Page 8 - 2019 DAN
P. 8
Medical Plan Highlights Health Care Resources
High Deductible
Enhanced Plan Standard Plan
Health Plan (HDHP) ****
Plan Feature* In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network and Tools You Can Use
Contributions Per Semi Monthly Pay Period
Employee $100.00 $65.00 $36.50 Virtual Visits MANAGE YOUR HEALTH
Employee + Spouse $230.00 $161.50 $105.00 Skip the wait and schedule a virtual visit for quick and convenient AT MYUHC.COM
Employee + Child(ren) $205.00 $130.00 $84.00 care! There’s no driving, no waiting, and no appointment necessary.
Family $380.00 $265.00 $170.00 In the Enhanced and Standard PPO medical plans, there’s even no UnitedHealthcare’s
cost. HDHP members play less than $50! Visit www.myuhc.com myUHC.com helps you
Deductible and complete a one-time registration. manage all of your
Individual $500 $2,000 $1,000 $2,000 $2,000 $4,000 medical beneits:
Family $1,000 $4,000 $2,000 $4,000 $4,000 $8,000 Real Appeal • Find a doctor close to
Real Appeal offers support and guidance to begin and continue
Company HSA Contribution your journey to better health and lifelong wellness. Sign up at home or work
Individual/Family N/A N/A $500/$1,000 www.realappeal.com. • Estimate treatment or
Out of Pocket Maximum visit costs ahead of time
Individual $4,000 $8,000 $4,000 $8,000 $4,000 $12,000 Spine and Joint Care Centers of Excellence • View your current and
Family $8,000 $16,000 $8,000 $16,000 $6,850 $24,000 Is back, knee of hip pain changing how you live your life? Through
our new Centers of Excellence (COE) Network and with access past claims and monthly
Plan Feature to a dedicated orthopedic team, you can review your treatment statements
Plan Coinsurance 90% 70% 80% 60% 80% 60% options. If you receive care within a designated Spine and Joint
Preventive 100% Ded. and Coin. 100% Ded. and Coin. 100% Ded. and Coin. Center of Excellence, you are covered 100% for your care after Advocate4Me™
meeting your deductible. You can engage a clinical specialist
Virtual Visits $0 Not Covered $0 Not Covered Ded. and Coin. Not Covered who can discuss your options within the Spine & Joint Centers of
Primary Care $30 Ded. and Coin. $30 Ded. and Coin. Ded. and Coin. Ded. and Coin. Excellence Network by calling UnitedHealthcare at 800.765.6717. UnitedHealthcare members also
get access to Advocate4Me
TM
Specialist $50 Ded. and Coin. $50 Ded. and Coin. Ded. and Coin. Ded. and Coin. — your one-stop resource to
Inpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. One Medical help you understand your health
Outpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Employees in many of our urban populations (New York, Chicago, plan beneits, connect you to
Emergency Room Copay $250 $250 Ded. and Coin. Boston & San Francisco) have new near-site primary care facilities offering a registered nurse for medical
quick and convenient care options where you are, when you need it! conditions*, treatment options or
assist you in managing a chronic
Pharmacy Plan Highlights Resources Locations Across Quality Care condition. Whether you want
High Deductible Available Just the Country • Highly qualiied, to learn how to get the most
Enhanced Plan Standard Plan
Health Plan (HDHP) **** Down the Street • Boston board-certiied out of your medical coverage,
Plan Feature* Retail Mail Order Retail Mail Order Retail Mail Order • Same-day or next- • Chicago medical make informed decisions about a
day appointments professionals recent diagnosis, or ind the right
Tier 1 $10 copay $20 co-pay $10 copay $20 co-pay Ded. and Coin. • 95% of appoint- • New York City • Rigorous selection doctor for you or your family, your
process
Tier 2 $50 copay $100 co-pay $50 copay $100 co-pay Ded. and Coin. ments start on time • San Francisco • Ranked in the top Advocate is ready to assist you at
Bay Area
(or early!)
no additional cost. To contact an
Tier 3 $75 copay $150 co-pay $75 copay $150 co-pay Ded. and Coin. • Walk-in lab hours 10% on Yelp Advocate, call 800.765.6717
• Extended evening • 1/3 fewer patients *For information only. Nurses cannot
and weekend ofice per day than the diagnose problems or recommend
The HDHP Plan covers select preventive medications at no cost to plan hours national average speciic treatment, and are not a
participants. Review the list of covered medications at danbeneitsplus.com substitute for your doctor’s care.
All ofices are open Monday through Friday, 8am – 6pm and
some ofices offer extended night and weekend hours.
