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Minimum Essential Coverage (MEC)
Continued 2016–17 Beneits Enrollment
TeleMedicine
Teladoc provides individuals with fast, convenient, cost effective access to quality
medical care 24 hours a day, 7 days a week, 365 days a year. $0 copay
How it Works
Call 800.530.8666 for a doctor.
Consultation and Follow-Up
X Telephone consultation: the physician will call the patient on the number that is
provided generally within an hour and guaranteed within 2 hours
X Video consultation: the physician will schedule a convenient time (guaranteed
same day) to conduct the video consultation—note: you must have a web camera
and high speed internet access to participate in a video consultation
X The physician conducts consultations, recommends treatment, or refers the
patient to a PCP or specialist
X When appropriate, the physician will electronically prescribe medication directly
to the patient’s pharmacy
No beneits will be paid for loss caused by or resulting from: No beneits will be paid for:
X Intentionally self-inlicted injuries, suicide or any attempt while sane or X Eye examinations for glasses; any kind of eye glasses, or vision
insane; prescriptions;
X Declared or undeclared war; X Hearing examinations or hearing aids;
X Serving on full-time active duty in the armed forces; X Dental care or treatment other than care of sound, natural teeth and
X The covered person’s commission of a felony; gums required on account of injury to the covered person resulting from
an accident that happens while such person is covered under the policy,
X Work-related injury or sickness, whether or not beneits are payable and rendered within 6 months of the accident;
under workers’ compensation or similar law; X Services rendered in connection with cosmetic surgery, except cosmetic
X With regard to the accidental loss of life, limb or sight beneit - sickness, surgery that the covered person needs for breast reconstruction
disease, bodily or mental inirmity or medical or surgical treatment following a mastectomy or as a result of an accident that happens
thereof, or bacterial or viral infection regardless of how contracted. This while such person is covered under the policy. Cosmetic surgery for
does not include bacterial infection that is the natural and foreseeable an accidental injury must be performed within 90 days of the accident
result of an accidental external bodily injury or accidental food poisoning. causing the injury and while such person’s coverage is in force;
X Services provided by a member of the covered person’s immediate
family.
Prescription Drugs
No beneits will be paid for over-the-counter products or medications or for
drugs and medications dispensed while you are in a hospital.
9
Continued 2016–17 Beneits Enrollment
TeleMedicine
Teladoc provides individuals with fast, convenient, cost effective access to quality
medical care 24 hours a day, 7 days a week, 365 days a year. $0 copay
How it Works
Call 800.530.8666 for a doctor.
Consultation and Follow-Up
X Telephone consultation: the physician will call the patient on the number that is
provided generally within an hour and guaranteed within 2 hours
X Video consultation: the physician will schedule a convenient time (guaranteed
same day) to conduct the video consultation—note: you must have a web camera
and high speed internet access to participate in a video consultation
X The physician conducts consultations, recommends treatment, or refers the
patient to a PCP or specialist
X When appropriate, the physician will electronically prescribe medication directly
to the patient’s pharmacy
No beneits will be paid for loss caused by or resulting from: No beneits will be paid for:
X Intentionally self-inlicted injuries, suicide or any attempt while sane or X Eye examinations for glasses; any kind of eye glasses, or vision
insane; prescriptions;
X Declared or undeclared war; X Hearing examinations or hearing aids;
X Serving on full-time active duty in the armed forces; X Dental care or treatment other than care of sound, natural teeth and
X The covered person’s commission of a felony; gums required on account of injury to the covered person resulting from
an accident that happens while such person is covered under the policy,
X Work-related injury or sickness, whether or not beneits are payable and rendered within 6 months of the accident;
under workers’ compensation or similar law; X Services rendered in connection with cosmetic surgery, except cosmetic
X With regard to the accidental loss of life, limb or sight beneit - sickness, surgery that the covered person needs for breast reconstruction
disease, bodily or mental inirmity or medical or surgical treatment following a mastectomy or as a result of an accident that happens
thereof, or bacterial or viral infection regardless of how contracted. This while such person is covered under the policy. Cosmetic surgery for
does not include bacterial infection that is the natural and foreseeable an accidental injury must be performed within 90 days of the accident
result of an accidental external bodily injury or accidental food poisoning. causing the injury and while such person’s coverage is in force;
X Services provided by a member of the covered person’s immediate
family.
Prescription Drugs
No beneits will be paid for over-the-counter products or medications or for
drugs and medications dispensed while you are in a hospital.
9
