YOUR LIFE. YOUR CHOICE. YOUR HEALTH PLAN.
|
|
- Jeffery Johnson
- 7 years ago
- Views:
Transcription
1 YOUR LIFE. YOUR CHOICE. YOUR HEALTH PLAN. Leave school with health plan coverage Exclusive offer for students previously enrolled in the University of Minnesota-sponsored student health benefit plan Rates effective January 1, 2015 through December 31, 2015
2 CHOOSE THE PLAN THAT MAKES IT EASY TO GO WHERE LIFE TAKES YOU You re ready for the next stage in your life. You have a lot of exciting opportunities: moving, a new academic challenge or finding a job. The last thing you want to worry about is a gap in your health coverage. Your student health plan will end soon. Without coverage, you could be vulnerable. NEw HEALTH LAw. NO worries. Now that you are choosing a new health plan, you ll want one that meets requirements of health care overhaul laws. The Affordable Care Act requires everyone to have a qualified plan or face tax penalties. When you choose one of the Blue Cross health plans in this guide, you will not have to worry about tax penalties. TRAVEL with CONFIDENCE Plan on traveling? Or are you an out -of- state student? No problem. All of our health plans come with the BlueCard PPO network. That means you re covered at more than 92 percent of doctors and 96 percent of hospitals nationwide. You also get access to doctors and hospitals in more than 200 countries with BlueCard Worldwide.
3 PERSONALIzEd ONLINE ACCESS Your time is valuable. Blue Cross makes it easy to find information to take care of your health. Tools are available to you online 24 hours a day, seven days a week. Get health and wellness tips, learn how to manage health conditions or find a doctor. Visit mybluecrossmn.com to register. MObILE CONVENIENCE When you re on the go, you can tap into your health benefits with the BlueCrossMN mobile app. The app is available for Apple and Android devices. With a touch of a screen, you can look up your member information, find out what s covered, get access to health discounts and more. Finding a doctor, clinic or hospital near you is quick and convenient. Members can register at mybluecrossmn.com to download the app. save TIME AND MONEY with THE FIND A DOCTOR TOOL It s easy to compare doctors and shop for the best price on care with the Find a doctor web tool. It offers many advanced features: Choose a doctor, hospital, urgent care center or convenience clinic in your plan s network Compare health care providers based on cost and quality ratings See estimated total costs and your estimated out-of-pocket expense for more than 300 common procedures Read other consumers reviews of doctors and write your own DID YOU know? You ll get a personalized online account to: Keep track of your claims Manage your accounts Find doctors Get health information and more 1
4 TOOLS For your HEALTH ANd WELLBEING The best time to think about your health is before you get sick. It s about taking time for your health every day so you stay well. The chart below lists tools and resources that are included in your health plan. These tools can help you take charge of your health habits. Choose the options that best meet your health goals and desired approach. legend Health Habits Managing Stress Eating Right Staying Active Managing Weight Quitting Tobacco Maintaining a Healthy Pregnancy Making Health Decisions GEt well Options Description Health Habits Contact Online Care Meet face-to-face with a board-certified doctor online, from home or work or even on vacation with Online Care Anywhere. onlinecareanywheremn.com Nurse Line Talk to a nurse 24 hours a day, 7 days a week to help you get answers to your health-related questions Provider Cost/ Quality Care Coordination Get recommendations on doctors, hospitals, prescriptions and other information, based on cost and quality. Talk with a nurse, social worker or other health professional about managing your (or your family member s) complex health care needs. mybluecrossmn.com Number on the back of your member ID card SAVE MONEY Options Description Health Habits Contact Fitness Membership Discount Online Marketplace Vacation Savings Program Get a $20 discount for working out 12 days per month at a participating fitness center. Get exclusive savings on health and wellbeing products and services not typically covered by plan with CareXtend. Start saving for your next vacation and receive a 50 percent matching credit with the Adestinn vacation savings program. mybluecrossmn.com CareXtend.com adestinn.com 2
5 FIND ANSwERS Options Description Health Habits Contact Health Guides Online Health Assessment Online Health and Wellbeing Resources Get answers to your questions about your health plan benefits or get connected to a nurse for questions about your health. Answer questions that assess your health history and health behaviors to get a snapshot of your current health status. Access a library of articles, videos, quizzes and calculators about health conditions, diseases, procedures and prescriptions. Number on the back of your member ID card bluecrossmn.com/ myhealth bluecrossmn.com/ healthandwellness SEEK SUPPORt Options Description Health Habits Contact Online Health Coaching Stop Smoking Support Chronic Condition Management Provides personalized online coaching to help address your health goals and concerns. Helps you develop and maintain a quit plan with information and support from a Quit Coach. Includes over-thecounter medications to help you quit. Get support from a nurse about managing your chronic condition(s), such as diabetes, cancer or asthma. bluecrossmn.com/ healthandwellness or mybluecrossmn.com Number on the back of your member ID card 3
