2015 plan comparison guide
|
|
|
- Samuel Matthews
- 10 years ago
- Views:
Transcription
1 2015 plan comparison guide Groups of 1 50 Plans available Jan. 1, 2015, through Dec. 31, 2015 Washington
2 Better health starts here Hello. Welcome to Moda Health, the place you go when you want more than a health plan because good health is about so much more than just the plan details. You know your group s health relies on quality plans, programs, online tools and, most important, partnerships that help your members along the way. We have all of that and a little bit more and we re excited to help your entire team start on a journey to be better. For our part, we ll provide a network of doctors and specialists, expert health coaches, caring customer service reps and some of the greatest innovators in healthcare. For your part, we ask that the people in your group come ready to be the MVP of their health. Don't worry; we'll help inspire them. Because together, we can be more. We can be better. 3
3 Gold Gold tier plans at-a-glance PPO 500 PPO 1000 Deductible per person $500 $1,000 $1,000 $2,000 Deductible per family $1,000 $2,000 $2,000 $4,000 Out-of-pocket max per person $4,000 $8,000 $4,000 $8,000 Out-of-pocket max per family $8,000 $16,000 $8,000 $16,000 Preventive care 2 $0/visit 1 50% $0/visit 1 50% Primary care physician (PCP) office visit $15/visit 1 50% $15/visit 1 50% Specialist office visit $30/visit 1 50% $30/visit 1 50% Urgent care visit $15/visit 1 50% $15/visit 1 50% Inpatient/outpatient care 20% 50% 20% 50% Outpatient diagnostic X-ray & lab 20% 1 50% 20% 1 50% $15/visit 1 50% $15/visit 1 50% 20%/visit 1 20%/visit 1 20%/visit 1 20%/visit 1 Ambulance 20% 20% 20% 20% Physical, speech or occupational therapy 3 $30/visit 1 50% $30/visit 1 50% Alternative care 4 $15/visit 1 50% $15/visit 1 50% Pediatric vision exam 0% 1 0% 1 0% 1 0% 1 Pediatric vision hardware 0% 1 0% 1 0% 1 0% 1 Value $2 1 $2 1 $2 1 $2 1 Generic 40% 1 40% 1 40% 1 40% 1 Together, we can find a way to better health. Brand 40% 1 40% 1 40% 1 40% 1 Specialty 5 40% 1 Not covered 40% 1 Not covered Plan tier Gold Gold Provider network First Choice Health PPO Network First Choice Health PPO Network Travel network PHCS Healthy Directions PHCS Healthy Directions Included for members under age 19. Deductible waived for preventive services. Included for members under age 19. Deductible waived for preventive services. 4 Covers medically necessary spinal manipulations (10 visits) and acupuncture care (12 visits) 5 Specialty medications must be accessed through our exclusive specialty pharmacy provider and require prior authorization. 4 5
4 Silver Silver tier plans at-a-glance PPO 1500 PPO 2000 PPO 3000 Beneficial 2000 Deductible per person $1,500 $3,000 $2,000 $4,000 $3,000 $6,000 $2,000 $4,000 Deductible per family $3,000 $6,000 $4,000 $8,000 $6,000 $12,000 $4,000 $8,000 Out-of-pocket max per person $6,600 $13,200 $6,600 $13,200 $6,600 $13,200 $5,500 $11,000 Out-of-pocket max per family $13,200 $26,400 $13,200 $26,400 $13,200 $26,400 $11,000 $22,000 Preventive care 2 $0/visit 1 50% $0/visit 1 50% $0/visit 1 50% $0/visit 1 50% Primary care physician (PCP) office visit $25/visit 1 50% $25/visit 1 50% $25/visit 1 50% Specialist office visit $45/visit 1 50% $45/visit 1 50% $45/visit 1 50% 30% 50% Urgent care visit $25/visit 1 50% $25/visit 1 50% $25/visit 1 50% Inpatient/outpatient care 20% 50% 20% 50% 20% 50% 30% 50% Outpatient diagnostic X-ray & lab 20% 1 50% 20% 1 50% 20% 1 50% 30% 50% $25/visit 1 50% $25/visit 1 50% $25/visit 1 50% 30% 50% 20%/visit 1 20%/visit 1 20%/visit 1 20%/visit 1 20%/visit 1 20%/visit 1 Ambulance 20% 20% 20% 20% 20% 20% 30% 30% Physical, speech or occupational therapy 3 $45/visit 1 50% $45/visit 1 50% $45/visit 1 50% 30% 50% Alternative care 4 $25/visit 1 50% $25/visit 1 50% $25/visit 1 50% $40/visit 1 50% Pediatric vision exam 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 Pediatric vision hardware 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 Value $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 Generic 50% 1 50% 1 50% 1 50% 1 50% 1 50% 1 50% 1 50% 1 Brand 50% 1 50% 1 50% 1 50% 1 50% 1 50% 1 50% 1 50% 1 Specialty 5 50% 1 Not covered 50% 1 Not covered 50% 1 Not covered 50% 1 Not covered Plan tier Silver Silver Silver Silver Provider network First Choice Health PPO Network First Choice Health PPO Network First Choice Health PPO Network First Choice Health PPO Network Travel network PHCS Healthy Directions PHCS Healthy Directions PHCS Healthy Directions PHCS Healthy Directions 4 Covers medically necessary spinal manipulations (10 visits) and acupuncture care (12 visits) 5 Specialty medications must be accessed through our exclusive specialty pharmacy provider and require prior authorization. 6 Plan pays for first five visits with a copay, which may be used for either PCP office visits or urgent care for illness or injury. Thereafter, the deductible and coinsurance apply. 6 7
5 Silver Silver tier plans at-a-glance (continued) Value 1500 Value 2500 Value 3500 HSA 1500* Deductible per person $1,500 $3,000 $2,500 $5,000 $3,500 $7,000 $1,500 $3,000 Deductible per family $3,000 $6,000 $5,000 $10,000 $7,000 $14,000 $3,000 $6,000 Out-of-pocket max per person $6,600 $13,200 $6,600 $13,200 $6,600 $13,200 $5,500 $11,000 Out-of-pocket max per family $13,200 $26,400 $13,200 $26,400 $13,200 $26,400 $11,000 $22,000 Preventive care 2 $0/visit 1 50% $0/visit 1 50% $0/visit 1 50% $0/visit 1 50% Primary care physician (PCP) office visit $35/visit 1 50% $35/visit 1 50% $35/visit 1 50% 30% 50% Specialist office visit $60/visit 1 50% $60/visit 1 50% $60/visit 1 50% 30% 50% Urgent care visit $35/visit 1 50% $35/visit 1 50% $35/visit 1 50% 30% 50% Inpatient/outpatient care 30% 50% 30% 50% 30% 50% 30% 50% Outpatient diagnostic X-ray & lab 30% 1 50% 30% 1 50% 30% 1 50% 30% 50% $35/visit 1 50% $35/visit 1 50% $35/visit 1 50% 30% 50% 30% 30% Ambulance 30% 30% 30% 30% 30% 30% 30% 30% Physical, speech or occupational therapy 3 $60/visit 1 50% $60/visit 1 50% $60/visit 1 50% 30% 50% Alternative care 4 $35/visit 1 50% $35/visit 1 50% $35/visit 1 50% 30% 50% Pediatric vision exam 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 Pediatric vision hardware 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 Value $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 Generic 40% 1 40% 1 40% 1 40% 1 40% 1 40% 1 40% 40% Brand 40% 1 40% 1 40% 1 40% 1 40% 1 40% 1 40% 40% Specialty 5 40% 1 Not covered 40% 1 