Page 4 - Guide
P. 4
Provider Network
Options
SelectHealth offers 3 provider Medical Plan
and facility networks which
range in size and coverage RallySport Direct has partnered with SelectHealth to establish a network of
area—Select Value, Select physicians and facilities for our employees to access. If you visit doctors or hospitals
Med, and Select Care. Smaller
networks generally have in the network, you will pay less. For example, an ofice visit to your primary care
lower premiums, individual physician is $25 (your copay) if the doctor is in the network. Of course, you may
employees can choose the always use any medical provider you like, but keep in mind in-network providers will
network that’s right for them.
Visit selecthealth.org/ cost you a lot less.
findadoctor, to search for
participating doctors, hospitals, If you choose an in-network provider, you pay a copayment for doctor’s ofice
and clinics, and view patient
satisfaction and quality ratings visits and 20% of charges after you meet the deductible. For most other services, if
for many providers and clinics. you choose an out-of-network provider, it is your responsibility to pay the out-of-
network provider and to ile your claims to the insurance carrier for reimbursement.
In addition, you may be responsible for any charges which exceed the customary
and reasonable amounts. Preventive care is covered at 100% when care is received
through an in-network physician or facility.
4 RallySport Direct
Options
SelectHealth offers 3 provider Medical Plan
and facility networks which
range in size and coverage RallySport Direct has partnered with SelectHealth to establish a network of
area—Select Value, Select physicians and facilities for our employees to access. If you visit doctors or hospitals
Med, and Select Care. Smaller
networks generally have in the network, you will pay less. For example, an ofice visit to your primary care
lower premiums, individual physician is $25 (your copay) if the doctor is in the network. Of course, you may
employees can choose the always use any medical provider you like, but keep in mind in-network providers will
network that’s right for them.
Visit selecthealth.org/ cost you a lot less.
findadoctor, to search for
participating doctors, hospitals, If you choose an in-network provider, you pay a copayment for doctor’s ofice
and clinics, and view patient
satisfaction and quality ratings visits and 20% of charges after you meet the deductible. For most other services, if
for many providers and clinics. you choose an out-of-network provider, it is your responsibility to pay the out-of-
network provider and to ile your claims to the insurance carrier for reimbursement.
In addition, you may be responsible for any charges which exceed the customary
and reasonable amounts. Preventive care is covered at 100% when care is received
through an in-network physician or facility.
4 RallySport Direct
