Page 8 - Industrial Automation Benefits Guide
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USHL Medical + OptiMedGAP*


        The OptiMed GAP plan provides a dual bucket benefit. These benefits will help cover some of the
       out-of-pocket expenses from your major medical plan such as deductibles, co-insurance, and some
      copays.  Many employees may realize a $0 out-of-pocket cost when including a GAP plan (see policy

                                                   for more details and exclusions).

                          Download Your OptiMed GAP Plan Summary and Instruction Sheet here



      Your Benefits                                                        Instructions for Use



                $5,000 Inpatient (Per Person)                                Tell your Provider that you have OptiMed
                                                                            GAP! Present your OptiMed GAP card with
             $2,500 Outpatient (x2 For Family)
                                                                                             your USHL ID card.


      Covers:
                                                                           • Provider bills USHL first.
         • Any Deductible and Coinsurance Expense

         • Outpatient Surgical                                             • USHL generates an “Explanation of Benefits”
                                                                               (EOB) and sends to the Provider to confirm
         • Diagnostic Testing Facility
                                                                               payment eligibility
         • Office Visits that go towards deductible
                                                                           • Provider sends EOB to OptiMed.
         • Urgent Care & Emergency Room Copays
                                                                           • OptiMed pays Provider directly.





                                   *Includes $0 Copay Telemedicine! Learn more here*



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