2017 BENEFIT ENROLLMENT
|
|
|
- Teresa Jennings
- 5 years ago
- Views:
Transcription
1 2017 BENEFIT ENROLLMENT
2 2017 Medical Plans. All medical plans will be on the Wichita Preferred Quality Point of service (QPOS) plans in the Wesley preferred narrow network. Employees will be required to pick a Primary Care Physician (PCP) during online open enrollment for themselves and each family member enrolled in the plan. Members will be required to obtain a referral from their PCP to seek care from an in-network specialist. Members can seek care from out-of-network providers but will be required to pay more out of pocket for those services. Wesley remains the preferred hospital for all medical plans
3 2017 Urgent / Immediate Care Centers Via Christi Immediate Care (Former Wichita Clinic on Murdock) will NOT be in network
4 Primary Care Physician (PCP) Must be one of the following physician types: Cannot be one of the following: Family Practice Pediatrician Internal Medicine General Practitioner Specialist Physician Assistant (PA) Advanced Registered Nurse Practitioner (ARNP) These provider types are not excluded from the plan, they just cannot be selected as a PCP.
5 Designating a PCP Families do not have to all have the same PCP. Employees will be asked to designate a PCP for each dependent they enroll into the plan. During Open Enrollment a list of in-network PCPs will be available within the online enrollment system and employees will be required to designate a PCP for themselves and each of their dependents. If an in-network PCP is not specified by the employee during open enrollment, Aetna will assign a PCP to them. Employees who are auto-assigned a provider, will receive a letter from Aetna after open enrollment notifying them of their designated PCP. In network PCPs for 2017 For a list of primary care physicians who will be in Aetna Wichita Preferred QPOS network for 2017, click here Aetna 2017 Primary Care Providers List.
6 USD 259 Nurse Navigator Our Nurse Navigator (Mary Singleton) will be available to offer our employees one on one assistance in navigating the new Aetna Wichita Preferred Quality Point of Service (QPOS) plans. Employees can receive assistance finding a new in-network PCP or with navigating the transition of care process. Mary Singleton, RN, MSN USD 259 Nurse Navigator Contact by phone at (316) or doctorfindhelp@usd259.net 2017 Provider Information Complete listing of all Aetna Wichita Preferred QPOS in-network providers (including specialists) for Click here: Directory of 2017 Healthcare Providers When using the search feature you will receive a pop up box. DO NOT HIT CONTINUE. You must select the plan first. Choose 2017 Wichita Preferred QPOS.
7 Changing PCP Members can change their PCP anytime and as many times as they would like. PCP changes will take affect the 1st day of the following month. Members can speak to an Aetna representative to change their PCP by calling customer service line for Wichita Public Schools at Members can also change their PCP by logging into the Aetna Navigator (online personal portal). Tour Aetna Navigator Employees will receive a new ID card each time they (or their dependent) selects a new PCP. Employees will receive separate cards from Maxor Pharmacy and Delta Dental (if enrolled in Dental Plan)
8 Referrals To Specialists Effective January 1, 2017, employees (or dependents) needing care from a specialist, will need to obtain a referral to an in-network specialist, from the designated in-network primary care physician (PCP) that is listed on the employee s new Aetna card. If an employee (or dependent) is currently receiving treatment with an in-network specialist, they will need to request a referral from their designated in-network PCP to the specialist so they can continue treatment with that provider. Contact Nurse Navigator by phone at (316) or doctorfindhelp@usd259.net If an employee (or dependent) is currently treating with a specialist, who will no longer be in the network in 2017, the employee will need to complete a Transition of Care form to request continuation of this care for a temporary period of time. Our Nurse Navigator is available to assist employees with the Transition of Care process
9 Referrals Employees (and dependents) will need to obtain referrals from their designated Primary Care Physician (PCP) to receive all services except those listed. Behavioral Health Durable Medical Equipment Gynecology care (routine, non routine, pregnancy) Home Health Care Hospital Ambulatory Surgery Hospital Outpatient Services Midlevel practitioners (Physician Assistant, Nurse Practitioner at the PCP s office, or at the specialist offices (when a referral is on file for you to see that specialist) Preventative Immunizations when given at the PCP s office Radiology, Pathology, Lab Routine Vision Care Physical, Occupational, Speech Therapy Urgent Care Facility Walk-In Clinic (Minute Clinic, etc.) Nutritional Counseling Termination of Pregnancy (Involuntary) You may still need to have a prescription or precertification for services whether or not they require a referral.