Not covered 40% 1 Not covered 40% Not covered Plan tier Silver Silver Silver Silver Provider network First Choice Health PPO Network First Choice Health PPO Network First Choice Health PPO Network First Choice Health PPO Network Travel network PHCS Healthy Directions PHCS Healthy Directions PHCS Healthy Directions PHCS Healthy Directions 4 Covers medically necessary spinal manipulations (10 visits) and acupuncture care (12 visits) 5 Specialty medications must be accessed through our exclusive specialty pharmacy provider and require prior authorization. * This plan is compatible with a health savings account (HSA). HSA plans require the family deductible be met prior to benefits being paid when an individual and a spouse, or one or more dependents, are enrolled. Members have the freedom to use any bank for their HSA plan. 8 9
6 Bronze Bronze tier plans at-a-glance Beneficial 4000 Beneficial 5000 HSA 3000* HSA 5000* Deductible per person $4,000 $8,000 $5,000 $10,000 $3,000 $6,000 $5,000 $10,000 Deductible per family $8,000 $16,000 $10,000 $20,000 $6,000 $12,000 $10,000 $20,000 Out-of-pocket max per person $6,600 $13,200 $6,600 $13,200 $6,450 $12,900 $6,450 $12,900 Out-of-pocket max per family $13,200 $26,400 $13,200 $26,400 $12,900 $25,800 $12,900 $25,800 Preventive care 2 $0/visit 1 50% $0/visit 1 50% $0/visit 1 50% $0/visit 1 50% Primary care physician (PCP) office visit 50% 30% 50% 30% 50% subsequent visits 6 Specialist office visit 30% 50% 30% 50% 30% 50% 30% 50% Urgent care visit 50% 30% 50% 30% 50% subsequent visits 6 Inpatient/outpatient care 30% 50% 30% 50% 30% 50% 30% 50% Outpatient diagnostic X-ray & lab 30% 50% 30% 50% 30% 50% 30% 50% 30% 50% 30% 50% 30% 50% 30% 50% 30% 30% 30% 30% Ambulance 30% 30% 30% 30% 30% 30% 30% 30% Physical, speech or occupational therapy 3 30% 50% 30% 50% 30% 50% 30% 50% Alternative care 4 $50/visit 1 50% $50/visit 1 50% 30% 50% 30% 50% Pediatric vision exam 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 Pediatric vision hardware 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 Value $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 $2 1 Generic 50% 50% 50% 50% 45% 45% 30% 30% Brand 50% 50% 50% 50% 45% 45% 30% 30% Specialty 5 50% Not covered 50% Not covered 45% Not covered 30% Not covered Plan tier Bronze Bronze Bronze Bronze Provider network First Choice Health PPO Network First Choice Health PPO Network First Choice Health PPO Network First Choice Health PPO Network Travel network PHCS Healthy Directions PHCS Healthy Directions PHCS Healthy Directions PHCS Healthy Directions 4 Covers medically necessary spinal manipulations (10 visits) and acupuncture care (12 visits) 5 Specialty medications must be accessed through our exclusive specialty pharmacy provider and require prior authorization. 6 Plan pays for first five visits with a copay, which may be used for either PCP office visits or urgent care for illness or injury. Thereafter, the deductible and coinsurance apply. * This plan is compatible with a health savings account (HSA). HSA plans require the family deductible be met prior to benefits being paid when an individual and a spouse, or one or more dependents, are enrolled. Members have the freedom to use any bank for their HSA plan.
