Page 6 - Enrollment Guide
P. 6
Open
Enrollment
Reliance Standard MEC Plans
Essential Plan (Preventive Covered Services for Adults
Care) X Annual preventive care visits—physicals and history
X Immunizations—hepatitis and inluenza
The Essential Plan is included in all
three plan options from Reliance X General health screenings—blood pressure, cholesterol, and
Standard. It provides you and your diabetes
enrolled dependents coverage for X Prescription contraceptives for women
preventive care services at no cost to Z Generic contraceptives—no copay
you (meaning you will not have to pay
a copayment, coinsurance, or meet Z Brand name contraceptives—
your deductible to receive certain $50 copay
preventive services). For a list of all preventive care services that are covered by the plans,
What is a Preventive Service? please refer to the plan document.
A preventive service might be a How Do I Know If A Service Is Preventive Or Diagnostic?
test, or it might be advice from your
doctor. Preventive services can detect Preventive care is deined as routine checkups undertaken without any
disease or help prevent illness or indication you are sick. For example, if you are scheduled for your
other health problems. Below are a annual physical and you indicate to the doctor you’ve been experiencing
few of the common preventive health an earache, the checkup would turn into a diagnostic appointment.
services the plan covers. What this means for you is the appointment is no longer covered at
100% and may be subject to a deductible or copayment. To be sure
Covered Services for Children and an appointment is preventive, you would need to come to the doctor’s
Adolescents ofice not experiencing any symptoms and no reason to think you were
X Well child exams—physical exams unhealthy.
and vision acuity
X Assessments—developmental and How to Access Your Preventive Services
behavioral Present your Reliance Standard ID Card to the doctor or facility
X Immunizations—diphtheria, which provides your services. The provider will send a bill to Reliance
tetanus, and pertussis Standard for payment. If you only received care for a covered
X Screenings—hearing loss, lead preventive service, you will not be charged for your visit. If you
poisoning, and depression received a non-covered service, you will receive a bill in the mail from
your provider
6
Enrollment
Reliance Standard MEC Plans
Essential Plan (Preventive Covered Services for Adults
Care) X Annual preventive care visits—physicals and history
X Immunizations—hepatitis and inluenza
The Essential Plan is included in all
three plan options from Reliance X General health screenings—blood pressure, cholesterol, and
Standard. It provides you and your diabetes
enrolled dependents coverage for X Prescription contraceptives for women
preventive care services at no cost to Z Generic contraceptives—no copay
you (meaning you will not have to pay
a copayment, coinsurance, or meet Z Brand name contraceptives—
your deductible to receive certain $50 copay
preventive services). For a list of all preventive care services that are covered by the plans,
What is a Preventive Service? please refer to the plan document.
A preventive service might be a How Do I Know If A Service Is Preventive Or Diagnostic?
test, or it might be advice from your
doctor. Preventive services can detect Preventive care is deined as routine checkups undertaken without any
disease or help prevent illness or indication you are sick. For example, if you are scheduled for your
other health problems. Below are a annual physical and you indicate to the doctor you’ve been experiencing
few of the common preventive health an earache, the checkup would turn into a diagnostic appointment.
services the plan covers. What this means for you is the appointment is no longer covered at
100% and may be subject to a deductible or copayment. To be sure
Covered Services for Children and an appointment is preventive, you would need to come to the doctor’s
Adolescents ofice not experiencing any symptoms and no reason to think you were
X Well child exams—physical exams unhealthy.
and vision acuity
X Assessments—developmental and How to Access Your Preventive Services
behavioral Present your Reliance Standard ID Card to the doctor or facility
X Immunizations—diphtheria, which provides your services. The provider will send a bill to Reliance
tetanus, and pertussis Standard for payment. If you only received care for a covered
X Screenings—hearing loss, lead preventive service, you will not be charged for your visit. If you
poisoning, and depression received a non-covered service, you will receive a bill in the mail from
your provider
6