10 Via Christi Specialists Aetna has negotiated Limited Service Agreements with Via Christi to keep the following specialties in our network for Click here to see which specific Via Christi Specialist will be potentially remaining in-network for 2017: *Via Christi Specialist Specialties with preliminary Limited Service Agreements Allergy/Immunology Ambulatory Surgicenter Anesthesiology, Hospice and Palliative Care Audiologist Dermatology Endocrinology, Diabetes & Metabolism Gastroenterology Neurology Otorhinolaryngology (Ear, Nose & Throat (ENT)) Pediatric Allergy & Immunology Pediatric Gastroenterology Pediatric Neurology Rheumatology *This list is preliminary and Via Christi has not yet executed the Limited Services Agreement. This list is accurate as of pending signed agreements from Via Christi and is subject to change without notice, please verify providers by visiting Aetna s Wichita Public Schools custom docfind 2017 QPOS, at:
11 Out of Network Care Higher deductible Employees do have an option to seek care outside the network. Higher coinsurance percentage and higher out of pocket maximum. Employee can be billed for the difference between the billed charges and the allowed charges in addition to their deductible and coinsurance. Even if employee reaches the maximum out of pocket limit and begins to receive 100% benefit, they can still be responsible for the difference between billed charges and the allowed amount. Employees may still be required to obtain precertification or review for certain services. The employee will have higher out of pocket expenses. Employees may be required to pay the bill and submit the claim to be considered under your plan of benefits.
12 Transition of Care Employees can request in-network coverage for a limited period of a time under certain unique circumstances. Employees can complete a Transition of Care Coverage request form and submit to Aetna for the following: To receive care from an out of network doctor To continue care temporarily with a doctor whose network status has changed (moved from in-network to out of network) To continue care temporarily with other health care providers who have treated you When unable to obtain a referral from in-network PCP to see a specialist Contact Nurse Navigator by phone at (316) or doctorfindhelp@usd259.net Our Nurse Navigator is available to assist employees with the Transition of Care process
13 A New Way To Shop For Benefits ONLINE ENROLLMENT November 7 th November 18 th
14 Features Ask Emma PCP List Cost Estimator Wellness Verifications Document Uploading Annual Notices Confirmation Statements Ask Emma can provide employees with an out-of-pocket cost estimate for each plan offered.
15 2017 Benefit Meetings Tuesday, November 1 st 7:00am School Service Center (SSC) Training Room 3850 N Hydraulic 6:00pm Joyce Focht Instructional Support Center (JFISC) 412 S. Main Wednesday, November 2 nd 6:00pm School Service Center (SSC) Training Room 3850 N Hydraulic Thursday, November 3 rd 6:00am School Service Center (SSC) Training Room 3850 N Hydraulic 2:00pm School Service Center (SSC) Training Room 3850 N Hydraulic
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
Cigna Summary of Benefits Open Access Plus Copay Plan (OAP10)
Cigna Care Network (CCN) Cigna Summary of Benefits Open Access Plus Copay Plan (OAP10) Cigna Care Network (CCN) Your employer has selected a Cigna Care Network (CCN) plan. When you need specialty care,
Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members
Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members DEDUCTIBLE (per calendar year) Annual in-network deductible must be paid first for the following services: Imaging, hospital
Member s Responsibility: Deductible, Copays, Coinsurance and Maximums
Benefits-at-a-Glance for GradCare 2018 This is intended as an easy-to-read summary. It is not a contract. Refer to the Your Benefits chapter in the Certificate for an official description of benefits.