7 Section title here Limitations and exclusions for medical plans Limitations > > All medical and surgical admissions, and some outpatient services and medications, must be authorized by Moda Health. > > Coordination of Benefits. When a member has more than one health plan, combined benefits for both plans will be provided up to, but not exceeding, the maximum plan allowance for all covered services. > > Skilled nursing facility benefits are limited to 60 days per calendar year. > > Inpatient rehabilitation benefits are limited to 30 days per calendar year. Annual limit does not apply if medically necessary for treating chronic conditions or diseases. > > Outpatient rehabilitation, including physical, speech, occupational or massage therapy, and habilitation benefits are limited separately to 25 sessions per calendar year. > > Neurodevelopmental therapy benefits are limited to 25 visits per calendar year. > > Transplants must be performed at an Exclusive Transplant Network facility to be eligible for coverage. > > Hospice respite care is limited to 14 inpatient or outpatient days per lifetime. > > Acupuncture care is limited to 12 visits per calendar year. > > Spinal manipulations are limited to 10 visits per calendar year. > > Home healthcare is limited to 130 visits per year. > > Pediatric dental care and vision care are limited to members under age 19. > > Retail and specialty prescriptions are for a 30-day supply; mail-order prescriptions are for a 90-day supply. > > Instruction programs are limited to diabetic self-management training and education. Exclusions > > Services provided by the patient or a member of the patient s immediate family. > > Services or supplies that are not medically necessary. > > Services and supplies for reversal of sterilization or to treat infertility. > > Services and supplies for obesity, except for those required under the Affordable Care Act. > > Surgery to alter the refractive character of the eye. > > Hearing aids. > > Routine eye care for members age 19 and older. > > Court ordered services, including a sex offender treatment program and a screening interview or treatment program related to driving under the influence of intoxicants this exclusion does not apply to services that are medically necessary or provided pursuant to civil commitment proceedings for mental illness. > > Custodial care. > > Experimental or investigational treatment. > > Services or supplies available in whole, or in part under any city, county, state or federal law, except Medicaid. > > Charges above the maximum plan allowance. > > Enrichment programs including selfhelp programs, educational programs, assertiveness training, marathon group therapy and sensitivity training. For cost and further details of the coverage, including exclusions, any reduction or limitations and the terms under which the policy may be continued in force, contact your agent or Moda Health. Questions? We re here to help. Contact a Moda Health-appointed agent, or call us toll-free at TTY users, please call 711. modahealth.com (10/14) SS-1548 These benefits and Moda Health policies are subject to change in order to be compliant with state and federal guidelines. Health plans provided by Moda Health Plan, Inc.
LEGACY PLAN Medical In-Ntwk Out-of-Ntwk
Preventive Services Age, gender and frequency criteria Adult physical/immunizations Well child visits/immunizations Screenings 0 Co-Insurance (after deductible) Out-of-Pocket Maximums Office Visit (copays)
Regence Individual Direct Benefit Highlights
Plan Features Provider choice: For In Network benefits, members have direct access to their choice of providers within the Preferred network. Member coinsurance levels are lowest for In Network providers.
THE MITRE CORPORATION PPO High Deductible Plan with a Health Saving Account (HSA)
THE MITRE CORPORATION PPO High Deductible Plan with a Health Saving Account (HSA) Effective Date: 01-01-2016 PLAN FEATURES Annual Deductible $1,500 Employee $3,000 Employee $3,000 Employee + 1 Dependent
International Student Health Insurance Program (ISHIP) 2014-2015
2014 2015 Medical Plan Summary for International Students Translation Services If you need an interpreter to help with oral translation services, you may contact the LifeWise Customer Service team at 1-800-971-1491
How To Pay For Health Care With A Health Care Plan With A Premium Rate Of $1,000 A Year
Regence BlueCross BlueShield of Utah: Regence Direct Silver HSA Coverage Period: 01/01/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual &
Business Life Insurance - Health & Medical Billing Requirements
