Page 27 - 2022 Benegit Guide

Medical Plan Definitions

Annual Maximum—The maximum dollar amount the Medical or Dental Plan will pay in a
calendar year.

Carrier/Provider—The insurance company providing coverage, such as Anthem for medical
and Cigna for dental.

Coinsurance—The percentage of a health care expense paid by a Team Member after meeting
the deductible. For example, if the plan pays 80% of an expense, the Team Member pays 20% coinsurance.

Copay—A flat amount you pay at the time you receive services or treatments.

HSA—Health Savings Account. A personal bank account that is set up in conjunction with
enrollment in the CDHP option. It is subject to IRS limits for tax-advantaged contributions.

Deductible—The amount of covered expenses you must pay each calendar year before a
Plan begins to pay its share of covered expenses.

In-Network Provider—A provider who has agreed to be part of a network and therefore
agreed to a set fee schedule. The advantage of using in-network providers is a lower
out-of-pocket cost to the Team Member.

Out-of-Network/Non-Network Provider—A provider who is not included on the “in-network”
list. A Plan may or may not guarantee service, service rates, or coverage when a provider is
out-of-network. Team Members will pay more if using out-of-network providers.

Out-of-Pocket Maximum—The total amount you pay out-of-pocket in a calendar year before a
Plan begins paying 100% of your expenses. It includes deductibles and co-pays.

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