GIC Employees/Retirees without Medicare
GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England
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
SCHEDULE OF MEDICAL BENEFITS
Annual Deductibles Annual Out-of-Pocket Maximums Inpatient Hospital Copayment (Excludes Deductible) $250 Individual $1,000 Individual $100 per day, not to exceed $500 Family $2,000 Family $600 per admission
Super Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Deductible
BENEFIT HIGHLIGHTS 1 Super Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Group Effective Date December 1, 2017 Benefit Period (used for and Coinsurance limits) January 1 through December
Schedule of Benefits
Schedule of Benefits ANTHEM Small Business Health Options Program (SHOP) This is a brief schedule of benefits. Refer to your Anthem Certificate of Coverage (Booklet) for complete details on benefits, conditions,
PLAN DESIGN AND BENEFITS - PA POS 4.2 with $5/$15/$30 RX PARTICIPATING PROVIDERS
PLAN FEATURES Deductible (per calendar year) PHYSICIAN SERVICES Primary Care Physician Visits Specialist Office Visits Maternity OB Visits Allergy Treatment Allergy Testing PREVENTIVE CARE Routine Adult
$25 copay per visit annual deductible applies. $30 copay per visit annual deductible applies
Minnesota Public Employees Insurance Program (PEIP) Advantage Health Plan 2018-2019 Benefits Schedule Benefit Provision Cost Level 1 You Pay Cost Level 2 You Pay Cost Level 3 You Pay Cost Level 4 You Pay
Provider Guide for Prime Healthcare EPO
Provider Guide for Prime Healthcare EPO Revised: 02012014 Page 1 Table of Contents INTRODUCTION... 3 OVERVIEW... 3 BENEFIT AND REIMBURSEMENT... 3 PLAN PARTICIPATION... 4 UTILIZATION MANAGEMENT AND REFERRAL
Excellus BluePPO Option K
Excellus BluePPO Option K Contraceptives Only Benefit Time Period: 01/01/2018-12/31/2018 NYS Automobile Dealers Assoc. General Information Cost Sharing Expenses Deductible - Single $0 $1,000 Deductible
EXHIBIT AAA (3) Northeast Zone PROVIDER NETWORK COMPOSITION/SERVICE ACCESS
EXHIBIT AAA (3) Northeast Zone PROVIDER NETWORK COMPOSITION/SERVICE ACCESS 1. Network Composition The PH-MCO must consider the following in establishing and maintaining its Provider Network: The anticipated
For Large Groups Health Benefit Summary Plan 05301
This is a lower premium plan that offers comprehensive insurance coverage. These plans are designed to help you know your costs upfront with a copayment for the services you use most. Your cost share will
NY EPO OA 1-09 v Page 1
PLAN FEATURES Deductible (per calendar year) Member Coinsurance (applies to all expenses unless otherwise stated) Maximum Out-of-Pocket Limit (per calendar year) Lifetime Maximum (per member lifetime)
Benefit Name In Network Out of Network Limits and Additional Information. Benefit Name In Network Out of Network Limits and Additional Information
Excellus BluePPO $5/$35/$70, $0 gen for kids Integrated Rx, No Ded Prev Rx Benefit Time Period: 01/01/2018-12/31/2018 NYSADA General Information Cost Sharing Expenses Deductible - Single $2,600 $2,600
Blue Choice. Hospital/$50, Physician's Office/Lesser of $50 or 20%; physician $40, facility $50. $35/trip $100/trip $50/trip $100/trip $100/trip
HOSPITAL SERVICES Hospital Inpatient : Paid in full No cost No cost No cost No cost Hospital Outpatient Hospital $40 or $60 per visit, : $20 per visit Hospital/$50, Physician's Office/Lesser of $50 or
Benefit Name In Network Out of Network Limits and Additional Information. N/A Pharmacy. N/A Pharmacy
Excellus BluePPO Drug Coverage Excluded Benefit Time Period: 01/01/2018-12/31/2018 HOBART & WILLIAM SMITH COLLEGES General Information Cost Sharing Expenses Deductible - Single $0 $500 Deductible - Family
HEALTH SAVINGS ACCOUNT (HSA)
HSA FEATURES Health Savings Account Amount $600 Employee $1,000 Family Amount contributed to the HSA by the employer. Funded on a quarterly basis. HSA amount reflected is on a per calendar year basis.