PLAN FEATURES Deductible (per plan year) $2,000 Employee $2,000 Employee $3,000 Employee + Spouse $3,000 Employee + Spouse $3,000 Employee + Child(ren) $3,000 Employee + Child(ren) $4,000 Family $4,000
Small group and CalChoice benefit comparison
Small group and CalChoice benefit comparison effective July 1, 2015 We believe in choice. A guide to choosing the right plan for your business US health plan 1 San Diegans choose Sharp Health Plan With
Sherwin-Williams Medical, Prescription Drug and Dental Plans Plan Comparison Charts
Sherwin-Williams Medical, Prescription Drug and Dental Plans Plan Comparison Charts You and Sherwin-Williams share the cost of certain benefits including medical and dental coverage and you have the opportunity
BridgeSpan Health Company: BridgeSpan Oregon Standard Gold Plan MyChoice Northwest
BridgeSpan Health Company: BridgeSpan Oregon Standard Gold Plan MyChoice Northwest Summary of Benefits and Coverage: What this Plan Covers & What it Costs Questions: Call 1 (855) 857-9943 or visit us at
Regence BluePoint 20/40 Plan Highlights For Groups of 51+ 1/1/2015
Plan Features Provider choice: Members have direct access to their choice of providers. Coinsurance levels are lowest for In Network providers. If a member chooses an Out of Network provider, the member
STANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN
STANDARD AND SELECT NETWORK PRODUCTS FROM TUFTS HEALTH PLAN 2015 PLAN OPTIONS Standard Network: The Standard Network plans provide members with a choice of more than 25,000 participating doctors and 90
Your Plan: Anthem Bronze PPO 5500/30%/6450 w/hsa Your Network: Prudent Buyer PPO
Your Plan: Anthem Bronze PPO 5500/30%/6450 w/hsa Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does
DRAKE UNIVERSITY HEALTH PLAN
DRAKE UNIVERSITY HEALTH PLAN Effective Date: 1/1/2015 This is a general description of coverage. It is not a statement of contract. Actual coverage is subject to terms and the conditions specified in the
Blue Cross Premier Bronze Extra
An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within Blue Cross Blue Shield of Michigan s unsurpassed statewide PPO network
Service AvMed Cigna Leon Cares Humana HMO Humana PPO UnitedHealthcare. Out-of- Network
2016 Medicare Advantage Plans Comparison Chart This comparison chart is a side-by-side representation of services offered through the AvMed, Cigna, UHC, and Humana Medicare Advantage Plans for both in-network
Lesser of $200 or 20% (surgery) $10 per visit. $35 $100/trip $50/trip $75/trip $50/trip
HOSPITAL SERVICES Hospital Inpatient : Paid in full, Non-network: Hospital charges subject to 10% of billed charges up to coinsurance maximum. Non-participating provider charges subject to Basic Medical
Employee + 2 Dependents
FUND FEATURES HealthFund Amount $500 Individual $1,000 Employee + 1 Dependent $1,000 Employee + 2 Dependents $1,000 Family Amount contributed to the Fund by the employer Fund Coinsurance Percentage at
100% Fund Administration
FUND FEATURES HealthFund Amount $500 Employee $750 Employee + Spouse $750 Employee + Child(ren) $1,000 Family Amount contributed to the Fund by the employer Fund Coinsurance Percentage at which the Fund
Health 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
Important Questions Answers Why this Matters:
BridgeSpan Health Company: Exchange Silver Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible
Health Plans Comparison Chart
Health Plans Comparison Chart PPO Deductible Coinsurance (Plan pays) Annual Out-of-Pocket Maximum (Medical) (all medical s, deductibles and coinsurance for covered services will apply. Once limit is met,
Health Partners Plans Provider Manual Health Partners Plans Medicare Benefits Summary
5 Health Partners Plans Provider Manual Health Partners Plans Medicare Benefits Summary Purpose: This chapter provides a benefit summary for Health Partners Plans Medicare members, by plan. Topics: Health
St Olaf College Coverage Period: Beginning on or after 09-01-2014
St Olaf College Summary of Benefits and Coverage: What this Plan covers & What it Costs Coverage Period: Beginning on or after 09-01-2014 Coverage for: Single and family coverage Plan Type: PPO This is
Highlights of your Health Care Coverage
MEDICAL COST SHARE OPTIONS Individual Deductible PCY (Family deductible 2X Individual) Coinsurance (Member's percentage of costs after deductible based on allowable charges) Individual Out of Pocket Maximum
$6,350 Individual $12,700 Individual
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible $5,000 Individual $10,000 Individual $10,000 Family $20,000 Family All covered expenses accumulate separately toward the preferred or non-preferred Deductible.