6 blue CROss HEALTH PLANs HEALTH COVERAgE FOR AN ACTIVE LIFEsTYLE BlueAccess with the Aware network Enjoy easy access to the most health care providers BlueAccess plans come with the convenience of our biggest and broadest network, which includes 100 percent of hospitals and 98 percent of doctors in Minnesota. Boynton Health Services and University of Minnesota Physicians are in the Aware network. Some BlueAccess plans also let you add a health savings account (HSA). HSAs help you save tax-free money, earn interest on that money and use it to pay for medical expenses. This gives you confidence that wherever you go, Blue Cross is there. LOOk UP YOUR MONTHLY RATE Use the rating area map to determine the correct rating area based on where you live Find the appropriate rating area for the plan you want in this book Look up rates for you, your spouse and your dependents based on their age For dependents ages 21 to 25, assign a rate based on age For dependents ages 0 to 20, assign the flat rate with a limit, or cap, on three dependents. That means families with four or more dependents should only be charged for three of the child dependents. 4
7 RATING AREA MAP kittson Roseau Lake of the woods Marshall koochiching Pennington Red Lake beltrami Cook Polk Clearwater Itasca st. Louis Lake Norman Mahnomen Hubbard Clay becker Cass wilkin Otter Tail wadena Crow wing Aitkin Carlton grant Douglas Todd Morrison Mille Lacs kanabec Pine Traverse big stone stevens Pope stearns benton sherburne Isanti Chisago Lac Qui Parle Yellow Medicine Lincoln Ramsey Pipestone Lyon Murray swift Chippewa Redwood Cottonwood kandiyohi Renville brown Meeker watonwan McLeod sibley Nicollet wright blue Earth Carver Hennepin Le sueur scott waseca Anoka Rice steele Dakota washington goodhue Dodge wabasha Olmsted winona Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Houston Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Steele, Wabasha, Winona counties and outside of Minnesota Carlton, Cook, Itasca, Koochiching, Lake, Lake of the Woods, St. Louis counties Blue Earth, Faribault, Waseca, Le Sueur, Martin, Nicollet, Rice, Watonwan counties Brown, Cottonwood, Jackson, Lincoln, Murray, Nobles, Pipestone, Redwood, Rock counties Becker, Clay, Douglas, Grant, Otter Tail, Pope, Stevens, Traverse, Wilkin counties Aitkin, Beltrami, Cass, Chisago, Crow Wing, Hubbard, Isanti, Kanabec, Mille Lacs, Morrison, Pine, Roseau, Todd, Wadena counties Anoka, Benton, Carver, Dakota, Hennepin, Ramsey, Scott, Sherburne, Stearns, Washington, Wright counties Clearwater, Kittson, Mahnomen, Marshall, Norman, Pennington, Polk, Red Lake counties 5 Big Stone, Chippewa, Kandiyohi, Lac Qui Parle, Lyon, McLeod, Meeker, Renville, Sibley, Swift, Yellow Medicine counties 5
8 BlueAccess HSA Bronze $4,500 Plan 235 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Non-embedded: The plan begins paying benefits that require cost sharing when the entire family deductible is met. The deductible can be met by one or a combination of several family members. The single deductible applies to single coverage only. Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles and coinsurance. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum. Non-embedded: The family plan begins paying benefits when the entire family out-of-pocket is met. The out-ofpocket can be met by one or a combination of several family members. The single out-of-pocket applies to single coverage only. Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $4,500 single $9,000 family 0% 50% $4,500 single $9,000 family 0%after deductible $10,000 single $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services Prescription drugs GenRx with open formulary Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) Emergency care Ambulance Ambulatory surgical center Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 6
9 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD501, YDU51 AASX X20363 (8/14) 7
10 BlueAccess HSA Bronze $5,200 Plan 236 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Non-embedded: The plan begins paying benefits that require cost sharing when the entire family deductible is met. The deductible can be met by one or a combination of several family members. The single deductible applies to single coverage only. Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles and coinsurance. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum. Non-embedded: The family plan begins paying benefits when the entire family out-of-pocket is met. The out-ofpocket can be met by one or a combination of several family members. The single out-of-pocket applies to single coverage only. Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $5,200 single $10,400 family 0% 50% $5,200 single $10,400 family $10,000 single $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services Prescription drugs GenRx with open formulary Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) Emergency care Ambulance Ambulatory surgical center Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 8
11 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD001, YDU01 AAT3 F10220R02 (8/14) 9
12 BlueAccess Silver $1,500 Plan 237 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible. Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles, coinsurance and copays. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $1,500 per person $3,000 family 40% 50% $6,000 per person $12,000 family $40 copay $60 copay $40 copay $40 copay First 3 visits free (no deductible), then $40 copay $10,000 per person $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services 4 Prescription drugs GenRx with open formulary Preferred generic: $10 copay Preferred brand: $50 copay Non-preferred: $90 copay Specialty: 20% to a maximum of $200 per prescription Preferred generic: $10 copay Preferred brand: $50 copay Non-preferred: $90 copay Specialty: No coverage Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) 4 Emergency care Ambulance 4 4 Ambulatory surgical center 4 Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 4 10
13 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD502, YDU52 AATW X20364 (8/14) 11
