Page 7 - HIMSS 2021 Annual Benefits Enrollment
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MEDICAL PLANS
Our medical coverage provides you and your family the protection
you need for everyday health issues or when the unexpected happens. SAVE WHEN YOU USE
Each medical plan offers: IN-NETWORK
PROVIDERS
Comprehensive healthcare benefits In-network providers offer
In-network preventive care covered at 100% the highest level of benefits
Prescription drug coverage and lower out-of-pocket
costs. Network providers
CHOOSE THE PLAN THAT’S RIGHT FOR YOU charge you reduced fees
but providers outside the
The key difference between the plans is the amount of money you’ll plan’s network set their own
pay each pay period and when you need care. rates, which means you may
Preferred Provider Organization (PPO): This plan offers flexibility have to pay the difference
with a large network and no requirement to select a primary care if a provider’s fees are
provider or request referrals for specialist visits. above the Reasonable and
High Deductible PPO + HSA: If you enroll in the High Deductible Customary (R&C) limits.
PPO, you can also enroll in a Health Savings Account (HSA). You
can use the pretax funds in your HSA to pay for eligible healthcare
expenses such as those costs incurred as you meet plan deductible, or you can choose to save funds for
the future. To assist with your savings, HIMSS will contribute a fixed amount to your HSA account each
calendar year you are enrolled.
Health Management Organizations (HMO): HMOs are highly managed networks of doctors and hospitals
that manage all medical care. In this plan, you must select a primary care provider, who will act as your
primary point of contact and will refer you to other healthcare professionals or specialists when necessary.
Only services provided or referred by your PCP and emergency services are covered under the plan. Only
Illinois residents are eligible to enroll in the HMO Plan.
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Our medical coverage provides you and your family the protection
you need for everyday health issues or when the unexpected happens. SAVE WHEN YOU USE
Each medical plan offers: IN-NETWORK
PROVIDERS
Comprehensive healthcare benefits In-network providers offer
In-network preventive care covered at 100% the highest level of benefits
Prescription drug coverage and lower out-of-pocket
costs. Network providers
CHOOSE THE PLAN THAT’S RIGHT FOR YOU charge you reduced fees
but providers outside the
The key difference between the plans is the amount of money you’ll plan’s network set their own
pay each pay period and when you need care. rates, which means you may
Preferred Provider Organization (PPO): This plan offers flexibility have to pay the difference
with a large network and no requirement to select a primary care if a provider’s fees are
provider or request referrals for specialist visits. above the Reasonable and
High Deductible PPO + HSA: If you enroll in the High Deductible Customary (R&C) limits.
PPO, you can also enroll in a Health Savings Account (HSA). You
can use the pretax funds in your HSA to pay for eligible healthcare
expenses such as those costs incurred as you meet plan deductible, or you can choose to save funds for
the future. To assist with your savings, HIMSS will contribute a fixed amount to your HSA account each
calendar year you are enrolled.
Health Management Organizations (HMO): HMOs are highly managed networks of doctors and hospitals
that manage all medical care. In this plan, you must select a primary care provider, who will act as your
primary point of contact and will refer you to other healthcare professionals or specialists when necessary.
Only services provided or referred by your PCP and emergency services are covered under the plan. Only
Illinois residents are eligible to enroll in the HMO Plan.
7