OverVIEW of Your Eligibility Class by determineing Benefits
OVERVIEW OF YOUR BENEFITS IMPORTANT PHONE NUMBERS Benefit Fund s Member Services Department (646) 473-9200 For answers to questions about your eligibility or prescription drug benefit. You can also visit
Coventry Health and Life Insurance Company PPO Schedule of Benefits
State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise
Anthem Blue Cross Life and Health Insurance Company Your Plan: Solution PPO 1500/15/20 Your Network: Prudent Buyer PPO
Anthem Blue Cross Life and Health Insurance Company Your Plan: Solution PPO 1500/15/20 Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with
PDS Tech, Inc Proposed Effective Date: 01-01-2012 Aetna HealthFund Aetna Choice POS ll - ASC
FUND FEATURES HealthFund Amount $500 Individual $1,000 Employee + 1 Dependent $1,000 Employee + 2 Dependents $1,000 Family Amount contributed to the Fund by the employer Fund Coinsurance 100% Percentage
Land of Lincoln Health : Family Health Network LLH 3-Tier Bronze PPO Coverage Period: 01/01/2016 12/31/2016
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.landoflincolnhealth.org or by calling 1-844-FHN-4YOU.
2016 HealthFlex Plan Comparison: PPO B1000 with HRA and HDHP H1500 with HSA
Caring For Those Who Serve 1901 Chestnut Avenue Glenview, Illinois 60025-1604 1-800-851-2201 www.gbophb.org 2016 HealthFlex Plan Comparison: PPO B1000 with HRA and HDHP H1500 with HSA Please note: This
Health Alliance Plan. Coverage Period: 01/01/2014-12/31/2014. document at www.hap.org or by calling 1-800-759-3436.
Health Alliance Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2014-12/31/2014 Coverage for: Individual Family Plan Type: HMO This is only a summary.
Benefit Summary - A, G, C, E, Y, J and M
Benefit Summary - A, G, C, E, Y, J and M Benefit Year: Calendar Year Payment for Services Deductible Individual $600 $1,200 Family (Embedded*) $1,200 $2,400 Coinsurance (the percentage amount the Covered
Your Plan: Value HMO 25/40/20% (RX $10/$30/$45/30%) Your Network: Select Plus HMO
Your Plan: Value HMO 25/40/20% (RX $10/$30/$45/30%) Your Network: Select Plus HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary
Massachusetts. HPHC Insurance Company The Harvard Pilgrim Best Buy HSA PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs
Massachusetts HPHC Insurance Company The Harvard Pilgrim Best Buy HSA PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2014 12/31/2014 Coverage for: Individual
In-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:
University of Southern Indiana: Buy-Up Plan Blue Access (PPO) Coverage Period: 01/01/2015-12/31/2015
University of Southern Indiana: Buy-Up Plan Blue Access (PPO) Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2015-12/31/2015 Coverage for: Individual/Family
PLAN DESIGN AND BENEFITS AETNA LIFE INSURANCE COMPANY - Insured
PLAN FEATURES Deductible (per calendar year) Individual $750 Individual $1,500 Family $2,250 Family $4,500 All covered expenses accumulate simultaneously toward both the preferred and non-preferred Deductible.
Your Plan: Anthem Silver HMO 1500/30%/6550 Your Network: California Care HMO
Your Plan: Anthem Silver HMO 1500/30%/6550 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
Bronze CoventryOne Health Plan options in Georgia
Bronze CoventryOne Health Plan options in Georgia Plan GA Coventry Bronze Ded Only HSA Eligible HMO Member benefits Deductible (ded) individual/family1 (applies to out-of-pocket maximum) Member coinsurance
New York Small Group Indemnity Aetna Life Insurance Company Plan Effective Date: 10/01/2010. PLAN DESIGN AND BENEFITS - NY Indemnity 1-10/10*
PLAN FEATURES Deductible (per calendar year) $2,500 Individual $7,500 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services,
Regence BlueCross BlueShield of Oregon: Regence Oregon Standard Bronze Plan Coverage Period: Beginning on or after 01/01/2014
Regence BlueCross BlueShield of Oregon: Regence Oregon Standard Bronze Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: Beginning on or after 01/01/2014 Coverage
Medical Plan - Healthfund
18 Medical Plan - Healthfund Oklahoma City Community College Effective Date: 07-01-2010 Aetna HealthFund Open Choice (PPO) - Oklahoma PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY -
Coverage for: Individual, Family Plan Type: PPO. Important 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.bbsionline.com or by calling 1-866-927-2200. Important
JUST4ME TM. (2016 Insurance Policy) CareSource Just4Me is a Qualified Health Plan issuer in the. I m Covered. ADV-SOLICIT-OH001/OH002(2016 Rev.