14 BlueAccess HSA Silver $2,000 Plan 238 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Non-embedded: The plan begins paying benefits that require cost sharing when the entire family deductible is met. The deductible can be met by one or a combination of several family members. The single deductible applies to single coverage only. Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles and coinsurance. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum. The single out-of pocket-maximum applies to single coverage only. Non-embedded: The family plan begins paying benefits when the entire family out-of-pocket is met. The out-ofpocket can be met by one or a combination of several family members. The single out-of-pocket applies to single coverage only. Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $2,000 single $4,000 family 20% 50% $4,000 single $8,000 family $10,000 single $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services 2 Prescription drugs 2 2 GenRx with open formulary Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) 2 Emergency care Ambulance 2 2 Ambulatory surgical center 2 Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 2 12
15 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD503, YDU53 AATS X20365 (8/14) 13
16 BlueAccess HSA Silver $3,000 Plan 239 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Embedded: The plan begins paying benefits that require cost sharing for the first family member who meets the perperson deductible. The family deductible must then be met by one or more of the remaining family members and then the plan pays benefits for all covered family members Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles and coinsurance. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $3,000 per person $6,000 family 0% 50% $3,000 per person $6,000 family $10,000 per person $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services Prescription drugs GenRx with open formulary Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) Emergency care Ambulance Ambulatory surgical center Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 14
17 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD504, YDU54 AATP X20366 (8/14) 15
18 BlueAccess HSA Gold $1,800 Plan 240 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Non-embedded: The plan begins paying benefits that require cost sharing when the entire family deductible is met. The deductible can be met by one or a combination of several family members. The single deductible applies to single coverage only. Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles and coinsurance. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum. Non-embedded: The family plan begins paying benefits when the entire family out-of-pocket is met. The out-ofpocket can be met by one or a combination of several family members. The single out-of-pocket applies to single coverage only. Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $1,800 single $3,600 family 0% 50% $1,800 single $3,600 family $10,000 single $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services Prescription drugs GenRx with open formulary Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) Emergency care Ambulance Ambulatory surgical center Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 16
19 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD003, YDU55 AASN F10219R02 (8/14) 17
20 BlueAccess Gold No Deductible Plan 241 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles, coinsurance, and copays. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $0 per person $0 family 20% 50% $6,000 per person $12,000 family $30 copay $50 copay $30 copay $30 copay First 3 visits free (no copay), then $30 copay $10,000 per person $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services 20% (no deductible) Prescription drugs GenRx with open formulary Preferred generic: $15 copay Preferred brand: $50 copay Non-preferred: $90 copay Specialty: 20% to a maximum of $200 per prescription Preferred generic: $15 copay Preferred brand: $50 copay Non-preferred: $90 copay Specialty: No coverage Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) 20% (no deductible) Emergency care 0% (no deductible) $200 copay 0% (no deductible) $200 copay Ambulance 20% (no deductible) 20% (no deductible) Ambulatory surgical center 20% (no deductible) Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy 20% (no deductible) 20% (no deductible) 20% (no deductible) 20% (no deductible) 20% (no deductible) 20% (no deductible) Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 20% (no deductible) 18
21 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD002, YDU02 AASQ F10218R02 (8/14) 19
22 BlueAccess Platinum No Deductible Plan 242 Aware network Benefit highlights for individuals and families January 1, 2015 December 31, 2015 Key benefits In network Out of network Your deductible The amount you pay per calendar year before your health plan starts to pay. Amounts paid out of network DO NOT apply to the in-network deductible Your coinsurance The percent you pay after your deductible is met. Your out-of-pocket maximum The maximum amount you pay per calendar year in medical and prescription drug deductibles, coinsurance, and copays. Amounts paid out of network DO NOT apply to the in-network out-of-pocket maximum Visits to: health care provider s office specialist retail health clinic urgent care e-visits (Online Care Anywhere ) $0 per person $0 family 10% 50% $2,500 per person $5,000 family $20 copay $40 copay $20 copay $20 copay First 3 visits free (no copay), then $20 copay $10,000 per person $20,000 family Unlimited Other professional services in the office lab and diagnostic imaging/x-ray services 10% (no deductible) Prescription drugs GenRx with open formulary Preferred generic: $5 copay Preferred brand: $15 copay Non-preferred: $50 copay Specialty: 10% to a maximum of $100 per prescription Preferred generic: $5 copay Preferred brand: $15 copay Non-preferred: $50 copay Specialty: No coverage Preventive care (including vision exam) 0% (no deductible) Well child care (ages 0 to 6, including vision exam) 0% (no deductible) 0% (no deductible) Prenatal care 0% (no deductible) 0% (no deductible) Maternity (labor, delivery and post-delivery care) $200 copay per admission (facility) 10% (no deductible, professional services) Emergency care 0% (no deductible) $150 copay 0% (no deductible) $150 copay Ambulance 10% (no deductible) 10% (no deductible) Ambulatory surgical center 10% (no deductible) Hospital (outpatient) lab and diagnostic imaging/x-ray services Hospital visit (inpatient) Chiropractic, physical, occupational and speech therapy 10% (no deductible) 10% (no deductible) 10% (no deductible) 10% (no deductible) $200 copay per admission 10% (no deductible) Eyewear for children ages 18 and under lenses and one pair of frames or contact lenses 10% (no deductible) 20