8 2019 Benefits Enrollment Dentsu Aegis Network 9
High Deductible
Enhanced Plan Standard Plan
Health Plan (HDHP) ****
Plan Feature* In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network and Tools You Can Use
Contributions Per Semi Monthly Pay Period
Employee $100.00 $65.00 $36.50 Virtual Visits MANAGE YOUR HEALTH
Employee + Spouse $230.00 $161.50 $105.00 Skip the wait and schedule a virtual visit for quick and convenient AT MYUHC.COM
Employee + Child(ren) $205.00 $130.00 $84.00 care! There’s no driving, no waiting, and no appointment necessary.
Family $380.00 $265.00 $170.00 In the Enhanced and Standard PPO medical plans, there’s even no UnitedHealthcare’s
cost. HDHP members play less than $50! Visit www.myuhc.com myUHC.com helps you
Deductible and complete a one-time registration. manage all of your
Individual $500 $2,000 $1,000 $2,000 $2,000 $4,000 medical beneits:
Family $1,000 $4,000 $2,000 $4,000 $4,000 $8,000 Real Appeal • Find a doctor close to
Real Appeal offers support and guidance to begin and continue
Company HSA Contribution your journey to better health and lifelong wellness. Sign up at home or work
Individual/Family N/A N/A $500/$1,000 www.realappeal.com. • Estimate treatment or
Out of Pocket Maximum visit costs ahead of time
Individual $4,000 $8,000 $4,000 $8,000 $4,000 $12,000 Spine and Joint Care Centers of Excellence • View your current and
Family $8,000 $16,000 $8,000 $16,000 $6,850 $24,000 Is back, knee of hip pain changing how you live your life? Through
our new Centers of Excellence (COE) Network and with access past claims and monthly
Plan Feature to a dedicated orthopedic team, you can review your treatment statements
Plan Coinsurance 90% 70% 80% 60% 80% 60% options. If you receive care within a designated Spine and Joint
Preventive 100% Ded. and Coin. 100% Ded. and Coin. 100% Ded. and Coin. Center of Excellence, you are covered 100% for your care after Advocate4Me™
meeting your deductible. You can engage a clinical specialist
Virtual Visits $0 Not Covered $0 Not Covered Ded. and Coin. Not Covered who can discuss your options within the Spine & Joint Centers of
Primary Care $30 Ded. and Coin. $30 Ded. and Coin. Ded. and Coin. Ded. and Coin. Excellence Network by calling UnitedHealthcare at 800.765.6717. UnitedHealthcare members also
get access to Advocate4Me
TM
Specialist $50 Ded. and Coin. $50 Ded. and Coin. Ded. and Coin. Ded. and Coin. — your one-stop resource to
Inpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. One Medical help you understand your health
Outpatient Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Ded. and Coin. Employees in many of our urban populations (New York, Chicago, plan beneits, connect you to
Emergency Room Copay $250 $250 Ded. and Coin. Boston & San Francisco) have new near-site primary care facilities offering a registered nurse for medical
quick and convenient care options where you are, when you need it! conditions*, treatment options or
assist you in managing a chronic
Pharmacy Plan Highlights Resources Locations Across Quality Care condition. Whether you want
High Deductible Available Just the Country • Highly qualiied, to learn how to get the most
Enhanced Plan Standard Plan
Health Plan (HDHP) **** Down the Street • Boston board-certiied out of your medical coverage,
Plan Feature* Retail Mail Order Retail Mail Order Retail Mail Order • Same-day or next- • Chicago medical make informed decisions about a
day appointments professionals recent diagnosis, or ind the right
Tier 1 $10 copay $20 co-pay $10 copay $20 co-pay Ded. and Coin. • 95% of appoint- • New York City • Rigorous selection doctor for you or your family, your
process
Tier 2 $50 copay $100 co-pay $50 copay $100 co-pay Ded. and Coin. ments start on time • San Francisco • Ranked in the top Advocate is ready to assist you at
Bay Area
(or early!)
no additional cost. To contact an
Tier 3 $75 copay $150 co-pay $75 copay $150 co-pay Ded. and Coin. • Walk-in lab hours 10% on Yelp Advocate, call 800.765.6717
• Extended evening • 1/3 fewer patients *For information only. Nurses cannot
and weekend ofice per day than the diagnose problems or recommend
The HDHP Plan covers select preventive medications at no cost to plan hours national average speciic treatment, and are not a
participants. Review the list of covered medications at danbeneitsplus.com substitute for your doctor’s care.
All ofices are open Monday through Friday, 8am – 6pm and
some ofices offer extended night and weekend hours.
8 2019 Benefits Enrollment Dentsu Aegis Network 9
