SMALL BUSINESS Health Insurance Plans

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1 SMALL BUSINESS Health Insurance Plans UNDERWRITTEN BY LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY For more information, call or visit us online! PREFERRED PARTNER PLANS

2 SWEDISH COVENANT SMALL BUSINESS Health Insurance Plans Low Premiums By working with Land of Lincoln Health, we are able to offer these plans at very competitive prices. Excellent Benefits Save money when you receive your healthcare from Swedish Covenant Hospital partner doctors. You will also receive 50% off monthly membership fees at Galter LifeCenter. Plans Built Hand-in-Hand with Doctors and Hospitals You Trust Swedish Covenant Hospital excels in safety, the best possible outcomes and a positive patient experience by providing expert and compassionate care. The hospital has received an A hospital safety grade seven consecutive times from the Leapfrog group and has maintained Magnet Recognition for nursing excellence since We have partnered with nonprofit health insurance company, Land of Lincoln Health, to offer health insurance plans that mirror the custom benefits package we designed for our own employees. The Swedish Covenant Hospital Health Insurance Plans provide coverage when you receive care at Swedish Covenant Hospital and our Preferred Partner network, allowing you easy and affordable access to our expert practitioners, specialty services and advanced technology. If you want to see other doctors, you can still utilize Land of Lincoln Health s nationwide network of doctors and hospitals. Member Focused The delivery of care is provided by the right health care professional at the right time. We emphasize preventive care and walk you through the continuum of care when needed. Call Today To obtain a quote for your business, contact your broker directly, or call us at PREFERRED PARTNER PPO Our 3-Tier Plans Swedish Covenant PREFERRED PARTNER In-Network Tier 1 Includes the skilled and renowned Swedish Covenant Hospital doctors. Save the most money by receiving care from an In-Network Tier 1 provider. Land of Lincoln Health In-Network Tier 2 Extensive network of world-class doctors and hospitals across the nation. Out-of-Network Tier 3 Does not include In-Network doctors and hospitals. No out-of-pocket maximum.

3 SMALL BUSINESS BENEFIT HIGHLIGHTS SWEDISH COVENANT LLH 3-TIER PLATINUM PPO SWEDISH COVENANT LLH 3-TIER GOLD PPO SWEDISH COVENANT LLH 3-TIER SILVER PPO Deductible 1 (individual/family) Coinsurance 2 Out-of-Pocket Maximum 3 (individual/family) SCH Preferred Partner In-Network Tier 1 Land of Lincoln In-Network Tier 2 Out-of-Network Tier 3 SCH Preferred Partner In-Network Tier 1 Land of Lincoln In-Network Tier 2 Out-of-Network Tier 3 SCH Preferred Partner In-Network Tier 1 Land of Lincoln In-Network Tier 2 Out-of-Network Tier 3 $0 / $0 $5,000 / $10,000 / $1,000 $6,000 / $12,000 $3,100 / $6,200 $10,000 / $20,000 10% 40% 50% 20% 40% 50% 25% 45% 50% $5,000 / $10,000 Unlimited / Unlimited $5,500 / $11,000 Unlimited / Unlimited $6,850 / $13,700 Unlimited / Unlimited Primary Care Physician $5 $50 50% $15 $55 50% $30 50% Specialist Visit ER Urgent Care Inpatient Hospital Stay 4 Outpatient Hospital Services 5 $25 $40 $125 copay/day for first 3 days 50% $50 50% $40 50% copay/day for first 3 days 50% $400 copay/day for first 3 days $75 50% $80 50% 50% $900 copay/day for first 3 days 50% $850 copay/day for first 3 days $145 50% 50% 50% $1,800 copay/day for first 3 days 50% 10% 40% 50% 20% 40% 50% 25% 45% 50% X-Rays & Labs $0 $40 50% $25 $75 50% $40 $80 50% Physical, Occupational & Speech Therapy $10 $40 50% $35 $105 50% $65 $130 50% Chiropractic 10% 40% 50% 20% 40% 50% 25% 45% 50% Generic Rx 6 $0 $0 50% $0 $0 50% $4 $4 50% Preferred Brand Rx 6 $25 $25 50% $35 $35 50% $50 $50 50% Non-Preferred Brand Rx 6 50% $75 $75 50% 25% subject to deductible 25% subject to deductible 50% Specialty Rx 6 10% subject to deductible 10% subject to deductible 50% 20% subject to deductible 20% subject to deductible 50% 25% subject to deductible 25% subject to deductible 50% 1. Copays are not subject to deductible. Coinsurances are subject to deductible. The deductible for the Preferred Partner In-Network Tier 1 and Land of Lincoln Health In-Network Tier 2 Providers is integrated, meaning qualified payments made within either of those networks apply to that single deductible. 2. Coinsurance is the percentage paid by member after meeting the deductible. Percentages shown within this table represent coinsurance amounts and are always subject to the deductible. Land of Lincoln Health is responsible for the remainder of the covered services. 3. Out-of-pocket maximum is the most you will ever have to pay in the plan year for covered services under a specific plan. Deductibles, coinsurance and copays in either the Preferred Partner In-Network Tier 1 or with Land of Lincoln Health In-Network Tier 2 Providers all apply to your out-of-pocket maximum. 4. Includes room and board and some other additional charges. After the first three days of copays, Land of Lincoln Health pays 100% of covered services for that hospital stay. Includes services provided for mental/behavioral health and substance use disorders. 5. May include an outpatient clinic or same-day surgery center. Also includes services provided for mental/behavioral health and substance use disorders. 6. All Prescription Drug Benefits listed are for a 34-day supply. Copay for 90-day mail order prescriptions is 2½ times the 34-day retail copay. Coinsurance for mail order is the same as retail. Land of Lincoln Mutual Health Insurance Company ( Land of Lincoln Health ) is offering small business health insurance plans described herein. This brochure is distributed for marketing purposes and is not your certificate of coverage. Some health care services will require precertification. If there is any difference between this brochure and the certificate of coverage, the provisions of the certificate of coverage will control. For more information on Land of Lincoln Health, call or visit LLHealth.org. All Small Business Plans sold through the Marketplace are considered QHPs (Qualified Health Plans) or MSPs (Multi-State Plans) as determined by the Affordable Care Act.