23 Your out-of-pocket costs depend on the network status of your provider. To check status, use the Find a doctor web tool on bluecrossmn.com. Lowest out-of-pocket costs: in-network providers Higher out-of-pocket costs: out-of-network participating providers Highest out-of-pocket costs: out-of-network nonparticipating providers If you receive services from a nonparticipating provider, you will be responsible for any deductibles or coinsurance plus the DIFFERENCE between what Blue Cross would reimburse for the nonparticipating provider and the actual charges the nonparticipating provider bills. This difference does not apply to your out-of-pocket maximum. This is in addition to any applicable deductible, copay or coinsurance. Benefit payments are calculated on Blue Cross allowed amount, which is typically lower than the amount billed by the provider. This is only a summary. Your contract will provide a detailed description of what is and is not covered. Services not covered include custodial care or rest cures, bariatric surgery, infertility, adult eyewear, adult dental services, services that are experimental, not medically necessary or received while on military duty and certain services for the treatment of autism. Online Care Anywhere is not available in every state. Check OnlineCareAnywhereMN.com to ensure you are located in a state that is eligible to participate. We feature a large network of health care providers. Each provider is an independent contractor and is not our agent. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. This information is also available in other ways to people with disabilities. To reach customer service, call (651) (voice) or (toll-free). For (TTY) call (651) , or (TTY), or 711, or through the Minnesota Relay direct access numbers at (TTY, voice, ASCII, hearing carry over), or (speech-to-speech). Hours: 7 a.m. to 8 p.m., Central Time, Monday through Friday. Attention. If you want free help translating this information, call the above number. Atencion. Si desea recibir asistencia gratuita para traduca esta informacion, llame al numero que aparece mas arriba. Blue Cross may change premium rates: on an annual renewal date, when you add or delete a dependent, or if you move to a different Blue Cross plan. Factors that may affect changes in premium rates include the age of covered members, where you reside and whether a member uses tobacco. To see benefit and premium information about all Blue Cross actively marketed individual health plans available to you, please go to healthcare.gov. YD004, YDU56 AASS F10217R02 (8/14) 21
24 2015 BlueAccess Plan Rates Area 1 Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association BlueAccess Gold No Deductible Plan 241 (AASQ) BlueAccess HSA Bronze $4500 Plan 235 (AASX) BlueAccess HSA Bronze $5200 Plan 236 (AAT3) BlueAccess HSA Gold $1800 Plan 240 (AASN) BlueAccess HSA Silver $2000 Plan 238 (AATS) BlueAccess HSA Silver $3000 Plan 239 (AATP) BlueAccess Platinum No Deductible Plan 242 (AASS) BlueAccess Silver $1500 Plan 237 (AATW) BlueAccess Gold No Deductible Plan 241 (AASQ) BlueAccess HSA Bronze $4500 Plan 235 (AASX) BlueAccess HSA Bronze $5200 Plan 236 (AAT3) BlueAccess HSA Gold $1800 Plan 240 (AASN) BlueAccess HSA Silver $2000 Plan 238 (AATS) BlueAccess HSA Silver $3000 Plan 239 (AATP) BlueAccess Platinum No Deductible Plan 242 (AASS) BlueAccess Silver $1500 Plan 237 (AATW) Rates effective January 1, 2015 Rates are subject to benefit changes mandated by law and annual adjustments Note: Your rate may change when you move into a different rate area or change plans. Your rate will also change on an annual renewal date based on your age and benefit plan selected.
25 BlueAccess Gold No Deductible Plan 241 (AASQ) BlueAccess HSA Bronze $4500 Plan 235 (AASX) BlueAccess HSA Bronze $5200 Plan 236 (AAT3) BlueAccess HSA Gold $1800 Plan 240 (AASN) BlueAccess HSA Silver $2000 Plan 238 (AATS) BlueAccess HSA Silver $3000 Plan 239 (AATP) BlueAccess Platinum No Deductible Plan 242 (AASS) BlueAccess Silver $1500 Plan 237 (AATW) BlueAccess Gold No Deductible Plan 241 (AASQ) BlueAccess HSA Bronze $4500 Plan 235 (AASX) BlueAccess HSA Bronze $5200 Plan 236 (AAT3) BlueAccess HSA Gold $1800 Plan 240 (AASN) BlueAccess HSA Silver $2000 Plan 238 (AATS) BlueAccess HSA Silver $3000 Plan 239 (AATP) BlueAccess Platinum No Deductible Plan 242 (AASS) BlueAccess Silver $1500 Plan 237 (AATW) Rates effective January 1, 2015 Rates are subject to benefit changes mandated by law and annual adjustments Note: Your rate may change when you move into a different rate area or change plans. Your rate will also change on an annual renewal date based on your age and benefit plan selected.
Health Care Coverage and Plan Rates for 2014
Health Care Coverage and Plan Rates for 2014 Making the individual and small group markets in Minnesota competitive September 6, 2013 1 September 6, 2013 What is MNsure? About MNsure MNsure is Minnesota
More informationHealth Care Coverage and Plan Rates for 2015. A Snapshot of 2015 Premiums and Tax Credits
Health Care Coverage and Plan Rates for 2015 A Snapshot of 2015 Premiums and Tax Credits Table of Contents A Word about Rates... 1 Executive Summary... 2 The Only Place to Get Financial Help... 3 Shop
More informationPOLLUTION CONTROL AGENCY Solid and Hazardous Waste Division. An Inventory of Its Solid Waste Management Plans
MINNESOTA HISTORICAL SOCIETY Minnesota State Archives POLLUTION CONTROL AGENCY Solid and Hazardous Waste Division An Inventory of Its Solid Waste Management Plans OVERVIEW OF THE RECORDS Agency: Series
More informationHealth Care Coverage and Plan Rates for 2016. A Snapshot of 2016 Premiums and Tax Credits
Health Care Coverage and Plan Rates for 2016 A Snapshot of 2016 Premiums and Tax Credits Table of Contents A Word about Rates... 1 Executive Summary... 2 The Only Place to Get Financial Help... 3 Shop