JUST4ME TM (2016 Insurance Policy) CareSource Just4Me is a Qualified Health Plan issuer in the ADV-SOLICIT-OH001/OH002(2016 Rev. 09/15) I m Covered CareSource Just4Me Puts Health Insurance within Your
MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF BENEFITS
Fiscal Year 2015 2016 MAYFLOWER MUNICIPAL HEALTH GROUP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PPO REVIEW OF S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
HUMANA HEALTH PLAN, INC:
HUMANA HEALTH PLAN, INC: Humana Silver 4600/Lexington UK Healthcare HMOx Coverage Period: Beginning on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage
Pace University CIGNA Medical Detailed Benefit Summaries July 1, 2015 - June 30, 2016
Consumer Core HDHP In Net $50 (ONLY APPLICABLE TO THOSE Network Core $25 ALREADY ENROLLED) Network Choice Fund In Network In Network In Network Deductible $1,300/$2,600 (Cumulative) N/A N/A Coinsurance
Important Questions Answers Why this Matters:
Anthem BlueCross BlueShield Blue Access PPO Option D58 / Rx Option 8 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 12/01/2013-11/30/2014 Coverage For: Individual/Family
Health plans for every body
Health plans for every body Individuals and families Plans available Jan. 1, 2015, through Dec. 31, 2015 Oregon Hello. Welcome to Moda Health and ODS, the place you go when you want more than a health
Small Group Plan Options HMO
HMO Platinum Plans These plans will cover about 90% of your service and you are responsible for the other 10% Benefits Platinum Platinum Platinum 25 / 50 / 500 HMO 20 / 40 / 1000 HMO 20 / 40 HMO Deductible
What is the overall deductible?
Regence BlueCross BlueShield of Oregon: HSA 2.0 Coverage Period: 07/01/2013-06/30/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible Family
Important Questions Answers Why this Matters: What is the overall deductible?
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services? Is there an out of pocket limit on my expenses? What is not included in
How To Pay For Health Care With Bluecrossma
PPO Student/Affiliate Plan MIT Student/Affiliate Extended Insurance Plan Coverage Period: 2014-2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual, Couple,
Insurance Benefits For Employees C H E S T E R F I E L D C O U N T Y P U B L I C S C H O O L S
CCPS Insurance Benefits For Employees 2015 C H E S T E R F I E L D C O U N T Y P U B L I C S C H O O L S CHESTERFIELD COUNTY PUBLIC SCHOOLS BENEFITS DEPARTMENT Enrollment or Changes in Coverage 748-1226,
Bates College Effective date: 01-01-2010 HMO - Maine PLAN DESIGN AND BENEFITS PROVIDED BY AETNA HEALTH INC. - FULL RISK PLAN FEATURES
PLAN FEATURES Deductible (per calendar year) $500 Individual $1,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Once Family Deductible is met, all family
What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket
Regence BlueCross BlueShield of Oregon: Preferred Coverage Period: 08/15/2015-08/14/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible Family
Small Employer Health Insurance. Avera Health Plans One team. Connected. Caring for you.
Small Employer Health Health Plans One team. Connected. Caring for you. Health insurance is a critical factor in retaining and recruiting employees When was the last time you quoted with Health Plans for
Coverage Period : 01/01/2014-12/31/2014
Coventry Health and Life Insurance Company: Silver Integrated $10 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail
Senate Bill 91 (2011) Standard Plan - EHB and Cost Share Matrix - Updated for 2016 ***NOT INTENDED AS A STATEMENT OF COVERAGE***
Deductible Medical: $1,250; Medical: $2,500; Integrated Medical/Rx: Rx: $0 Rx: $0 $5,000 Maximum OOP Combined Medical Combined Medical Combined Medical and and Drug: $6,350 and Drug: $6,350 Drug: $6,350
PLAN DESIGN AND BENEFITS POS Open Access Plan 1944
PLAN FEATURES PARTICIPATING Deductible (per calendar year) $3,000 Individual $9,000 Family $4,000 Individual $12,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being
PREFERRED CARE. All covered expenses, including prescription drugs, accumulate toward both the preferred and non-preferred Payment Limit.