4 THE MAYORA ROSENBERG Women s Health Center To schedule an appointment, please call The Mayora Rosenberg Women s Health Center was designed to give women in our community access to preventive healthcare and resources. From evening and weekend appointments, to women-only patient areas, the center was designed by women for women.

5 THE MAYORA ROSENBERG WOMEN S HEALTH CENTER PROVIDES THE FOLLOWING HEALTH SERVICES: Access to a wide range of healthcare services including breast health, bone health, dermatology, mental health and nutrition. Dedicated phone line for telephonic translation services in more than 180 languages. 3-D mammogram technology, that detects 29% more breast cancer than traditional mammography* and also reduces the number of women called back for additional imaging, secondary to false alarms. Access to same-day test results when possible, as well as expedited scheduling of additional diagnostic tests. Women s Health Navigator to help coordinate care. *Friedwald, S. (2014). Breast cancer screening using Tomosynthesis in Combination with Digital Mammography. The Journal of the American Medical Association, 311(24)

6 SWEDISH COVENANT HOSPITAL Immediate Care Centers Swedish Covenant Hospital has two Immediate Care Centers to serve you faster and at a lower cost than an Emergency Room visit. IMMEDIATE CARE CENTER SERVICES INCLUDE: Treatment for a range of injuries and illnesses Pediatric care for children 12 months and older School physicals and vaccinations Results sent to your primary doctor Walk-ins always welcome

7 41 W. Devon Ave. Swedish Covenant Hospital Immediate Care Locations N. Pulaski Rd N. Cicero Ave Chicago, IL W. Irving Park Chicago, IL W. Foster Ave. 41 Albany Park For more information and Immediate Care Center hours, visit SwedishCovenant.org/ICC W. Montrose Ave 19 Irving Park

8 Plans Built Hand-in-Hand with Doctors and Hospitals You Trust Questions? Call One of Our Experts Today: Visit Our Website for More Information: Like Our Facebook Page and Stay Connected: Facebook.com/SwedishCovenantHospital Join Us on Twitter and Get the Latest

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