More informationRecommendations from the Minnesota Department of Health (MDH) for Completing the CDC Facility TB Risk Assessment Worksheet
Recommendations from the Minnesota Department of Health (MDH) for Completing the CDC Facility TB Risk Assessment Worksheet The Facility TB Risk Assessment Worksheet, developed by the Centers for Disease
More informationDHS announces informational sessions on new HCFA waiver quality assurance protocol
#01-56-07 March 9, 2001 Minnesota Department of Human Services 444 Lafayette Rd. St. Paul, MN 555 OF INTEREST TO! County Directors! County Social Service Supervisors! Administrative Contacts: CADI, CAC,
More informationAccess one of the most comprehensive Lists of Minnesota Legal Professionals
Access one of the most comprehensive Lists of Minnesota Legal Professionals Overview The Minnesota State Bar Association (MSBA) makes certain membership information available to organizations that align
More informationInstructions for Client Placement Authorization (CPA)
Instructions for Client Placement Authorization (CPA) These instructions will be useful to the accurate completion of the new CPA (DHS-2780) dated. Each box on the CPA contains a number and a title which
More informationAdoption and foster care relative recruitment grant
#13-68-02 Bulletin June 14, 2013 Minnesota Department of Human Services -- P.O. Box 64941 -- St. Paul, MN 55164-0941 OF INTEREST TO County Directors County Social Service Supervisors and Staff American
More informationSection 3 and Women or Minority Owned Business (MBE/WBE) Compliance. Revised 4/4/13
Section 3 and Women or Minority Owned Business (MBE/WBE) Compliance Revised 4/4/13 Minnesota Housing does not discriminate on the basis of race, color, creek, national origin, sex, religion, marital status,
More informationLong-term care workforce challenges in rural Minnesota
Long-term care workforce challenges in rural Minnesota April 2015 The senior population, 2015-2065 1,800,000 1,600,000 1,400,000 1,200,000 1,000,000 800,000 600,000 400,000 200,000 0 65+ 85+ The 65+ population
More informationEnvironment and Natural Resources Trust Fund 2014 Request for Proposals (RFP)
Environment and Natural Resources Trust Fund 2014 Request for Proposals (RFP) Project Title: Drainage Records Modernization and Statewide GIS Database ENRTF ID: 010-A Category: A. Foundational Natural
More informationMN County Law Libraries
MN County Law Libraries Aitkin Clinton W. Wyant Law Library 209 2nd Street NW Aitkin, MN 56431 Telephone: 218.927.7350 Anoka Anoka County Law Library 325 E. Main Street Anoka, MN 55303 Telephone: 763.422.7487
More informationSTATE LAND OFFICE An Inventory of Its Lists and Maps of Land Offered for Sale
MINNESOTA HISTORICAL SOCIETY Minnesota State Archives STATE LAND OFFICE An Inventory of Its Lists and Maps of Land Offered for Sale OVERVIEW OF THE RECORDS Agency: Series Title: Dates: 1912-1970. Minnesota.
More informationHuman Services Performance Management System
Human Services Performance Management System Human Services Performance Council For more information contact: Human Services Performance Management Team P.O. Box 64997 St. Paul, MN 55164-0997 (651) 431-5780
More informationHow To Compare Your Health Care Plan To A Copay Plan
2015 Summary of Benefits Value (HMO-POS) Value Plus (HMO-POS) Essentials Rx (HMO-POS) Classic (HMO-POS) (H2459) January 1, 2015 - December 31, 2015 Minnesota H2459_082914_4 CMS Accepted (09032014) SECTION
More informationThis report and all information in it is strictly Embargoed for Release until Wednesday, February 17, 2010 at 12:01 a.m. EST.
This report and all information in it is strictly Embargoed for Release until Wednesday, February 17, 2010 at 12:01 a.m. EST. 2010 Minnesota INSIDE FRONT COVER INTENTIONALLY BLANK Introduction Where we
More informationTHAT S RIGHT FOR YOU PLATINUM BLUESM WITH RX (COST) Medical and prescription drug benefits you want. Value you deserve. FIND THE PLAN CORE CHOICE
2016 PLATINUM BLUESM WITH RX (COST) Medical and prescription drug benefits you want. Value you deserve. OPTIONS YOU WANT Platinum Blue can help pay the deductibles, copayments and coinsurance Original
More informationUSDA Rural Development Revolving Loan Fund Map & Directory Minnesota
USDA Rural Development Revolving Loan Fund Map & Directory Minnesota Revolving Loan Fund Programs IRP (Intermediary Relending Program): Funds are used to provide loans to ultimate recipients for business
More informationHomebuyer Education & Counseling Program Report
22 Homebuyer Education & Counseling Program Report Prepared by Karen Duggleby, MSW, LISW Minnesota Home Ownership Center Acknowledgements The Minnesota Homeownership Center is profoundly grateful for the
More informationSHORT-TERM MEDICAL INSURANCE COVERAGE FOR 30, 60, OR 90 DAYS
SHORT-TERM MEDICAL INSURANCE COVERAGE FOR 30, 60, OR 90 DAYS TEMPORARY HEALTH INSURANCE COVERAGE FOR THOSE WHO ARE: ¾ Between jobs ¾ Looking for a lower cost alternative to COBRA rates ¾ Waiting for other
More informationOptions Blue affordable coverage with a tax-advantaged account
Options Blue SM Options Blue affordable coverage with a tax-advantaged account A smart move for individuals and families who like to plan and save 2010 The health plans that help you save money Options
More information2015 County Health Rankings. Minnesota
2015 County Health Rankings Minnesota INTRODUCTION The County Health Rankings & Roadmaps program helps communities identify and implement solutions that make it easier for people to be healthy in their
More informationGROUP MEDICARE. supplement plans
2016 GROUP MEDICARE supplement plans Create a Healthier Organization Your employees are your organization s most valuable asset. As they retire, you want to show your commitment to them and manage health
More informationRegence Medicare Advantage PPO Plans. Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association
DECISION GUIDE 2015 Medicare Advantage PPO Plans BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Y0062_07978 Approved OR PPO 2015 GET STARTED READ.
