Know your costs. Save on care. Get rewarded.

Size: px
Start display at page:

Download "Know your costs. Save on care. Get rewarded."

Transcription

1 Know your costs. Save on care. Get rewarded. Cost Estimator + PriorityRewards

2 Our Cost Estimator tool shows your estimated out-of-pocket costs for hundreds of services and thousands of prescriptions based on your specific health plan. It also shows you how prices vary by location or when you have a lower cost alternative to your medication. That way you can compare costs and make decisions with you and your budget in mind.

3 Plus, with PriorityRewards, when you choose to receive care from a lower-cost, highquality facility, we ll send you a Visa rewards * card ranging from $50 to $500. Need to schedule a procedure, lab test or office visit? Before receiving care, search for the medical service you need Select your doctor or the location (facility). If you choose your doctor first you can choose your preferred facility from the in-network results. You ll be shown fair-market and abovemarket prices. If you chose your facility first, you can choose your doctor who performs that service at that location from the search results. A green trophy means the service and facility combination makes you eligible for a reward.

4 How do I get rewarded?*: Choose a facility with a green trophy. If you receive the medical service within six months of using the tool, we ll send your Visa rewards card in the mail within a few weeks of receiving the service. REWARDS CARD Funds expire upon 24 months of inactivity Your rewards card can be used for most things including medical services, health and wellness services, groceries, general merchandise and much more. Need to know the cost of your medication? Before heading to the pharmacy, search for the medication you need. You ll need to know your dosage too. Then select your preferred pharmacy or pharmacies to see prices. If there s a preferred alternative medication available for the drug you re searching for, you ll be alerted. These are often lower cost generics or brands you could speak to your doctor about. *PriorityRewards is not yet available for medications, or to members with Medicare, Medicaid or Spectrum Health Partners plans, or self-funded employer groups who have not opted in.

5 Rewardable procedures Procedure type Procedure Reward Bone and joint Carpal tunnel surgery $100 Bone and joint Anterior cruciate ligament knee surgery (ACL) $200 Bone and joint Arthroscopic rotator cuff repair $200 Bone and joint Knee arthroscopy $200 Bone and joint Shoulder arthroscopy $200 Bone and joint Total hip replacement** $500 Bone and joint Total knee replacement** $500 Cardiac Doppler exam of the heart $100 Cardiac Heart echo imaging $100 Cardiac Heart perfusion imaging $100 Diagnostic Colonoscopy (with and without biopsy) $100 Diagnostic Upper GI endoscopy (with and without biopsy) $100 Diagnostic Sleep study $100 Diagnostic Cystoscopy $200 Imaging Most CTs $50 Imaging Most MRIs $100 Outpatient Nose plastic surgery (Rhinoplasty) $100 Outpatient Lap band surgery $200 Outpatient Nasal septum repair $200 Outpatient Remove tonsils and adenoids $200 Outpatient Ear tubes $200 Outpatient Cataract surgery $200 Outpatient Laparoscopic cholecystectomy $200 Outpatient Lithotripsy $200 Women s health Bone density scan $50 Women s health Cesarean section delivery $200 Women s health Vaginal delivery $200 Women s health Hysteroscopy $200 Women s health Breast biopsy $200 Women s health Laparoscopy, excise lesions $200 Women s health Total hysterectomy $200 **Effective January 1, 2018

6 Get started. Log into your MyHealth account at priorityhealth.com and choose Cost Estimator. Priority Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia en su idioma. Consulte al número de Servicio al Cliente que está en la parte de atrás de su tarjeta de identificación de miembro. (TTY: 711). مالحظة: إذا كنت تتحدث العربية فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. يرجى االتصال برقم خدمة العمالء على الجانب الخلفي من بطاقة عضويتك الشخصية. )رقم هاتف الصم والبكم: 711 ( Priority Health PH F6 11/17

Memorial Hermann Advantage HMO & PPO Plans Plan Information Kit

Memorial Hermann Advantage HMO & PPO Plans Plan Information Kit Memorial Hermann Advantage HMO & PPO Plans 2017 Plan Information Kit The Only Medicare Advantage Plans Backed by Memorial Hermann. With Memorial Hermann Advantage HMO and PPO plans, you not only get the

More information

QUICK GUIDE (TTY: 711) Peoples Health Choices 65 #14 (HMO) 19 Parishes in Southeast Louisiana

QUICK GUIDE (TTY: 711) Peoples Health Choices 65 #14 (HMO) 19 Parishes in Southeast Louisiana Choices 65 NEW FOR 217 Choices 65 Grows to Serve 16 More Parishes! Choices 65 the oldest Medicare Monthly Plan Advantage plan offered by Peoples Health originally served only the New Orleans area. New for

More information

AETNA BETTER HEALTH OF VIRGINIA

AETNA BETTER HEALTH OF VIRGINIA AETNA BETTER HEALTH OF VIRGINIA Commonwealth Coordinated Care Plus (CCC Plus) The care you need, when you need it Learn how Aetna Better Health of Virginia serves you through care management and enhanced

More information

2018 Benefit Highlights

2018 Benefit Highlights Orange County 2018 Benefit Highlights SCAN Plus (HMO) Medicare Advantage Plan What Are Additional Benefits and Services? Additional Benefits are benefits and services not offered by Original Medicare.

