Page 4 - Guide
P. 4
Medical coverage Medical
provided by [Client Name] offers a robust medical insurance program to our
[Carrier] . employees. We partner with [Carrier] to offer this coverage.
Plan Highlights
In-Network vs .
Out-of-Network You have the option of choosing one of [X] plans. Our plans offer
coverage for most healthcare services. When you receive care in-network
A network is a group of providers you beneit from our negotiated discounts with [Carrier].
your plan contracts with at
discounted rates . You will almost
always pay less when you receive [Carrier] Member Site
care in-network .
The [Carrier] member site, www.[Carrier].com offers many valuable
If you choose to see an out-of- services including the following.
network provider, you may be
balance billed, which means you will In-network providers and pharmacy searches
be responsible for charges above Prescription drug formulary
[Carrier]’s reimbursement amount .
Access to temporary ID cards and means to order another ID card
Information regarding paid and pending claims
[20XX] Employee Contributions
Medical [Plan 1] [Plan 2] [Plan 3] [Plan 4]
Bi-weekly Bi-weekly Bi-weekly Bi-weekly
Employee Only $ $ $ $
Employee and $ $ $ $
Spouse
Employee and $ $ $ $
Child(ren)
Employee and $ $ $ $
Family
4 2018 Benefits Enrollment
provided by [Client Name] offers a robust medical insurance program to our
[Carrier] . employees. We partner with [Carrier] to offer this coverage.
Plan Highlights
In-Network vs .
Out-of-Network You have the option of choosing one of [X] plans. Our plans offer
coverage for most healthcare services. When you receive care in-network
A network is a group of providers you beneit from our negotiated discounts with [Carrier].
your plan contracts with at
discounted rates . You will almost
always pay less when you receive [Carrier] Member Site
care in-network .
The [Carrier] member site, www.[Carrier].com offers many valuable
If you choose to see an out-of- services including the following.
network provider, you may be
balance billed, which means you will In-network providers and pharmacy searches
be responsible for charges above Prescription drug formulary
[Carrier]’s reimbursement amount .
Access to temporary ID cards and means to order another ID card
Information regarding paid and pending claims
[20XX] Employee Contributions
Medical [Plan 1] [Plan 2] [Plan 3] [Plan 4]
Bi-weekly Bi-weekly Bi-weekly Bi-weekly
Employee Only $ $ $ $
Employee and $ $ $ $
Spouse
Employee and $ $ $ $
Child(ren)
Employee and $ $ $ $
Family
4 2018 Benefits Enrollment