More informationHEALTHY FOOD ACCESS A VIEW OF THE LANDSCAPE IN MINNESOTA AND LESSONS LEARNED FROM HEALTHY FOOD FINANCING INITIATIVES. April 2016
HEALTHY FOOD ACCESS A VIEW OF THE LANDSCAPE IN MINNESOTA AND LESSONS LEARNED FROM HEALTHY FOOD FINANCING INITIATIVES April 2016 PREPARED BY THE FEDERAL RESERVE BANK OF MINNEAPOLIS AND WILDER RESEARCH COMMISSIONED
More information2016 COPAY AND DEDUCTIBLE PLANS
2016 COPAY AND DEDUCTIBLE PLANS Health Insurance for Individuals & Families Welcome to PreferredOne PreferredOne.com Your Health, Your Choice, Many Options At PreferredOne, our name says it all you and
More informationEvidence of Coverage:
January 1 December 31, 2014 Evidence of Coverage: Your Medicare Health Benefits and Services as a Member of Platinum Blue SM Core Plan (Cost) This booklet gives you the details about your Medicare health
More informationMinnesota s e-health Profile Where are Rural Providers? June 25, 2012
Minnesota s e-health Profile Where are Rural Providers? June 25, 2012 Kari Guida, MPH Senior Health Informatician Office of Health Information Technology Minnesota Department of Health kari.guida@state.mn.us
More informationProperty tax as a percentage of residential rent
Tax policy brief February 2005 Property tax as a percentage of residential rent Introduction Since 1975 Minnesota s Property Tax Refund Program has provided income-based property tax refunds to residential
More informationDEDUCTIBLE PLANS. PreferredOne.com. Welcome to PreferredOne. Health Insurance for Individuals & Families 2014
DEDUCTIBLE PLANS Health Insurance for Individuals & Families 2014 Welcome to PreferredOne PreferredOne.com Your Health, Your Choice, Many Options At PreferredOne, our name says it all you and your family
More informationMEDICARE PLANS. from Blue Cross and Blue Shield of Minnesota. H2461_082715_T01 CMS Accepted 09/09/2015 S5743_082715_B04_MN CMS Accepted 09/09/2015
2016 MEDICARE PLANS from Blue Cross and Blue Shield of Minnesota H2461_082715_T01 CMS Accepted 09/09/2015 S5743_082715_B04_MN CMS Accepted 09/09/2015 CHOOSING YOUR MEDICARE PLAN Medicare options designed
More informationCOPAY PLANS. PreferredOne.com. Welcome to PreferredOne. Health Insurance for Individuals & Families 2014
COPAY PLANS Health Insurance for Individuals & Families 2014 Welcome to PreferredOne PreferredOne.com Your Health, Your Choice, Many Options At PreferredOne, our name says it all you and your family are
More informationGROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS. Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org
GROUP MEDICARE PLANS GROUP MEDICARE PLANS AT A GLANCE FOR EMPLOYER GROUPS 2016 Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org Coverage You Know and Trust If you ve worked with Health Alliance
More informationSHORT-TERM MEDICAL INSURANCE COVERAGE FOR 30, 60, OR 90 DAYS
SHORT-TERM MEDICAL INSURANCE COVERAGE FOR 30, 60, OR 90 DAYS TEMPORARY HEALTH INSURANCE COVERAGE FOR THOSE WHO ARE: ¾ Between Jobs ¾ Graduating from School ¾ Looking for a Lower Cost Alternative to COBRA
More informationWho are you healthy for?
Who are you healthy for? Be there for those you care about Health plans for individuals and families 1/1/2016 WE RE HERE FOR YOU EVERY STEP OF THE WAY For help choosing and enrolling in a plan 877-PREMERA
More informationGROUP MEDICARE SUPPLEMENT PLANS. S5753_081213_GB03_MN Internal Approval 08/13/2013
2014 GROUP MEDICARE SUPPLEMENT PLANS S5753_081213_GB03_MN Internal Approval 08/13/2013 CREATE A HEALTHIER ORGANIZATION. Your employees are your organization s most valuable asset. As they retire, you want
More informationAlternate PPO/Alternate Rx
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 capbluecross.com or by calling 1-866-802-4761. Important
More informationFEEL BETTER ABOUT YOUR CHOICES
2016 FEEL BETTER ABOUT YOUR CHOICES CHOOSE WELLCARE. CHOOSE A PLAN TO FIT YOUR NEEDS. Information on individual and family plans inside. Kentucky Boone, Bullitt, Campbell, Clay, Fayette, Harlan, Jefferson,
More informationPersonal Blue PPO QHDHP $5,000/$10,000
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 capbluecross.com or by calling 1-800-962-2242. Important
More informationBLUE. Care. A classic, comprehensive health insurance plan for families and individuals who want more predictable health care costs.
BLUE Care A classic, comprehensive health insurance plan for families and individuals who want more predictable health care costs. 2016 How it Works With this classic health insurance plan from Blue Cross
More informationVirginia. A guide for individuals and families. The health insurance benefits you want, at a cost you can afford
Virginia A guide for individuals and families CoventryOne is an individual product (for individuals and families) offered by Coventry Health Care, an Aetna company. The health insurance benefits you want,
More informationLEARN. Your guide to health insurance. How to choose the best plan for you and your family
LEARN Your guide to health insurance How to choose the best plan for you and your family Table of Contents Understanding health insurance...1 Health care law and you...2 Health insurance basics...4 Why
More informationStatewide Independent Living Council
M i n n e s o t a Statewide Independent Living Council 2012 Annual Report n October 1, 2011 September 30, 2012 S IL C Minnesota Statewide Independent Living Council Welcome Table of Contents Letter from
More information2012 Foreclosure Counseling Program Report
0 Foreclosure Counseling Program Report Prepared by Karen Duggleby, MSW, LISW Minnesota Homeownership Center Acknowledgements The Minnesota Homeownership Center is profoundly grateful for the dedicated
More informationHealth Insurance Marketplace in Illinois Plan Comparison Charts
2015 Independent Authorized Agent for An Independent Licensee of the Blue Cross Blue Shield Association Health Insurance Marketplace in Illinois Plan Comparison Charts preventive services and maternity
More informationMortgage and Deed Taxes in Minnesota
INFORMATION BRIEF Minnesota House of Representatives Research Department 600 State Office Building St. Paul, MN 55155 Karen Baker, Legislative Analyst 651-296-8959 April 2002 Mortgage and Deed Taxes in
More informationWhat is the overall deductible? Are there other deductibles for specific services?