More information

Overview monthly plan premium

Overview monthly plan premium 2018 Overview monthly plan premium Peoples Health Choices Gold (HMO) Welcome! Thank you for your interest in Peoples Health. We ve heard many times from our plan members that their health means everything

More information

2018 Benefit Highlights

2018 Benefit Highlights Orange County 2018 Benefit Highlights SCAN Classic (HMO), SCAN Balance (HMO SNP), and Heart First (HMO SNP) Medicare Advantage Plans What Are Additional Benefits and Services? Additional Benefits are benefits

More information

2018 Benefit Highlights

2018 Benefit Highlights Los Angeles, Riverside and San Bernardino Counties 2018 Benefit Highlights SCAN Connections (HMO SNP) Medicare Advantage Plan The SCAN Story SCAN, a not-for-profit health plan, was founded in 1977 by seniors,

More information

Home is where Telehealth is In fact, Telehealth is wherever you need to be.

Home is where Telehealth is In fact, Telehealth is wherever you need to be. Telehealth Home is where Telehealth is In fact, Telehealth is wherever you need to be. When registering on the American Well site for the first time, members will be asked for a service key. Your service

More information

City of Sacramento 01/01/2019 Renewal. $100 Per Admission

City of Sacramento 01/01/2019 Renewal. $100 Per Admission City of Sacramento 01/01/2019 Renewal Kaiser Permanente 2019 Senior Advantage (HMO) Group Plan with Part D Benefits Summary Your employer joins with Kaiser Permanente to offer you the select benefits listed

More information

2018 Summary of Benefits

2018 Summary of Benefits 2018 Summary of MVP Health Plan, Inc. (HMO-POS) (HMO-POS) (HMO-POS) H3305: Plan 022, Plan 021 and Plan 020 This is a summary of drug and health services covered by MVP Health Plan January 1, 2018 - December

More information

Federal Employees. Benefits at a Glance for 2018 Plans. Featuring: - $0 Primary Care Physician Visits - $0 Lab Tests & X-rays

Federal Employees. Benefits at a Glance for 2018 Plans. Featuring: - $0 Primary Care Physician Visits - $0 Lab Tests & X-rays Federal Employees Benefits at a Glance for 2018 Plans Featuring: - $0 Primary Care Physician Visits - $0 Lab Tests & X-rays MFEDBG18 GlobalHealth, Inc. P.O. Box 2393 Oklahoma City, OK 73101-2393 www.globalhealth.com/fehb

More information

Schedule of Benefits - CENTRAL HMO Group CITY OF MARSHFIELD Benefit Year: January 1st through December 31st Effective Date: 01/01/2017

Schedule of Benefits - CENTRAL HMO Group CITY OF MARSHFIELD Benefit Year: January 1st through December 31st Effective Date: 01/01/2017 Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

$6,550 per individual $13,100 per family

$6,550 per individual $13,100 per family Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

$1,500 per individual $3,000 per family

$1,500 per individual $3,000 per family Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

Optima Medicare Value and

Optima Medicare Value and Medicare Advantage HMO Plans Optima Medicare Value and Optima Medicare Prime Now serving Williamsburg & James City County Chesapeake, Hampton, James City County, Newport News, Norfolk, Poquoson, Portsmouth,

More information

Summary Of Benefits. FLORIDA Broward, Hillsborough, Miami-Dade, Palm Beach, Pinellas, and Polk

Summary Of Benefits. FLORIDA Broward, Hillsborough, Miami-Dade, Palm Beach, Pinellas, and Polk Summary Of Benefits FLORIDA Broward, Hillsborough, Miami-Dade, Palm Beach, Pinellas, and Polk 2018 Molina Medicare Options Plus (HMO SNP) (866) 553-9494, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local

More information

PROFESSIONAL SERVICES INPATIENT HOSPITAL SERVICES OUTPATIENT FACILITY SERVICES

PROFESSIONAL SERVICES INPATIENT HOSPITAL SERVICES OUTPATIENT FACILITY SERVICES PROFESSIONAL SERVICES PCP office visits Specialist office visits Annual physical exam/preventive care Physical, Speech & Occupational Therapy Cardiac/Pulmonary Rehab Flu & Pneumonia Vaccinations Diagnostic

More information

Your Responsibilities. $1,500 per family $250 copayment per visit

Your Responsibilities. $1,500 per family $250 copayment per visit Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

Your Responsibilities. $2,000 per family. $1,600 per individual $3,200 per family

Your Responsibilities. $2,000 per family. $1,600 per individual $3,200 per family Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan) offered by Community Health Group

CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan) offered by Community Health Group H5172_ANOCEOC2018 ACCEPTED CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan) offered by Community Health Group Annual Notice of Changes for 2018 You are currently enrolled as a member

More information

Summary of Benefits for Simply Level (HMO SNP)

Summary of Benefits for Simply Level (HMO SNP) Summary of Benefits for Available in: Hernando, Hillsborough, Pasco and Pinellas Counties Plan year: January 1, 2018 December 31, 2018 In this section, you ll learn about some of the benefits and services

More information

QUALITY CARE QUARTERLY

QUALITY CARE QUARTERLY QUALITY CARE QUARTERLY Spring 2017 - Volume 1 Your Guide to Programs and Rewards Featuring A Message From our Chief Medical Officer, Dr. Andrea Willis Readmission and Patients with Behavioral Health Needs

More information

Benefits and Premiums are effective January 01, 2019 through December 31, 2019 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY

Benefits and Premiums are effective January 01, 2019 through December 31, 2019 PLAN DESIGN AND BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY Benefits and Premiums are effective January 01, 2019 through December 31, 2019 PLAN FEATURES Network & Out-of- Annual Deductible This is the amount you have to pay out of pocket before the plan will pay

More information

Summary Of Benefits. CALIFORNIA Imperial, Los Angeles, Riverside (partial), San Bernardino (partial), and San Diego

Summary Of Benefits. CALIFORNIA Imperial, Los Angeles, Riverside (partial), San Bernardino (partial), and San Diego Summary Of Benefits CALIFORNIA Imperial, Los Angeles, Riverside (partial), San Bernardino (partial), and San Diego 2018 Molina Medicare Options Plus (HMO SNP) (800) 665-0898, TTY/TDD 711 7 days a week,

More information

Summary Of Benefits. NEW MEXICO Bernalillo, Chaves, Dona Ana, Luna, McKinley, Otero, San Juan, Sandoval, Santa Fe, Sierra, Torrance, and Valencia

Summary Of Benefits. NEW MEXICO Bernalillo, Chaves, Dona Ana, Luna, McKinley, Otero, San Juan, Sandoval, Santa Fe, Sierra, Torrance, and Valencia Summary Of Benefits NEW MEXICO Bernalillo, Chaves, Dona Ana, Luna, McKinley, Otero, San Juan, Sandoval, Santa Fe, Sierra, Torrance, and Valencia 2018 Molina Medicare Options Plus (HMO SNP) (866) 440-0127,

More information

HUSKY Health Program Member Benefits Grid. Covered Services for HUSKY A, C, and D

HUSKY Health Program Member Benefits Grid. Covered Services for HUSKY A, C, and D HUSKY Health Program Member Benefits Grid Covered Services for HUSKY A, C, and D HUSKY enrolled providers also include: pharmacies, hospitals, medical equipment companies and home health care agencies.

More information

Summary of Benefits Report SENIOR CARE PLUS: VALUE BASIC PLAN (HMO)-009 January 1, 2015 December 31, 2015 WASHOE COUNTY, NEVADA

Summary of Benefits Report SENIOR CARE PLUS: VALUE BASIC PLAN (HMO)-009 January 1, 2015 December 31, 2015 WASHOE COUNTY, NEVADA SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS You have choices about how to get your Medicare benefits One choice is to get your Medicare benefits through Original Medicare (fee-for-service Medicare).

More information

INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS

INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS INTRODUCTION TO SUMMARY OF BENEFITS SECTION 1 SUMMARY OF BENEFITS January 1, 2015 - December 31, 2015 CARE1ST HEALTH PLAN California: Fresno, Merced, Stanislaus and San Joaquin Counties H5928_15_029_SB_CTCA_2

More information

HUSKY Health Program Member Benefits Grid. Covered Services for HUSKY A, C, and D

HUSKY Health Program Member Benefits Grid. Covered Services for HUSKY A, C, and D HUSKY Health Program Member Benefits Grid Covered Services for HUSKY A, C, and D All services must be medically necessary. For information on wellness exams, screenings and vaccines, click here. Acupuncture

More information

HMO West Pennsylvania Employees Benefit Trust Fund Benefit Highlights Active Eligible Members. Providers None $6,850 single / $13,700 family

HMO West Pennsylvania Employees Benefit Trust Fund Benefit Highlights Active Eligible Members. Providers None $6,850 single / $13,700 family Benefit Provision HMO Network Providers None $6,850 single / $13,700 family DEDUCTIBLE (Per Calendar Year) OUT-OF-POCKET MAXIMUM (includes costs for medical, mental health and substance abuse benefits

More information

Winter Cardiovascular Update 2018

Winter Cardiovascular Update 2018 Frederik Meijer Heart & Vascular Institute Winter Cardiovascular Update 2018 March 2 to March 4, 2018 Mountain Grand Lodge and Spa Boyne Mountain Resort Boyne Falls, Michigan Dear Friends and Colleagues:

