Page 11 - Your New Medical Plans with Centivo

OPTIONS 2 3 MBA HSA High and MBA HSA Low OPTIONS 2 3 MBA HSA High and MBA HSA Low

MBA HSA High and Low Plan Options

Getting started with P.O. Box 755
Buffalo, NY 14225
Forwarding Service Requested Your Health Plan
The MBA HSA High Plan and MBA HSA Low Plan are similar to the MBA HSA High and Penelope Jacobs Identification Card
is here.
120 Old Orchard Road
Anytown, US 01234
the HDHP/HSA plan options offered in previous years. These Low Plans
plans are administered by Centivo and use the Cigna national You’ll get an ID card mailer at the December 15, 2020
Dear Penelope,
Welcome to your health plan, administered by Centivo. Here is your member ID card.
You can start using your card on January 1, 2021. Have questions about your benefits?
Call the Conceirge Team at 844-599-0604.
provider network. beginning of the plan year with key Sincerely,
The Centivo Team
details on how to use your plan, How to access more information
such as how to access the Centivo about your benefits
ID card placed here
app and member portal, where to Centivo App and Member Portal:
Text “DOWNLOAD” to 65021 or visit my.centivo.com
view your prescription benefits, You can access the Centivo app and member portal 24 hours a day. Download the
Centivo app by texting “DOWNLOAD” to 65021 or visiting your app store. Or go to
my.centivo.com*. Here you can access your plan details, view cost information and
The MBA HSA High Plan offers higher and key contact information. Explanation of Benefits statements (EOBs) for any healthcare you receive, view or print
your electronic ID card, send a message to the Centivo Concierge Team, and more.
You will need to create an account the first time you visit the site using your Centivo
member ID, which can be found on the front of your Centivo member ID card.
coverage for any care you receive as
Finding a network provider:
compared to the Low Plan, with a smaller Visit mycigna.com
Your plan utilizes the Cigna PPO provider network. Visit mycigna.com and create an
account using your Centivo member ID to search for an in-network provider. Or if
annual deductible and 20% coinsurance you’re logged into the Centivo app or member portal, follow the link to mycigna.com
from the “Home” and “Find Care” pages.
(your share of the costs for any care Centivo Concierge Team:
844-599-0604
Call the Centivo Concierge Team with any questions throughout the year, available
received) - in exchange for a higher Monday through Friday from 8 am to 8 pm Eastern Time at 844-599-0604.
payroll deduction. Pharmacy Information:
You can view a list of participating pharmacies, as well as the list of covered
medications under your pharmacy plan, by visiting the [provider] member portal at
[members.provider.com]. You will need to create an account the first time you visit the
site using your Centivo member ID, which can be found on the front of your Centivo
Conversely, the MBA HSA Low Plan member ID card.
offers lower coverage for any care you Both plans allow you to use © 2020 Centivo. * You can access my.centivo.com using the following browsers: Apple Safari, Firefox, Google Chrome, or Microsoft Edge.
Internet Explorer is not a supported browser.
receive, with a bigger annual deductible out-of-network providers –
and 30% coinsurance - in exchange for but out-of-network care will
a lower payroll deduction. cost you more out-of-pocket.
The MBA HSA High and
Low Plan Network

Both plans use the Cigna PPO
network, which offers access
to healthcare providers across
The MBA HSA High Plan and MBA HSA Low Plans are the US. You can view the
HSA-qualified, meaning you are allowed to make tax-free Cigna provider network at
contributions into a health savings account (HSA) to help https://hcpdirectory.cigna.com/
pay for your current and future medical expenses.
(when asked to login/register,
If you enroll in either of these plan options, choose “Continue as guest”, and
MB Aerospace will contribute money into your HSA: when asked to select a plan,
$500 for employee-only coverage, $750 for employee choose “PPO”).
+ 1 coverage, or $1,000 for family coverage.