CALIFORNIA Small Group HMO Aetna Health of California, Inc. Plan Effective Date: 04/01/2007. Aetna Value Network* HMO $30/$40
PLAN FEATURES Deductible (per calendar year) Member Coinsurance Lifetime Maximum Primary Care Physician Selection Referral Requirement PHYSICIAN SERVICES CALIFORNIA Small Group HMO Primary Care Physician
Your Choice. 3-Tier Network Option Plan
Your Choice 3-Tier Network Option Plan What is Your Choice? Click Here to Watch Video Your Top Questions What is Your Choice? Are my doctors in the plan? Are my medications covered by the plan? If I get
UNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE
November 1, 2016 UNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE NETWORK NON-NETWORK Lifetime Maximum Benefit Unlimited Unlimited Annual Deductible (Single/Family) $500/$1,000 $1,000/$2,000 Maximum
What Your Plan Covers and How Benefits are Paid SUMMARY BOOKLET. Prepared Exclusively for Six Continents Hotels, Inc. Elect Choice
SUMMARY BOOKLET What Your Plan Covers and How Benefits are Paid Prepared Exclusively for Six Continents Hotels, Inc. Elect Choice Table of Contents Preface...1 Important Information Regarding Availability
Your Out-of-Pocket Type of Service
Calendar Year Deductible (CYD) 1 $3,000 single/ 3x family Out-of-Pocket Maximum - Deductibles and copays all accrue towards the out-of-pocket $6,200 single/ 2x family maximum. With respect to family plans,
SUMMARY OF BENEFITS. Hamilton County Department of Education Network Copay Plan. Connecticut General Life Insurance Co.
SUMMARY OF BENEFITS Connecticut General Life Insurance Co. Hamilton County Department of Education Annual deductibles and maximums Lifetime maximum Pre-Existing Condition Limitation (PCL) Coinsurance All
An EPO Employee and Retiree Medical Plan...
An EPO Employee and Retiree Medical Plan... Member Handbook...with PPO Benefit Option The benefits and service you love. Plus. IMPORTANT CONTACT INFORMATION PLAN INFORMATION AND MEMBER SERVICES Office
Descriptions: Provider Type and Specialty
Descriptions: Provider Type and Specialty PROVIDER TYPE/SPECIALTY ADULT PRIMARY CARE Provides care for adults by treating common health problems, performing check-ups and providing prevention services.
Kaiser Permanente Group Plan 301 Benefit and Payment Chart
301 Kaiser Permanente Group Plan 301 Benefit and Payment Chart 10119 CITY AND COUNTY OF SAN FRANCISCO About this chart This benefit and payment chart: Is a summary of covered services and other benefits.
$10 copay. $10 copay. $10 copay $5 copay $10 copay $5 copay. $10 copay. No charge. No charge. No charge
PLAN FEATURES * ** Deductible (per calendar ) Member Coinsurance Copay Maximum (per calendar ) Lifetime Maximum Unlimited Primary Care Physician Selection Required Upon enrollment to a Vitalidad Plus plan,
PLAN FEATURES PREFERRED CARE
PLAN DESIGN & BENEFITS - "HMO" PLAN FEATURES Deductible (per calendar year) $200 Individual $400 Family All covered expenses, excluding prescription drugs, accumulate toward the preferred Deductible. Unless
Optional PREFERRED CARE. Covered 100%; deductible waived. Covered 100%; deductible waived 30% after deductible
PLAN FEATURES NON- Deductible (per calendar year) $500 Individual $750 Individual $1,500 Family $2,250 Family All covered expenses, excluding prescription drugs, accumulate toward both the preferred and
2014 Accreditation Report The University of Kansas Medical Center
2014 Report s current of Degree and Certificate Programs Audiology - AUD GR Council on Academic in Audiology and Speech-Language Pathology (CAA) Cont. Accred. 2009 8 years 2016 Clinical Laboratory Sciences
Optional PREFERRED CARE. Covered 100%; deductible waived. Covered 100%; deductible waived
PLAN FEATURES Deductible (per calendar year) $1,500 Individual $1,500 Individual $3,000 Family $3,000 Family All covered expenses, including prescription drugs, accumulate toward both the preferred and
Denver Health Medical Plan, Inc Access Plan for Large Group and Exchange Plans
Denver Health Medical Plan, Inc. 2016 Access Plan for Large Group and Exchange Plans Table of Contents Page INTRODUCTION 3 I. DHMP NETWORKS OF PRIMARY CARE, SPECIALISTS, BEHAVIORAL HEALTH, HOSPITALS AND
WILLIS KNIGHTON MEDICAL CENTER S2763 NON GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Customized COB Dependents Children birth to 26 Filing Limit 12 months For employees that work in a WKHS location within the primary HealthPlus