More information

Must meet specific criteria. Prior authorization required. Must meet specific criteria

Must meet specific criteria. Prior authorization required. Must meet specific criteria MIDWEST HEALTH Acupuncture NOT A BENEFIT NOT A BENEFIT NOT A BENEFIT Acute Care Observation Post Operative Emergency Room Allergy Testing/Allergy Injections Ambulance-Emergency Land Plan Notification Not

More information

Signal Advantage HMO (HMO) Summary of Benefits

Signal Advantage HMO (HMO) Summary of Benefits Signal Advantage HMO (HMO) Summary of Benefits January 1, 2016 December 31, 2016 The provider network may change at any time. You will receive notice when necessary. This information is available for free

More information

ANNUAL NOTICE OF CHANGES

ANNUAL NOTICE OF CHANGES 2018 ANNUAL NOTICE OF CHANGES California Molina Dual Options Cal Medi-Connect Plan Medicare-Medicaid Plan Member Services (855) 665-4627, TTY/TDD: 711, Monday - Friday, 8 a.m. - 8 p.m., local time MolinaHealthcare.com/Duals

More information

MEMBER HANDBOOK IlliniCare Health (Medicare-Medicaid Plan)

MEMBER HANDBOOK IlliniCare Health (Medicare-Medicaid Plan) 2018 MEMBER HANDBOOK IlliniCare Health (Medicare-Medicaid Plan) H0281_18_ANOCMH2_Accepted_11212017 Language Services ATTENTION: If you do not speak English, language assistance services, free of charge,

More information

The Regence Personalized Care Support Program

The Regence Personalized Care Support Program The Regence Personalized Care Support Program Sensitive and personal palliative care for those facing serious illness or injury Health care that s patient-centered, family-oriented and compassionate is

More information

MEMBER. CAHPS : Health Care Quality From Your Point of View FOCUS. Numbers to Know ILLINOIS 2017 ISSUE I

MEMBER. CAHPS : Health Care Quality From Your Point of View FOCUS. Numbers to Know ILLINOIS 2017 ISSUE I ILLINOIS 2017 ISSUE I MEMBER FOCUS CAHPS : Health Care Quality From Your Point of View Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey. It asks members about the care they received.

More information

Outline of Medicare Supplement Coverage Cover Page: Benefit Plans Medicare Supplement Core Through Choice

Outline of Medicare Supplement Coverage Cover Page: Benefit Plans Medicare Supplement Core Through Choice Outline of Medicare Supplement Coverage Cover Page: Benefit Plans Medicare Supplement Core Through The chart on the following page shows the benefits included in each Medicare Supplement Insurance plan.

More information

Regence Bridge. Medicare Supplement (Medigap) Plans Includes Senior Selection (Modified Plan F) OUTLINE OF COVERAGE

Regence Bridge. Medicare Supplement (Medigap) Plans Includes Senior Selection (Modified Plan F) OUTLINE OF COVERAGE OUTLINE OF COVERAGE Regence Bridge Medicare Supplement (Medigap) Plans Includes Senior Selection (Modified Plan F) Regence BlueShield of Idaho, Inc. is an Independent Licensee of the Blue Cross and Blue

More information

Benchmarking in Day Surgery. Mark Skues President, British Association of Day Surgery

Benchmarking in Day Surgery. Mark Skues President, British Association of Day Surgery Benchmarking in Day Surgery Mark Skues President, Across the Irish Sea... Issues with Financing Demographics Morale Making Day Surgery count An opportunity for care that is: Better quality More patient

More information

Illustrative Benefits, Value Added Services and Premiums are effective January 1, 2016 through December 31, 2016

Illustrative Benefits, Value Added Services and Premiums are effective January 1, 2016 through December 31, 2016 PLAN FEATURES Combined In and Out of Network Deductible (Plan Level/includes Network Deductible) Network & Out-of-Network Providers $0 Member Coinsurance N/A Applies to all expenses unless otherwise stated.

More information

Medicare HMO Blue (HMO)

Medicare HMO Blue (HMO) Benefits Overview 2017 Drug Copayments $10 $25 $45 Medicare HMO Blue (HMO) Medicare HMO Blue (HMO) is a Medicare Advantage plan from Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Blue Cross

More information

Student Nurses. Kenepuru Operating Theatres

Student Nurses. Kenepuru Operating Theatres Student Nurses Kenepuru Operating Theatres Tracey Doyle Page 1 2/3/2016 Kia Ora We are looking forward to working with you. Kenepuru Peri-operative Unit consists of Admission and Discharge areas, three

More information

Privilege Request Form Orthopedic Surgery

Privilege Request Form Orthopedic Surgery Privilege Request Form SECTION I GENERAL REQUIRERMENTS ORTHOPEDIC SURGERY Requested STAFF CATEGORY Active Courtesy Consulting Affiliate INITIAL APPOINTMENT Basic Education; MD or DO Minimum Formal Training