PLAN FEATURES Deductible (per plan year) $300 Individual $300 Individual None Family None Family All covered expenses, excluding prescription drugs, accumulate toward both the preferred and non-preferred
More value Thank you for considering KPS You Need a Plan that Offers a Free Prescription Drug Discount Program
More value Thank you for considering KPS KPS Health Plans was established in Bremerton, Washington in 1946. We are a Washington state nonprofit health care service contractor offering preferred provider
Kraft Foods Group, Inc. Retiree Medical and Prescription Plan Summary High Deductible Health Plan
General Provisions Deductible (eligible medical and prescription drug expenses apply to the deductible) Kraft Foods Group, Inc. Retiree Medical and Prescription Plan Summary Care can be obtained in-network
CareFirst BlueChoice, Inc.
CareFirst BlueChoice, Inc. [840 First Street, NE] [Washington, DC 20065] [(202) 479-8000] An independent licensee of the BlueCross and Blue Shield Association ATTACHMENT [C] IN-NETWORK SCHEDULE OF BENEFITS
Boston College Student Blue PPO Plan Coverage Period: 2015-2016
Boston College Student Blue PPO Plan Coverage Period: 2015-2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: PPO This is only a
Massachusetts. The Harvard Pilgrim Best Buy HSA PPO. Coverage Period: 1/1/2015 12/31/2015
Massachusetts The Harvard Pilgrim Best Buy HSA PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 1/1/2015 12/31/2015 Coverage for: Individual + Family Plan Type:
Coventry Health and Life Insurance Company: Gold $5 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs
Coventry Health and Life Insurance Company: Gold $5 Co-pay PPO Exchange Summary of Benefits and Coverage: What this Plan Covers & What it Costs This is only a summary. If you want more detail about your
What is the overall deductible? $250 per person/$500 per family. Are there other deductibles for specific services? 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 www.etf.wi.gov or by calling 1-877-533-5020. Important Questions
Massachusetts. The HPHC Insurance Company Best Buy Tiered Copayment ChoiceNet PPO Summary of Benefits and Coverage: WhatthisPlanCovers&WhatitCosts
Massachusetts The HPHC Insurance Company Best Buy Tiered Copayment ChoiceNet PPO Summary of Benefits and Coverage: WhatthisPlanCovers&WhatitCosts Coverage Period: 07/01/2015 06/30/2016 Coverage for: Individual
What 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
2015 Medical Plan Options Comparison of Benefit Coverages
Member services 1-866-641-1689 1-866-641-1689 1-866-641-1689 1-866-641-1689 1-866-641-1689 1-800-464-4000 Web site www.anthem.com/ca/llns/ www.anthem.com/ca/llns/ www.anthem.com/ca/llns/ www.anthem.com/ca/llns/
Blue Care Elect Preferred 90 Copay Coverage Period: on or after 09/01/2015
Blue Care Elect Preferred 90 Copay Coverage Period: on or after 09/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual Only Plan Type: PPO This is only
Individual. Employee + 1 Family
FUND FEATURES HealthFund Amount Individual Employee + 1 Family $750 $1,125 $1,500 Amount contributed to the Fund by the employer is reflected above. Fund Amount reflected is on a per calendar year basis.
HMO. 2015 Individual HMO Plans Comparison of Benefits. Page 1
2015 Individual HMO Plans Comparison of Benefits HMO (including 15 Routine Specialist Visit (including Behavioral HF Platinum HMO Select 100 1300 100% $800 / $1,600 $1,000 / $2,000 $0 $15 $35 $35 0% HF
Massachusetts. HPHC Insurance Company The Harvard Pilgrim Tiered Copayment PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs
HPHC Insurance Company The Harvard Pilgrim Tiered Copayment PPO Summary of Benefits and Coverage: What this Plan Covers & What it Costs Massachusetts Coverage Period: 6/1/2013 5/31/2014 Coverage for: Individual
LEARN. 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