Small Group Agility MS200 Coverage Period: Beginning on or after 01/01/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or
More information2015 plan comparison guide
2015 plan comparison guide Groups of 1 50 Plans available Jan. 1, 2015, through Dec. 31, 2015 Washington Better health starts here Hello. Welcome to Moda Health, the place you go when you want more than
More informationWestern Health Advantage: Gateway 5500B HSA Coverage Period: 12/1/2015-11/30/2016
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.westernhealth.com or by calling 1-888-563-2250. Important
More informationWhat is the overall deductible? Are there other deductibles for specific services? Is there an out-of-pocket limit on my expenses?
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 capbluecross.com or by calling 1-800-730-7219. Important
More informationHigh Deductible and HSA Qualified Plans
High Deductible and HSA Qualified Plans For individuals and families HIGH DEDUCTIBLE PLANS Insuring Minnesota One Life At A Time w w w.preferredone.com Dear Prospective Members: Thank you for your interest
More informationBlueConnect HSA Bronze $3,500 Plan 457 Coverage Period: Beginning on or after 01-01-2015
BlueConnect HSA Bronze $3,500 Plan 457 Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage Period: Beginning on or after 01-01-2015 Coverage for: Single or Family Plan Type:
More information2015 Regence Medicare Prescription Drug Plans (PDP)
VIEW PLA OVER DECISION GUIDE 2015 Regence Medicare Prescription Drug Plans (PDP) Regence BlueShield of Idaho and Regence BlueCross BlueShield of Utah is an Independent Licensee of the Blue Cross and Blue
More informationAware, WHERE CAN. You do not have. this as well. the rating level: Up to. child. $5,000 per. $4,000 per. Up to. Up to. $3,000 per HOW.
SUPPLEMENTAL INFORMATION EARLY LEARNING SCHOLARSHIP SUPPLEMENTAL INFORMATION: APPLICATION FOR PATHWAY I - EARLY LEARNING SCHOLARSHIPS WHAT IS AN EARLY LEARNING SCHOLARSHIP? A Pathway I - Early Learning
More informationMaking Learning Count in Minnesota Through PLA
Making Learning Count in Minnesota Through PLA 1 Goals for This Afternoon 1. Prior Learning Assessment (PLA) Overview 2. Review of Fueling the Race Research 3. Introduce Learning Counts.org 4. Spotlight
More informationNursing Facility Reimbursement and Regulation
INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Danyell Punelli, Legislative Analyst 651-296-5058 Updated: October 2013 Nursing Facility
More informationIt s Your Health Plan. Make the Most of It.
It s Your Health Plan. Make the Most of It. 3M Medical Plan Options 2013 health benefits What s new for 2013 More plans. More choices. 3M Advantage Plans. This year, 3M active employees have two high-deductible
More informationHealth Workforce Analysis Program
Office of Rural Health & Primary Care Health Workforce Analysis Program Minnesota s Advanced Practice Registered Nurses, 2010 Advanced practice registered nurses are integral members of teams delivering
More informationHealthy Benefits PPO 6000.0 - Zero Cost Sharing Plan Variation Coverage Period: Beginning on or after 1/1/2014 Summary of Benefits and Coverage:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-800-730-7219. Important
More informationIn-network: $5,000 per insured/ $10,000 per family per calendar year. Out-of-network: $10,000 per insured / $20,000
Regence BlueShield of Idaho: Coverage Period: Beginning on or after 01/01/2014 Regence Individual Direct Bronze HSA Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:
More informationLifeWise: LifeWise Oregon Standard Gold Plan 1300 Coverage Period: 1/1/2015-12/31/2015
LifeWise: LifeWise Oregon Standard Gold Plan 1300 Coverage Period: 1/1/2015-12/31/2015 Summary of Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan Type: PPO This
More informationExcellus BCBS:Excellus BluePPO
Excellus BCBS:Excellus BluePPO A nonprofit independent licensee of the Blue Cross Blue Shield Association Summary of Benefits and Coverage: What this Plan Covers & What it Costs COLGATE UNIVERSITY Coverage
More informationLEARN. Your guide to health insurance
LEARN Your guide to health insurance Table of Contents Why health insurance is important...1 How the Affordable Care Act affects you...2 See if you may qualify for a subsidy...4 Types of health plans...6
More informationPhysicians Plus Insurance Corporation State HDHP Uniform Benefits Coverage Period: 2015 Summary of Benefits and Coverage: Single Plan: EHRNSWPE
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.etf.wi.gov or by calling 1-877-533-5020. Important Questions
More informationYour Guide to Choosing a Kaiser Permanente Medicare Health Plan
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 informationImportant Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthnow.org or by calling 1-855-344-3425. Important
More informationHEALTH INSURANCE FOR INDIVIDUALS AND FAMILIES. Insuring Minnesota One Life At A Time. www.preferredone.com
foreveryone HEALTH INSURANCE FOR INDIVIDUALS AND FAMILIES Insuring Minnesota One Life At A Time www.preferredone.com for EveryOne Insuring Minnesota One Life At A Time Thank you for your interest in the
More information$0 See the chart starting on page 2 for your costs for services this plan covers. Are there other. deductibles for specific No.