More information

PEBP Participants YOUR HMO PLAN. State of Nevada. Keeping it simple Southern Nevada. Health Plan of Nevada

PEBP Participants YOUR HMO PLAN. State of Nevada. Keeping it simple Southern Nevada. Health Plan of Nevada YOUR HMO PLAN Keeping it simple Southern Nevada Health Plan of Nevada State of Nevada PEBP Participants 2 Health Plan of Nevada has been serving Nevadans for over 35 years. We have a special connection

More information

Updated as of 11/1/ Individual & Family. Health Insurance

Updated as of 11/1/ Individual & Family. Health Insurance Updated as of 11/1/17 2018 Individual & Family Health Insurance 2018 Plan Options for Individuals and Families In-network benefits are described on the chart. For out-of-network benefits or more details,

More information

A Quick Guide for Resource Parents

A Quick Guide for Resource Parents A Quick Guide for Resource Parents Using Your Foster Child s Health Care Plan TennCareSelect Your Contacts SelectKids Resource Parent Line 1-888-422-2963 8 a.m. to 6 p.m. Eastern Time SelectKids_GM@bcbst.com

More information

Health Reimbursement Account and Health Savings Account

Health Reimbursement Account and Health Savings Account Plan Design & Benefits 1 EFFECTIVE JANUARY 1, 2011 Health Reimbursement Account and Health Savings Account Employee: $1,000 Employee + spouse: $1,500 Employee + children: $1,500 Family: $2,000 Non- Employee:

More information

Notification/Prior Authorization for Certain Surgical Procedures Frequently Asked Questions

Notification/Prior Authorization for Certain Surgical Procedures Frequently Asked Questions Notification/Prior Authorization for Certain Surgical Procedures Frequently Asked Questions Key Points For many UnitedHealthcare commercial plan and UnitedHealthcare Community Plan members, we require

More information

Same $0 copay*, same great service, new location! newest pharmacy location! Your favorite pharmacy now also on Oliver Road in Monroe!

Same $0 copay*, same great service, new location! newest pharmacy location! Your favorite pharmacy now also on Oliver Road in Monroe! SUMMER 2018 MARKETPLACE MEMBERS Same $0 copay*, same great service, new location! *Benefit not available in all plans Visit the qualified staff at Affinity s newest pharmacy location! Pharmacist Don Dozier

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES *PRIV* THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION PLEASE REVIEW IT CAREFULLY. If you have

More information

Preparing for Your Child s Surgery

Preparing for Your Child s Surgery Page 1 of 5 Preparing for Your Child s Surgery A Patient and Family Guide to Surgery and Anesthesia Thank you for choosing us to care for your child. We believe children are special. Your child s comfort

More information

COMMITTEE ON RATES AND STANDARDS OKLAHOMA HEALTH CARE AUTHORITY Anesthesia Reimbursement Methodology Change

COMMITTEE ON RATES AND STANDARDS OKLAHOMA HEALTH CARE AUTHORITY Anesthesia Reimbursement Methodology Change COMMITTEE ON RATES AND STANDARDS OKLAHOMA HEALTH CARE AUTHORITY Anesthesia Reimbursement Methodology Change Issue Change the reimbursement methodology for anesthesiology CPT Codes 00100 through 01966 and

More information

Information for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service)

Information for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service) Information for Dual-Eligible Members with Secondary Coverage through California January 1, 2011 December 31, 2011 Los Angeles County This publication is a supplement to the 2011 Positive (HMO SNP) Evidence

More information

2019 Summary of Benefits

2019 Summary of Benefits 2019 Summary of Benefits H6345 This is a summary of drug and health services covered by January 1, 2019 - December 31, 2019. is Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization)

More information

Key Things to Know and Do. Your Enrollment Guide

Key Things to Know and Do. Your Enrollment Guide Key Things to Know and Do Your Enrollment Guide Our Story Doctors started Health Alliance more than 35 years ago. They know from hands-on experience what their patients expect from their healthcare coverage.

More information

2017 Summary of Benefits

2017 Summary of Benefits H5209 004_DSB9 23 16 File & Use 10/14/2016 DHS Approved 10 7 2016 This is a summary of drug and health services covered by Care Wisconsin Medicare Dual Advantage Plan (HMO SNP) January 1, 2017 to December

More information

HMO BLUE. VALUE HMO HMO Blue New England - $500 deductible (New England Network) PPO 90 Blue Care Elect Preferred 90 Copay (National Network)

HMO BLUE. VALUE HMO HMO Blue New England - $500 deductible (New England Network) PPO 90 Blue Care Elect Preferred 90 Copay (National Network) Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out

More information

2016 Summary of Benefits

2016 Summary of Benefits 2016 Summary of Benefits Health Net Jade (HMO SNP) Kern, Los Angeles and Orange counties, CA Benefits effective January 1, 2016 H0562 Health Net of California, Inc. H0562_2016_0175 CMS Accepted 09082015

