Page 4 - RSD Guide
P. 4
Medical Plan
Rally Sport Direct has partnered with SelectHealth to establish a network of
physicians and facilities for our employees to access. If you visit doctors or hospitals
in the network, you will pay less. For example, an office visit to your primary care
physician is $35 (your copay) if the doctor is in the network. Of course, you may
always use any medical provider you like, but keep in mind in-network providers will
cost you a lot less.
Provider Network Options If you choose an in-network provider, you pay a copayment for
SelectHealth offers three provider and doctor’s office visits and 20 percent of charges after you meet the
facility networks which range in size deductible.
and coverage area—Select Value, Select
Med, and Select Care. Smaller networks For most other services, if you choose an out-of-network provider,
generally have lower premiums, it is your responsibility to pay the out-of-network provider and to file
individual employees can choose the your claims to the insurance carrier for reimbursement. In addition,
network that’s right for them. Visit
selecthealth.org/indadoctor, to search you may be responsible for any charges that exceed the customary and
for participating doctors, hospitals, and reasonable amounts.
clinics, and view patient satisfaction and
quality ratings for many providers and Preventive care is covered at 100 percent when care is received through
clinics. an in-network physician or facility.
4
2015 Benefit Guide
Rally Sport Direct has partnered with SelectHealth to establish a network of
physicians and facilities for our employees to access. If you visit doctors or hospitals
in the network, you will pay less. For example, an office visit to your primary care
physician is $35 (your copay) if the doctor is in the network. Of course, you may
always use any medical provider you like, but keep in mind in-network providers will
cost you a lot less.
Provider Network Options If you choose an in-network provider, you pay a copayment for
SelectHealth offers three provider and doctor’s office visits and 20 percent of charges after you meet the
facility networks which range in size deductible.
and coverage area—Select Value, Select
Med, and Select Care. Smaller networks For most other services, if you choose an out-of-network provider,
generally have lower premiums, it is your responsibility to pay the out-of-network provider and to file
individual employees can choose the your claims to the insurance carrier for reimbursement. In addition,
network that’s right for them. Visit
selecthealth.org/indadoctor, to search you may be responsible for any charges that exceed the customary and
for participating doctors, hospitals, and reasonable amounts.
clinics, and view patient satisfaction and
quality ratings for many providers and Preventive care is covered at 100 percent when care is received through
clinics. an in-network physician or facility.
4
2015 Benefit Guide