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 capbluecross.com or by calling 1-800-730-7219. Important
More information1199SEIU National Benefit Fund for NYC Employees Summary of Benefits and Coverage: What This Plan Covers and What It Costs
1199SEIU National Benefit Fund for NYC Employees Summary of Benefits and Coverage: What This Plan Covers and What It Costs Coverage Period: Beginning 04/01/2014 Coverage for: NBF NYC Employees Plan Type:
More information2016 Health insurance plans
2016 Health insurance plans CHOOSE Find out if you may be eligible for financial help Compare plans and choose the best one for you Learn how you can get the most out of your membership Table of contents
More informationWhat is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueShield: Regence Direct Gold with Dental, Vision, Individual Assistance Program Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What
More informationAdministered by Capital BlueCross 1
Administered by Capital BlueCross 1 PPO HRA Plan/Rx Plan This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at
More informationYou can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.mhhealthplan.org or by calling 1-888-594-0671. Important
More informationAre there other deductibles for specific services?
Blue Shield of CA Life & Health Active Choice Plan 750 Coverage Period: 04/01/2015-03/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family Plan
More informationPPO Choice. It s Your Choice!
Offered by Capital Advantage Insurance Company A Capital BlueCross Company PPO Choice It s Your Choice! Issued by Capital Advantage Insurance Company, a Capital BlueCross subsidiary. Independent licensees
More informationAmbetter Silver 5 Summary of Benefits and Coverage: What this Plan Covers & What it Costs
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 http://ambetter.superior healthplan.com/ or by calling 877-687-1196,
More informationImportant Questions Answers Why this Matters:
Bronze 60 EPO - Network Name: EPO 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: EPO
More informationYou can see the specialist you choose without permission from this plan.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.wmimutual.com or by calling 1-800-748-5340. Important
More informationSession # 13 Breaking the Barriers to HIE Learn from Minnesota s HIOs
Session # 13 Breaking the Barriers to HIE Learn from Minnesota s HIOs 2016 Minnesota e-health Summit June 7, 2016 2:15 PM 1 Today s Agenda Session info/description Moderator: Jeff Benning, Lab Interoperability
More informationMedical Plan Comparison - Retirees Age 65 or Over
l Plan Comparison - Retirees Age 65 or Over Program Name U of M Retiree Plan with Group reblue SM Rx Group Platinum Blue SM Plan C withgroup reblue SM Rx Freedom Plan & Retiree National Choice Freedom
More informationNationwide Life Insurance Co.: University of Phoenix NJ Coverage Period: 9/24/13-8/23/14
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.chpstudent.com or by calling 1-800-633-7867. Important
More informationYou can see the specialist you choose without permission from this plan.
: Blue Option / Gold 800 Coverage Period: 01/01/2015 12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual / Family Plan Type: EPO This is only a summary.
More informationYou can see the specialist you choose without permission from this plan.
1/1/2015-12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.paramountinsurance company.com or
More informationPPO. Participating Provider Option. Your Guide to the National Participating Provider Option Plan. Blue Cross and Blue Shield
PPO Participating Provider Option Your Guide to the National Participating Provider Option Plan Blue Cross and Blue Shield Contents PPO Gives You Choices.......................................1 Benefits
More informationHow To Get Health Insurance On Styleblue.Com
HEALTH PLANS THAT WORK FOR YOU Blue Cross & Blue Shield of Rhode Island understands that when it comes to health plans, small businesses have different needs. Affordability is important, but so are quality
More informationHealthy Benefits HMO 6850.0
Coverage Period: Beginning on or after 1/1/2016 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at https://www.capbluecross.com/sbcsia
More informationExcellus BCBS:Healthy Blue Copay
Excellus BCBS:Healthy Blue Copay A nonprofit independent licensee of the Blue Cross Blue Shield Association Summary of Benefits and Coverage: What this Plan Covers & What it Costs MONROE COUNTY Coverage
More informationIn-Network Provider. Not Covered Tier 3 $30 co-pay retail Not Covered Tier 4 $75 co-pay retail Not Covered $250, then deductible, then Tier 5
: Blue Option / Silver 6002 Coverage Period: 01/01/2016 12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual / Family Plan Type: EPO This is only
More informationHMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015
HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: HMO This
More informationBlue Choice Silver PPO 004 Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs
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.bcbsil.com/member/policy-forms/ or by calling 1-800-538-8833.
More informationPremera BC: Balance Gold 1300 HSA Coverage Period: Beginning on or after 01/01/2014
Premera BC: Balance Gold 1300 HSA Coverage Period: Beginning on or after 01/01/2014 Summary of Coverage: What this Plan Covers & What it Costs Coverage for: Individual or Family Plan Type: High-Deductible
More informationMinnesota Forest Stewardship Partners
Minnesota Forest Stewardship Partners The Minnesota Forest Stewardship Program provides technical advice and long range forest management planning to interested landowners. Plans are designed to meet landowner
More informationIndividual Health Insurance
Individual Health Insurance Plans that fit every need, lifestyle and budget. Through It All. 866-303-BLUE (2583) bcbsok.com SM Call 866-303-BLUE (2583), visit bcbsok.com, or contact an independent Blue
More informationImportant Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.nhp.org or by calling Customer Service at 1-866-414-5533
More informationYour Plan: Anthem Gold HMO 500/20%/5000 Your Network: California Care HMO
Your Plan: Anthem Gold HMO 500/20%/5000 Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not
More informationSummary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: HMO. meet the deductible.
Kaiser Permanente: KP GA Gold 1000/20 Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type:
More informationImportant Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-877-453-5645. Important Questions
More informationIn-Network: $5,000 self-only / $10,000 family, not to exceed $6,450 from any one person. Does not apply to preventive care or vision hardware.
Personal Alliance 5000 Bronze ON Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Self Only / Family Plan Type: HMO HSA This
More information