More information

MAKE THE MOST OF YOUR EMBLEMHEALTH PLAN

MAKE THE MOST OF YOUR EMBLEMHEALTH PLAN MAKE THE MOST OF YOUR EMBLEMHEALTH PLAN a Thank you for renewing your health insurance coverage with EmblemHealth! We value your membership. We want to give you and your family the highest level of service

More information

FACILITY BASED SERVICES

FACILITY BASED SERVICES FACILITY BASED SERVICES Inpatient Hospital Care Elective Inpatient Admission or Elective Inpatient Surgery Inpatient Rehabilitation Care Skilled Nursing Facility Admission Non-Custodial Nursing Home Care

More information

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV CO-PAYMENT BOOK 1901 Las Vegas Blvd. South Suite 107 Las Vegas, NV 89104 702-733-9938 www.culinaryhealthfund.org Revised January 2018 (Replaces Co-Payment Book dated June 2017) TABLE OF CONTENTS 4 5 6

More information

Individual and Family Consultations

Individual and Family Consultations Individual and Family Consultations Given the challenges of caregiving for people with dementia, individuals and families often elect to work with a dementia specialist to develop a care management plan.

More information

McDonald Army Health Center Fort Eustis, Virginia

McDonald Army Health Center Fort Eustis, Virginia McDonald Army Health Center Fort Eustis, Virginia McDonald Army Health Center LTC Vince Myers CSM Martyn Pauwels LTC Vincent B. Myers / 314-7501 / vincent.b.myers.mil@mail.mil Mission and Vision Statement

More information

CUSTODIAL NURSING HOME CARE

CUSTODIAL NURSING HOME CARE CUSTODIAL NURSING HOME CARE Chiropratic Services Custodial Nursing Home Care DME Equipment and Supplies Incontinence Supplies: Diapers, briefs, wipes, gloves, pads Infusion (IV, Enteral) Services Outpatient

More information

2018 CareOregon Advantage Plus (HMO-POS SNP) Summary of Benefits

2018 CareOregon Advantage Plus (HMO-POS SNP) Summary of Benefits 2018 CareOregon Advantage Plus (HMO-POS SNP) Summary of Benefits For Oregon counties: Clackamas, Clatsop, Columbia, Jackson, Josephine, Multnomah, Tillamook, Washington and Yamhill H5859_1099_CO_1018 CMS

More information

Schedule of Benefits - HMO Group - MEDFORD AREA SCHOOL DISTRICT Benefit Year: January 1st through December 31st Effective Date: 01/01/2016

Schedule of Benefits - HMO Group - MEDFORD AREA SCHOOL DISTRICT Benefit Year: January 1st through December 31st Effective Date: 01/01/2016 Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

State of New Jersey Aetna Medicare SM Plan (PPO)

State of New Jersey Aetna Medicare SM Plan (PPO) PLAN FEATURES Deductible (per calendar year) Network Providers $0 Deductible Member Coinsurance N/A Applies to all expenses unless otherwise stated. Annual Maximum Out-of- $1,000 Pocket Amount (includes

More information

Information for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service)

Information for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service) Information for Dual-Eligible Members with Secondary Coverage through California January 1, 2015 December 31, 2015 Los Angeles County This publication is a supplement to the 2015 Evidence of Coverage and

More information

We Want the Best for You Medicare Diabetes Prevention Program (MDPP) Get Screened for Colorectal Cancer Diabetes & Statin Use

We Want the Best for You Medicare Diabetes Prevention Program (MDPP) Get Screened for Colorectal Cancer Diabetes & Statin Use BEWELL Member tips, tools and resources to support a healthy lifestyle Volume 2 2018 We Want the Best for You Medicare Diabetes Prevention Program (MDPP) Get Screened for Colorectal Cancer Diabetes & Statin

More information

FACILITY BASED SERVICES

FACILITY BASED SERVICES CUSTODIAL NURSING HOME CARE Chiropratic Services Custodial Nursing Home Care DME Equipment and Supplies Incontinence Supplies: Diapers, briefs, wipes, gloves, pads Infusion (IV, Enteral) Services Outpatient

More information

Yes, for all plans, see or call for a list of network providers.

Yes, for all plans, see   or call for a list of network providers. Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out

More information

Schedule of Benefits - Indemnity Group - MEDFORD AREA SCHOOL DISTRICT Benefit Year: January 1st through December 31st Effective Date: 01/01/2016

Schedule of Benefits - Indemnity Group - MEDFORD AREA SCHOOL DISTRICT Benefit Year: January 1st through December 31st Effective Date: 01/01/2016 Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

Schedule of Benefits - Point of Service MOSINEE SCHOOL DISTRICT Benefit Year: January 1st Through December 31st Effective Date: 07/01/2016

Schedule of Benefits - Point of Service MOSINEE SCHOOL DISTRICT Benefit Year: January 1st Through December 31st Effective Date: 07/01/2016 Security Health Plan certifies that you and any covered dependents have coverage as described in your Certificate and Schedule of Benefits as of the effective date shown on the letter you received with

