routine Physical Exam Routine Gynecological Exam Routine Pap Smear & Mammogram (1 per year) Routine Well-Baby Exams Covered Immunizations Routine Vision Exam Routine Hearing Exam Eligible Preventive Facility Services Minimum Essential Cover age (MEC) pl ans ar e r equir ed to cover the ACA Pr eventive Car e pr escr iptions and ser vices. Rates Single $55 Spouse $85 Child(ren) $99 Family $129 Pr ovider Networ k Nationwide First Health Limited Benefit Network Utah EMI Health MEC Network Tel emed TeleMed $0 3%rate cap * For one addi ti onal year
5 M EC Pl us M ov e past basi c Gener al Infor mation Benefit Accumulator Calendar Year Dependent Age Limit 26 years old Pr escr iption Dr ug Benefits Participating Pharmacy (30 day supply) Long-term (maintenance) medications must be purchased through mail order or Walgreens to receive coverage ACA Preventive Care Mandates - Generic - 50% All Others - Discount Only Non-Participating Pharmacy Mail Order (90 day supply) Long-term (maintenance) medications must be purchased through mail order or Walgreens to receive coverage ACA Preventive Care Mandates - Generic - 50% All Others - Discount Only Specialty Pharmacy Pr eventive Ser vices Routine Physical Exam Routine Gynecological Exam Routine Pap Smear & Mammogram (1 per year) Routine Well-Baby Exams Covered Immunizations Routine Vision Exam Routine Hearing Exam Eligible Preventive Facility Services Single $79 Physician & Pr ofessional Ser vices Spouse $119 Physician Office Visits (primary care) (Max 3 per year) $10 Child(ren) $139 Family $175 Pr ovider Networ k Nationwide First Health Limited Benefit Network Utah EMI Health MEC Network MEC Pl us offer s a r icher phar macy benefit than the Basic MEC pl an. Enjoy 50% benefit on gener ic pr escr iptions. Rates 3%rate cap * For one addi ti onal year Tel emed TeleMed $0
6 M EC Enh anced Can a pl an be too good? Th i s one i s getti ng cl ose. Gener al Infor mation Benefit Accumulator Calendar Year Dependent Age Limit 26 years old Pr escr iption Dr ug Benefits Participating Pharmacy (30 day supply) Long-term (maintenance) medications must be purchased through mail order or Walgreens to receive coverage ACA Preventive Care Mandates - Generic - 10% Preferred - 50% Non-Preferred - Non-Participating Pharmacy Mail Order (90 day supply) Long-term (maintenance) medications must be purchased through mail order or Walgreens to receive coverage ACA Preventive Care Mandates - Generic - 10% Preferred - 50% Non-Preferred - Specialty Pharmacy Pr eventive Ser vices Routine Physical Exam Routine Gynecological Exam Routine Pap Smear & Mammogram (1 per year) Routine Well-Baby Exams Covered Immunizations Routine Vision Exam Routine Hearing Exam Eligible Preventive Facility Services Ur gent Car e Cl inic Urgent Care Clinic (Max 3 visits per year) $50 Medical Suppl ies & Equipment Diabetic Testing Supplies (90 day supply) 30% Medical Supplies (office) (Max 3 per year)
7 M EC Enh anced Conti nued Yes... th ere's more. Physician & Pr ofessional Ser vices Convenience Clinic (Max 3 visits per year) $20 Physician Office Visits (primary care) (Max 3 visits per year) $20 Physician Office Visits (secondary care) (Max 3 visits per year) $50 Major Diagnostic Test, CT Scan, MRI, NMR (office) (Max 1 per year) $250 Minor Diagnostic Test, Radiology, Lab (office or outpatient) (Max 3 per year) $50 Injections (office) (Max 3 per year) Surgery (office) (Max 1 per year) Anesthesiology (office) (Max 3 per year) Pr ovider Networ k Nationwide First Health Limited Benefit Network Utah EMI Health MEC Network Tel emed TeleMed $0 Rates Single $129 Spouse $194 Child(ren) $222 Family $277 Discount Dental incl uded with MEC Enhanced pl ans. 3%rate cap * For one addi ti onal year Get more f rom your M EC.
8 emihealth.com 5101 S COMMERCE DRIVE MURRAY, UTAH EMI.MKTG.MEC-ENH-AZ
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Deductible then 50% co-insurance Professional Services Primary care provider (PCP) Office and home visits
Provider Network: BrightPath Medical Schedule of Benefits BrightIdea Value Silver 3600 (87) Annual Deductible Per Person, Per Calendar Year Per Family, Per Calendar Year Participating Providers $1,100
Summary 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
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018 through 12/31/2018
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018 through 12/31/2018 Community Value HMO (Silver) - 94% CSR Coverage for: Individual
SCHEDULE 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
El Pollo Loco Restaurants Eye Care Highlight Sheet
Plan 1: Basic Vision Plan Summary Effective Date: 11/1/2017 $0* Maximum Calendar Year None Annual Eye Exam Up to $45 Single Vision Up to $35 Bifocal Up to $50 Trifocal Up to $65 Lenticular Up to $70 Progressive
What is the overall deductible? Are there other deductibles for specific services?
Standard Gold Point-of-Service (POS) : POS HD 1000 Gold Coverage Period: 2014 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy
Health Insurance Matrix 01/01/18-12/31/18
Employee Contributions Family Monthly : $143.68 Bi-Weekly : $71.84 Monthly : $331.77 Bi-Weekly : $165.88 Monthly : $488.41 Bi-Weekly : $244.20 Monthly : $835.22 Bi-Weekly : $417.61 Employee Contributions
Schedule of Benefits
Schedule of Benefits Choice Easy Tier PPO Plus 2000 15%/35% For Individuals and Small Group Employers IMPORTANT NOTICE: This plan includes a Tiered Provider Network called Easy Tier Hospital Network PPO
BridgeSpan 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
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services?
Platinum 90 PPO Network Name: Exclusive Coverage Period: Beginning on or after 1/1/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family Plan Type: