Page 4 - Sample Guide
P. 4
Lockton collateral, not for leave behind or distribution.
What is a Network? MEDICAL AND PRESCRIPTION
A network is a group of providers DRUG
your plan contracts with at
discounted rates. You will almost [Client Name] offers a robust medical insurance program to our
always pay less when you receive employees. We partner with [Carrier] to offer this coverage.
care in-network.
If you choose to see an out-of- Plan Highlights
network provider, you may be
balance billed, which means you You have the option of choosing one of [X] plans. Our plans offer
will be responsible for charges coverage for most healthcare services. When you receive care in-network
above [Carrier]’s reimbursement
amount. you beneit from our negotiated discounts with [Carrier].
[Carrier] Member Site
Important Insurance Visit www.[Carrier].com to take advantage of all the helpful tools and
Terms resources available including the following.
Deductible: the amount of In-network provider and pharmacy searches
money you are responsible for
paying up-front before your A list of prescription drugs covered by our plans
plan shares your costs
Coinsurance: the percentage Access to temporary ID cards and means to order another ID card
you and the plan pay; in Information regarding paid and pending claims
our plans, you pay a smaller
percentage and the plan pays
a larger percentage Employee [Monthly/Weekly/Bi-Weekly] Medical
Copay: a ixed amount for Contributions
certain services you pay in
some of our plans [Plan 1] [Plan 2]
Out-of-pocket maximum: Employee Only $ $
the limit on your expenses; Employee and Spouse $ $
once you reach this limit, Employee and Child(ren) $ $
the plan covers all eligible Family
expenses for the remainder of $ $
the plan year
4
What is a Network? MEDICAL AND PRESCRIPTION
A network is a group of providers DRUG
your plan contracts with at
discounted rates. You will almost [Client Name] offers a robust medical insurance program to our
always pay less when you receive employees. We partner with [Carrier] to offer this coverage.
care in-network.
If you choose to see an out-of- Plan Highlights
network provider, you may be
balance billed, which means you You have the option of choosing one of [X] plans. Our plans offer
will be responsible for charges coverage for most healthcare services. When you receive care in-network
above [Carrier]’s reimbursement
amount. you beneit from our negotiated discounts with [Carrier].
[Carrier] Member Site
Important Insurance Visit www.[Carrier].com to take advantage of all the helpful tools and
Terms resources available including the following.
Deductible: the amount of In-network provider and pharmacy searches
money you are responsible for
paying up-front before your A list of prescription drugs covered by our plans
plan shares your costs
Coinsurance: the percentage Access to temporary ID cards and means to order another ID card
you and the plan pay; in Information regarding paid and pending claims
our plans, you pay a smaller
percentage and the plan pays
a larger percentage Employee [Monthly/Weekly/Bi-Weekly] Medical
Copay: a ixed amount for Contributions
certain services you pay in
some of our plans [Plan 1] [Plan 2]
Out-of-pocket maximum: Employee Only $ $
the limit on your expenses; Employee and Spouse $ $
once you reach this limit, Employee and Child(ren) $ $
the plan covers all eligible Family
expenses for the remainder of $ $
the plan year
4