More information

Summary of Benefits Prominence Preferred Health Insurance Small Group Health Plan

Summary of Benefits Prominence Preferred Health Insurance Small Group Health Plan Calendar Year Deductible (CYD) 2 $1,000 Single / $3,000 Family $3,000 Single / $9,000 Family Coinsurance - Member responsibility 20% coinsurance 50% coinsurance Out-of-Pocket Maximum 3 - Deductibles, coinsurance

More information

PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. - FULL RISK

PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. - FULL RISK PLAN FEATURES Deductible (per calendar year) PLAN DESIGN & BENEFITS None Individual None Family The family Deductible is a cumulative Deductible for all family members. The family Deductible can be met

More information

SUMMARY OF BENEFITS. Advantage (HMO) H

SUMMARY OF BENEFITS. Advantage (HMO) H SUMMARY OF BENEFITS January 1, 2017 - December 31, 2017 Cigna-HealthSpring Advantage (HMO) H4513-009 Our service area includes the following counties in Texas: Angelina, Brazoria, Cameron, Chambers, Fort

More information

You d drop everything to care for them if you could.

You d drop everything to care for them if you could. POST ACUTE CARE Michigan New Jersey Wisconsin 2017 You d drop everything to care for them if you could. 02 03 Post Acute Care Introduction At Atrium Health & Senior Living, you can. Post Acute Care Introduction

More information

$2,000 Individual. Deductible (per calendar year)

$2,000 Individual. Deductible (per calendar year) PLAN FEATURES Deductible (per calendar year) FAMILY PHYSICIANS GROUP $2,000 Individual $4,000 Family Unless otherwise indicated, the deductible must be met prior to benefits being payable. Member cost

More information

Summary of Benefits. Tufts Medicare Preferred HMO PLANS Tufts Medicare Preferred HMO GIC

Summary of Benefits. Tufts Medicare Preferred HMO PLANS Tufts Medicare Preferred HMO GIC Tufts Medicare Preferred HMO PLANS 2018 Summary of Benefits Tufts Medicare Preferred HMO GIC The benefit information provided is a summary of what we cover and what you pay. It does not list every service

More information

M.Emin Aksoy M.D., Ph.D.

M.Emin Aksoy M.D., Ph.D. M.Emin Aksoy M.D., Ph.D. Total Number of Trainees : 30872 Total Number of Courses : 804 CASE has been nominated as Global Training Center for Robotic Surgery in April 2016. National Courses Target Group

More information

SUMMARY OF BENEFITS. Cigna-HealthSpring. Advantage SMS (HMO) H January 1, December 31, Cigna H4407_16_32690 Accepted

SUMMARY OF BENEFITS. Cigna-HealthSpring. Advantage SMS (HMO) H January 1, December 31, Cigna H4407_16_32690 Accepted SUMMARY OF BENEFITS January 1, 2016 - December 31, 2016 Cigna-HealthSpring Advantage SMS (HMO) H4407-011 2015 Cigna H4407_16_32690 Accepted SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS This booklet

More information

Today's Options Premier 200 (PFFS) offered by American Progressive Life & Health Insurance Company of New York, Inc.

Today's Options Premier 200 (PFFS) offered by American Progressive Life & Health Insurance Company of New York, Inc. Today's Options Premier 200 (PFFS) offered by American Progressive Life & Health Insurance Company of New York, Inc. Annual Notice of Changes for 2017 You are currently enrolled as a member of Today's

More information

Medical Plan Options - Retirees Age 65 or Over/ Disabled Participants with Medicare Coverage

Medical Plan Options - Retirees Age 65 or Over/ Disabled Participants with Medicare Coverage Program Name U of M Retiree Plan with Group MedicareBlue SM Rx Group Platinum Blue SM Plan C with Group MedicareBlue SM Rx Freedom Plan & Freedom Plan & Type of Policy Coordinates with Medicare and includes

More information

2018 Summary of Benefits. HMO Plan REHP H3907

2018 Summary of Benefits. HMO Plan REHP H3907 2018 Summary of Benefits HMO Plan REHP H3907 UPMC for Life HMO Plan (HMO) REHP SUMMARY OF BENEFITS January 1, 2018 December 31, 2018 This Summary of Benefits booklet gives you a summary of what UPMC for

More information

Benefits Committee August 19, 2015 PLEASE Sit at least 5 to a table

Benefits Committee August 19, 2015 PLEASE Sit at least 5 to a table August 19, 2015 PLEASE Sit at least 5 to a table 1 Our Focus 2 Our Goal for the Benefits Committee Goals will be to help assure current insurance benefits are appropriately structured and financed to support

More information

For Large Groups Health Benefit Single Plan (HSA-Compatible)

For Large Groups Health Benefit Single Plan (HSA-Compatible) Financial Features (DED 1 ) (PBP 2 ) (DED is the amount the member is responsible for before Florida Blue pays) Out-of-Network Inpatient Hospital Facility Services Per Admission (PAD) Coinsurance (Coinsurance