PREFERRED CARE. combination of family members; however no single individual within the family will be subject to more than the individual
PLAN FEATURES Deductible (per plan year) $500 Individual $1,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. The family Deductible is a cumulative Deductible
Benefit Name In Network Out of Network Limits and Additional Information. Benefit Name In Network Out of Network Limits and Additional Information
Excellus BluePPO $5/$35/$70, $0 gen for kids Integrated Rx, No Ded Prev Rx Benefit Time Period: 01/01/2018-12/31/2018 NYSADA General Information Cost Sharing Expenses Deductible - Single $3,500 $3,500
Summary of Benefits CCPOA (Basic) Custom Access+ HMO
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits CCPOA (Basic) Custom Access+ HMO CCPOA Effective January 1, 2019 HMO Benefit Plan This Summary of Benefits
2015 Physician Licensure Survey
2015 Physician Licensure Survey 1. What is your racial background? Please select all that apply. White American Indian or Alaska Native Native Hawaiian/Pacific Islander Black or African American Asian
2016 Medical Plan Comparison Chart
2016 Medical Plan Comparison Chart WellStar Health System is committed to helping you control healthcare costs while providing more choices and personal control over your healthcare coverage through the
Kaiser Permanente (No. and So. California) 2018 Union
Kaiser Permanente (No. and So. California) General Information Lifetime Maximum Benefit Annual Maximum Benefit Coinsurance Percentage Precertification Requirements Precertification Penalty Health Savings
CA Group Business 2-50 Employees
PLAN FEATURES Network Primary Care Physician Selection Deductible (per calendar year) Member Coinsurance Copay Maximum (per calendar year) Lifetime Maximum Referral Requirement PHYSICIAN SERVICES Primary
A BETTER WAY. to invest in employee health
A BETTER WAY to invest in employee health A BETTER WAY to take care of business Rely on A BETTER WAY Manage costs Invest in employee health Build the future 2 May 9, 2013 Kaiser Permanente 2012. All Rights
SECTION V. HMO Reimbursement Methodology
SECTION V. HMO Reimbursement Methodology Overview V-2 SFHN s Financial Responsibility Provider Payment Methodology Chart Primary Care Physicians V-4 Overview Capitated Primary Care Services Services Reimbursed
2017 SEMI-MONTHLY PREMIUMS. Employee and Spouse $ Employee and Child(ren) $ Family $332.12
2017 BB&T BENEFITS PROGRAM GUIDE SUPPLEMENTAL INFORMATION FOR CALIFORNIA ASSOCIATES PREPARING FOR BENEFITS ENROLLMENT This supplement to the 2017 BB&T Benefits Program Guide contains additional information
Building photos courtesy of LLT Building Corporation
Building photos courtesy of LLT Building Corporation Primary areas of prevention and health promotion High risk drinking and drug prevention Mental health Physical health (nutrition, physical activity,
SUMMACARE BRONZE 4000Q-15 SCHEDULE OF BENEFITS
SUMMACARE BRONZE 4000Q-15 SCHEDULE OF BENEFITS Enrollee Services Per Member/Per Family Calendar Year Deductible (In-network and out-of-network deductibles are separate. Deductible applies to all covered
17.1 PRODUCT INFORMATION. Fidelis Care s Metal-Level Products
PRODUCT INFORMATION Fidelis s Metal-Level Products Following the implementation of the Patient Protection and Affordable Act, Fidelis offers Metal-Level Products covering Essential Health Benefits as defined
Schedule of Benefits-EPO
Schedule of Benefits-EPO [Plan Information] [Health Plan:] [Ambetter Balanced Care 3 (2018)-Standard Silver On Exchange Plan] [Primary Member:] [John Doe] [Member ID:] [01213456] [Date of Birth:] [08/12/62]
Office manual for health care professionals
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Office manual for health care professionals West Regional Section www.aetna.com 23.20.804.1 F (7/17) Welcome
Aetna Health of California, Inc.
Easily locate PrimeCare participating providers at www.aetna.com/docfind/primecare PLAN FEATURES Deductible (per calendar year) Member Coinsurance Lifetime Maximum Primary Care Physician Selection Referral
OVERVIEW OF YOUR BENEFITS
OVERVIEW OF YOUR BENEFITS IMPORTANT PHONE NUMBERS Member Services Department (646) 473-9200 For answers to questions about your benefits or to be referred to another Benefit Fund department. Program for
IT S MORE THAN A TAG LINE HERE AT THE IOWA CLINIC.
