Page 5 - 2020 MAS Benefit Guide
P. 5
Medical and Prescription Drug What is a
MAS Restaurant Group offers a robust medical and pharmacy insurance Network?
program to our employees. We partner with UnitedHealthcare (UHC) to offer A network is a group of
this coverage. providers your plan contracts
with at discounted rates.
As an employee of MAS Restaurant Group you have the option between You will almost always pay
two plans—the Base Plan ($2,500 deductible option) and the Buy-Up Plan less when you receive care
(new $1,500 deductible option). You are encouraged to weigh the below in-network.
considerations when choosing the plan which best meets your needs. If you choose to see an
out-of-network provider,
Features of Each Plan you may be balance billed,
which means you will be
X Access to UnitedHealthcare’s national Choice Plus network responsible for charges
X Coverage for routine preventive care at 100% above UHC’s reimbursement
X Coverage for virtual visits at 100% amount.
Base Plan Features— Buy-Up Plan Features— Important
Option 1 Option 2 Insurance Terms
X Lower per-paycheck premiums X Higher per-paycheck premiums X Deductible: the
X Higher in-network deductibles and X Lower in-network deductibles and amount of money you
out-of-pocket maximums out-of-pocket maximums are responsible for
paying up-front before
X Higher lat dollar copays for X Lower lat dollar copays for primary your plan shares your
primary and specialty doctor’s and specialty doctor’s ofice visits costs
ofice visits X Coinsurance: the
2020 Employee Bi-Weekly Contributions percentage you and
Base Plan—Option 1 Buy-Up Plan—Option 2 the plan pay; in our
Employee Only $60.57 $73.10 plans, you pay a smaller
Employee + Spouse $133.25 $160.83 percentage and the plan
Employee + Child(ren) $115.08 $138.91
Family $193.81 $233.94 pays a larger percentage
X Copay: a ixed amount
for certain services you
MyUHC Member Site pay in some of our plans
Visit www.myuhc.com to take advantage of all the helpful tools and resources X Out-of-pocket
available including the following: maximum: the limit
X In-network provider and pharmacy X Access to electronic ID cards and on your expenses;
once you reach this
searches means to order another ID card limit, the plan covers all
Y Search using the “Choice Plus X Information regarding paid and eligible expenses for the
Network” pending claims remainder of the plan
year
X A list of prescription drugs covered
by each plan
MAS Restaurant Group 5
MAS Restaurant Group offers a robust medical and pharmacy insurance Network?
program to our employees. We partner with UnitedHealthcare (UHC) to offer A network is a group of
this coverage. providers your plan contracts
with at discounted rates.
As an employee of MAS Restaurant Group you have the option between You will almost always pay
two plans—the Base Plan ($2,500 deductible option) and the Buy-Up Plan less when you receive care
(new $1,500 deductible option). You are encouraged to weigh the below in-network.
considerations when choosing the plan which best meets your needs. If you choose to see an
out-of-network provider,
Features of Each Plan you may be balance billed,
which means you will be
X Access to UnitedHealthcare’s national Choice Plus network responsible for charges
X Coverage for routine preventive care at 100% above UHC’s reimbursement
X Coverage for virtual visits at 100% amount.
Base Plan Features— Buy-Up Plan Features— Important
Option 1 Option 2 Insurance Terms
X Lower per-paycheck premiums X Higher per-paycheck premiums X Deductible: the
X Higher in-network deductibles and X Lower in-network deductibles and amount of money you
out-of-pocket maximums out-of-pocket maximums are responsible for
paying up-front before
X Higher lat dollar copays for X Lower lat dollar copays for primary your plan shares your
primary and specialty doctor’s and specialty doctor’s ofice visits costs
ofice visits X Coinsurance: the
2020 Employee Bi-Weekly Contributions percentage you and
Base Plan—Option 1 Buy-Up Plan—Option 2 the plan pay; in our
Employee Only $60.57 $73.10 plans, you pay a smaller
Employee + Spouse $133.25 $160.83 percentage and the plan
Employee + Child(ren) $115.08 $138.91
Family $193.81 $233.94 pays a larger percentage
X Copay: a ixed amount
for certain services you
MyUHC Member Site pay in some of our plans
Visit www.myuhc.com to take advantage of all the helpful tools and resources X Out-of-pocket
available including the following: maximum: the limit
X In-network provider and pharmacy X Access to electronic ID cards and on your expenses;
once you reach this
searches means to order another ID card limit, the plan covers all
Y Search using the “Choice Plus X Information regarding paid and eligible expenses for the
Network” pending claims remainder of the plan
year
X A list of prescription drugs covered
by each plan
MAS Restaurant Group 5