More information

Single/Family $2,500/$5,000 $5,000/$10,000. Single/Family $6,000/$12,000 $10,000/None. Single/Family $5,000/$10,000 $6,250/$12,500

Single/Family $2,500/$5,000 $5,000/$10,000. Single/Family $6,000/$12,000 $10,000/None. Single/Family $5,000/$10,000 $6,250/$12,500 Plan Information Provider networks: Members have direct access to their choice of providers. Member cost-sharing is lowest for In-Network providers. If a member chooses an Out-of-Network provider, the

More information

Regence EmployeeChoice Plan Highlights Platinum 250, Platinum 500, Gold 500, Gold 1000, Gold 1500, Silver 2500, Bronze Essential /1/2016

Regence EmployeeChoice Plan Highlights Platinum 250, Platinum 500, Gold 500, Gold 1000, Gold 1500, Silver 2500, Bronze Essential /1/2016 Plan Information Provider networks: Members have direct access to their choice of providers. Member cost-sharing is lowest for In-Network providers. If a member chooses an Out-of-Network provider, the

More information

SUMMARY OF BENEFITS. TotalCare (HMO SNP) H Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant and Wise

SUMMARY OF BENEFITS. TotalCare (HMO SNP) H Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker, Tarrant and Wise SUMMARY OF BENEFITS January 1, 2018 - December 31, 2018 Cigna-HealthSpring H4513-029 Our service area includes the following counties in Texas: Bexar, Collin, Dallas, Denton, El Paso, Hood, Johnson, Parker,

More information

2018 Summary of Benefits

2018 Summary of Benefits 2018 Summary of Benefits H5209-004_MDASB 9-13-17 Accepted 9/18/2018 DHS Approved 09/13/2017 This is a summary of drug and health services covered by Care Wisconsin Medicare Dual Advantage Plan (HMO SNP)

More information

January 1, 2015 December 31, Maintenance Organization (HMO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract)

January 1, 2015 December 31, Maintenance Organization (HMO) offered by HEALTHNOW NEW YORK INC. with a Medicare contract) BLUECROSS BLUESHIELD SENIOR BLUE 601 (HMO), BLUECROSS BLUESHIELD SENIOR BLUE HMO SELECT (HMO) AND BLUECROSS BLUESHIELD SENIOR BLUE HMO 651 PARTD (HMO) (a Medicare Advantage Health Maintenance Organization

More information

PLAN DESIGN & BENEFITS PROVIDED BY AETNA

PLAN DESIGN & BENEFITS PROVIDED BY AETNA PLAN FEATURES Deductible (per calendar year) PLAN DESIGN & BENEFITS None Individual None Family The family Deductible is a cumulative Deductible for all family members. The family Deductible can be met

More information

Revised Surgical Rotation Case Requirements, Core Curriculum for Surgical Technology, 6 th edition

Revised Surgical Rotation Case Requirements, Core Curriculum for Surgical Technology, 6 th edition TO: FROM: Surgical Technology Program Directors AST ARC/STSA NBSTSA DATE: October 29, 2014 RE: Revised Surgical Rotation Case Requirements, Core Curriculum for Surgical Technology, 6 th edition Dear Surgical

More information

Supporting Referrals to Diagnostic Services

Supporting Referrals to Diagnostic Services Supporting Referrals to Diagnostic Services Published February 2017 NHS Digital is the trading name of the Health and Social Care Information Centre. Contents Supported Referrals 3 Setting up a diagnostic

More information

PLAN DESIGN & BENEFITS

PLAN DESIGN & BENEFITS PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) Poway Unified School District None Individual None Family $1,500 Individual $3,000 Family In-Network expenses include

More information

PATIENT WELCOME PACKET

PATIENT WELCOME PACKET PATIENT WELCOME PACKET 1 Welcome! Welcome to the Virginia Hospital Center (VHC) Physician Group! We are a multi-specialty Physician Group consisting of primary care, urgent care, and medical and surgical

More information

ANNUAL NOTICE OF CHANGES FOR 2018

ANNUAL NOTICE OF CHANGES FOR 2018 Blue Cross Community MMAI (Medicare-Medicaid Plan) SM ANNUAL NOTICE OF CHANGES FOR 2018 1-877-723-7702 (TTY/TDD: 711) We are available 24 hours a day, seven (7) days a week. The call is free. For more

More information

Patient Price Information List

Patient Price Information List Patient Price Information List In compliance with state law, OhioHealth is providing this price list for Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital, and Dublin Methodist Hospital

More information

Telemedicine services $0 copay Not applicable Primary care provider (PCP) CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance

Telemedicine services $0 copay Not applicable Primary care provider (PCP) CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance Calendar Year Deductible (CYD) 2 Plan includes an embedded individual deductible provision. An embedded deductible combines individual and family deductibles in $4,000 Single / $8,000 Family $12,000 Single

More information