Primary Care Services // Family Medicine // Internal Medicine // Pediatrics // Urgent Care Specialty Care Services // Allergy // Audiology/Hearing Technology // Cardiology // Cardiothoracic Surgery //
Your Out-of-Pocket Type of Service
Calendar Year Deductible (CYD) 1 $0 single/ 3x family Out-of-Pocket Maximum - Deductibles, coinsurance and copays all accrue toward the outof-pocket maximum. With respect to family plans, an individual
Optional PREFERRED CARE. Covered 100%; deductible waived. Covered 100%; deductible waived
PLAN FEATURES Deductible (per calendar year) $1,500 Individual $1,500 Individual $3,000 Family $3,000 Family All covered expenses, including prescription drugs, accumulate toward both the preferred and
CLASSIC BLUE SECURE/BLUE CROSS BLUE SHIELD COMPLEMENTARY Monroe County Benefit Summary/Comparison (Over 65 Retirees)
WHO IS COVERED Enrollment Requirement Members must be enrolled in both Medicare Parts A and B Members must be enrolled in both Medicare Parts A and B Type of Tier Single only Single only Dependent/Student
Your Choice 3-Tier Network Option Plan
. Your Choice 3-Tier Network Option Plan Your Top Questions What is Your Choice? Are my doctors in the plan? Are my medications covered by the plan? If I get sick, what do I do? How much will I pay out
SUMMARY OF BENEFITS 2009
HEALTH NET VIOLET OPTION 1, HEALTH NET VIOLET OPTION 2, HEALTH NET SAGE, AND HEALTH NET AQUA SUMMARY OF BENEFITS 2009 Southern Oregon Douglas, Jackson, and Josephine Counties, Oregon Benefits effective
First Look: Plan Benefit Filings
July 30, 2014 First Look: Plan Filings Maryland and Washington, D.C. 1 Disclaimers MedStar does not currently have a contract with CMS for the State of MD nor any special needs plans in Washington, D.C.
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
Tenet ICD-10 Training Information AFFILIATED PHYSICIANS
Tenet ICD-10 Training Information AFFILIATED PHYSICIANS ICD-10: Coming October 1, 2015 Let us help you make a successful transition Dear BHS physician and allied health providers, Per congressional and
AmeriHealth Caritas North Carolina Provider Data Intake Form
AmeriHealth Caritas North Carolina Provider Data Intake Form Section 1 instructions: Please complete all fields below for the provider. Entity name (as written on W9): IPA name (if applicable): Category:
PBGH ANALYSIS. Highlights: Aetna Strengths and Weaknesses
Methods Description: Health Plan Shopping Services Evaluation PBGH ANALYSIS Executive Summary: Aetna This report evaluates Aetna s online medical care and provider shopping services that are intended to
BCBSM provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims.
Michigan Catholic Conference Group Number: 71755 Package Code(s): 010 Section Code(s): 1000, 2000 PPO - PPO1, Hearing, Vision ( Exam only) Effective Date: 01/01/2018 Benefits-at-a-glance This is intended
healthypack.dasa.ncsu.edu
NC State Student Health Services is a 62,000 square foot outpatient primary care facility located on Central Campus. CENTRAL CAMPUS LOCATION: 2815 Cates Avenue Raleigh, NC 27695 CENTENNIAL LOCATION: Plaza
Summary of Benefits Prominence HealthFirst Small Group Health Plan
POS Triple Choice 3000 Summary of Benefits Calendar Year Deductible (CYD) $3,000 Single / $9,000 Family $7,000 Single / $21,000 Family $21,000 Single / $63,000 Family Coinsurance 40% coinsurance 50% coinsurance
What to Expect If you need care
What to Expect If you need care in the United States Online Consumer Portal Backed by the power of UnitedHealth Group, the largest single carrier in the United States, UnitedHealthcare Global is committed
PROVIDER NETWORK ADEQUACY INSTRUCTIONS
PROVIDER NETWORK ADEQUACY INSTRUCTIONS MANAGED CARE SYSTEMS PROVIDER NETWORK ADEQUACY INSTRUCTIONS Minnesota Department of Health Managed Care Systems PO Box 64882, St. Paul, MN 55164-0882 651-201-5100
Kaiser Foundation Health Plan, Inc. A NONPROFIT HEALTH PLAN - HAWAII REGION
Kaiser Foundation Health Plan, Inc. A NONPROFIT HEALTH PLAN - HAWAII REGION 2019 Summary of Important Changes for Contract Renewals for the Kaiser Permanente Group Plan (These changes are subject to regulatory
Medicare Advantage Referral-Required Plans
Medicare Advantage Referral-Required Plans Overview UnitedHealthcare Medicare Advantage referral-required plans emphasize the role of the primary care physician (PCP). Members choose a PCP who oversees
TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC.
TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned Deductible
SENIOR MED, LLC EMPLOYEE BENEFIT PLAN MEDICAL BENEFITS SCHEDULE LOW PLAN Effective April 1, 2014
LOW PLAN MAXIMUM BENEFIT AMOUNT: Aggregate Annual Limit NETWORK PROVIDERS NOTE: Benefits are only covered at Network Providers. No coverage is available at NON-NETWORK Providers, except where indicated
All but Part A Deductible. Medicare Part A Deductible. Nothing. Inpatient Hospital All but Part A Medicare Part A Nothing.
Summary of Signature 65 Benefits Signature 65 is a Medicare-complimentary benefit program that fills in the coverage gaps and cost sharing of the traditional Medicare program (Medicare Part A and ). In
High Deductible Health Plan - H S A PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY
PLAN FEATURES NON- Deductible (per calendar year) $1,300 Individual $2,000 Individual $2,600 Family $4,000 Family All covered expenses including prescription drugs accumulate toward both the preferred
Enrollment Guide WASHINGTON COUNTY PUBLIC SCHOOLS. Washington County Public Schools Enrollment Guide C1
Enrollment Guide WASHINGTON COUNTY PUBLIC SCHOOLS 2014 Washington County Public Schools Enrollment Guide C1 Table of Contents Welcome... 1 Exclusive Provider Organization (EPO)... 2 Preferred Provider
Harvard University Student Health Program (HUSHP) Handbook AY2017
Harvard University Student Health Program (HUSHP) Handbook AY2017 HUSHP Member Services HUHS @ Smith Campus Center 75 Mt Auburn Street Cambridge MA 02138 617.495.2008 (p) 617.496.6125 (f) mservices@huhs.harvard.edu
Vivity offered by Anthem Blue Cross Your Plan: Custom Classic HMO 25/45/500 Admit /250 OP Your Network: Vivity
Vivity offered by Anthem Blue Cross Your Plan: Custom Classic HMO 25/45/500 Admit /250 OP Your : Vivity This summary of benefits is a brief outline of coverage, designed to help you with the selection
Blue Shield PPO Plan Frequently Asked Questions
Blue Shield PPO Plan Frequently Asked Questions If you have any questions about your plan benefits, call your dedicated Blue Shield Member Services team at (855) 724-7698. They are available to assist
SUMMARY OF BENEFITS. Cigna Health and Life Insurance Co. For Employees of - Digital Risk, LLC Open Access Plus Plan
SUMMARY OF BENEFITS Cigna Health and Life Insurance Co. For Employees of - Digital Risk, LLC Open Access Plus Plan Notice of Grandfathered Plan Status This plan is being treated as a "grandfathered health
BlueOptions - Healthy Rewards HRA Plan
BlueOptions - Healthy Rewards HRA Plan Schedule of Benefits Plan 03359 Important things to keep in mind as you review this Schedule of Benefits: This Schedule of Benefits is part of your Benefit Booklet,
Guide to Provider Forms
Guide to Provider Forms ACTION Add a Provider to the group YOU WILL NEED TO COMPLETE THE SECTIONS IDENTIFIED BELOW ON THE PROVIDER INFORMATION UPDATE FORM (PIF) AND ANY ADDITIONAL DOCUMENTS LISTED. ALL
MIT Traditional Health Plan
M A S S A C H U S E T T S I N S T I T U T E O F T E C H N O L O G Y MIT Traditional Health Plan 2017 MEMBER HANDBOOK Network Blue A managed care plan administered by Blue Cross Blue Shield of Massachusetts
Blue Options. Health Plan Information Guide. What should I know about my benefits? What happens next? Where do I go to get assistance?
Blue Options Health Plan Information Guide What happens next? What should I know about my benefits? Where do I go to get assistance? Welcome At Florida Blue, we provide you with guidance and support because
IMPORTANT INFORMATION:
Schedule of Benefits ElevateHealth Options HMO NEW HAMPSHIRE ID: MD0000018209_A13 X Coverage under this Plan is under the jurisdiction of the New Hampshire Insurance Commissioner. IMPORTANT INFORMATION:
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
UnitedHealthcare SignatureValue TM UnitedHealthcare SignatureValue Advantage Offered by UnitedHealthcare of California
CALIFORNIA SMALL GROUP UnitedHealthcare SignatureValue TM UnitedHealthcare SignatureValue Advantage Offered by UnitedHealthcare of California 20-40/300d HMO Schedule of Benefits These services are covered
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 All benefits are subject to the calendar year deductible, except those with in-network copayments,
Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx]
![Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx]](/thumbs/86/94175655.jpg "Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx]")
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits [Silver Access+ HMO 1750/55 OffEx] [Silver Local Access+ HMO 1750/55 OffEx] Group Plan HMO Benefit
DDP: PPO, CDHP, and EPO (EPO for PA residents only) DDNY: PPO and CDHP. Effective January 1, plans: HIGHLIGHTS Medical benefits 11
2016 plans: DDP: PPO, CDHP, and EPO (EPO for PA residents only) DDNY: PPO and CDHP Effective January 1, 2016 HIGHLIGHTS Medical benefits 11 How to find a provider 12 Programs and services 13 Benefit summaries
Covered Services List and Referrals and Prior Authorizations for MassHealth Members enrolled in Partners HealthCare Choice
Covered Services Covered Services List and s and Prior Authorizations for MassHealth Members enrolled in Partners HealthCare Choice This chart tells you two things: 1. the covered services and benefits
Quick Reference Card
Amerigroup District of Columbia, Inc. Quick Reference Card Precertification/notification requirements Important contact numbers n Revenue codes https://providers.amerigroup.com/dc DCPEC-0176-17 Important
Blue Cross provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims.
HOPE COLLEGE - HOURLY ORANGE 007013084/0011/0012/0013/0014/0015/0016/0017 Simply Blue PPO HSA ASC Effective Date: On or after July 2018 Benefits-at-a-glance This is intended as an easy-to-read summary
HEALTH SAVINGS PPO PLAN (WITH HSA) FT. LAUDERDALE PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JUNE 1, 2017 AETNA INC.
HEALTH SAVINGS PPO PLAN (WITH HSA) FT. LAUDERDALE PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JUNE 1, 2017 AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned Deductible
Highlights of your Health Care Coverage
Highlights of your Health Care Coverage Any deductibles, copays, and coinsurance percentages shown are amounts for which you're responsible. Medical Benefits apply after the calendar-year deductible is
UnitedHealthcare SignatureValue TM Offered by UnitedHealthcare of California
CALIFORNIA UnitedHealthcare SignatureValue TM Offered by UnitedHealthcare of California HMO Schedule of Benefits 20/0% These services are covered as indicated when authorized through your Primary Care
CITY OF SLIDELL S2630 NON-GRANDFATHERED BENEFIT SHEET
CITY OF SLIDELL S2630 BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 No later than 365 days after the Filing Limit date expenses are incurred
Updated: 10/01/12 Page : 1
PLAN FEATURES Deductible (per calendar year) $1,000 Individual $3,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Once Family Deductible is met, all family
UnitedHealthcare SignatureValue TM Advantage Offered by UnitedHealthcare of California HMO Schedule of Benefits GOLD ADVANTAGE 0
CALIFORNIA SMALL GROUP UnitedHealthcare SignatureValue TM Advantage Offered by UnitedHealthcare of California HMO Schedule of Benefits GOLD ADVANTAGE 0 These services are covered as indicated when authorized
ST. TAMMANY PARISH SCHOOL BOARD SCHEDULE OF BENEFITS
PLAN NAME ST. TAMMANY PARISH SCHOOL BOARD SCHEDULE OF BENEFITS St. Tammany Parish School Board Active Employee Plan PLAN'S ORIGINAL BENEFIT PLAN DATE PLAN'S AMENDED BENEFIT PLAN DATE GROUP NUMBER 78B03ERC