Page 11 - ABM 2021 Benefit Guide EDU
P. 11
MINIMUM ESSENTIAL COVERAGE (MEC)
THROUGH BAY BRIDGE ADMINISTRATORS
How Will the Plans Work?
Preventive Care Other Medical Treatment
The Basic, Essential, Essential Plus, and If you are sick, injured, or need treatment, the
Essential Premium medical plans will provide plan provides cash reimbursement for certain
complete coverage for preventive care at no services as outlined in the following chart. For
cost to you. Preventive care covers services covered non-preventive care treatment, you
such as physical exams, well child care, will have to pay for the services out-of-pocket
immunizations, screening mammograms, and and ile a claim through Bay Bridge to obtain
PSA tests, along with many other services reimbursement as outlined in the schedule
to keep you healthy. If you are already sick of beneits. Please note reimbursement
or have a health problem which needs to be levels vary based on which plan you
diagnosed, the preventive care plan will not choose and not all services are covered for
cover these services. For a list of preventive reimbursement. However, you will have access
care services which are covered by the plans, to a telemedicine program and a prescription
visit healthcare.gov/what-are-my- discount plan which are included in all four
preventive-care-beneits. plans, described later in this booklet. Highlights
of the plans are illustrated in the table on the
To use your preventive care, you must locate a following page.
network provider, schedule your appointment,
and present your Bay Bridge ID card at the
time of the visit. As long as you are using a
participating provider and obtaining preventive
care services only, you should not have to pay
out-of-pocket. It is important to note with your
provider at the time of the visit your plan covers
only services with a preventive care diagnosis.
To locate a participating provider for preventive
care services, visit the Multiplan website at
multiplan.com/providers and click the “Find a
Provider” button or call 800.922.4362.
ABM 11
THROUGH BAY BRIDGE ADMINISTRATORS
How Will the Plans Work?
Preventive Care Other Medical Treatment
The Basic, Essential, Essential Plus, and If you are sick, injured, or need treatment, the
Essential Premium medical plans will provide plan provides cash reimbursement for certain
complete coverage for preventive care at no services as outlined in the following chart. For
cost to you. Preventive care covers services covered non-preventive care treatment, you
such as physical exams, well child care, will have to pay for the services out-of-pocket
immunizations, screening mammograms, and and ile a claim through Bay Bridge to obtain
PSA tests, along with many other services reimbursement as outlined in the schedule
to keep you healthy. If you are already sick of beneits. Please note reimbursement
or have a health problem which needs to be levels vary based on which plan you
diagnosed, the preventive care plan will not choose and not all services are covered for
cover these services. For a list of preventive reimbursement. However, you will have access
care services which are covered by the plans, to a telemedicine program and a prescription
visit healthcare.gov/what-are-my- discount plan which are included in all four
preventive-care-beneits. plans, described later in this booklet. Highlights
of the plans are illustrated in the table on the
To use your preventive care, you must locate a following page.
network provider, schedule your appointment,
and present your Bay Bridge ID card at the
time of the visit. As long as you are using a
participating provider and obtaining preventive
care services only, you should not have to pay
out-of-pocket. It is important to note with your
provider at the time of the visit your plan covers
only services with a preventive care diagnosis.
To locate a participating provider for preventive
care services, visit the Multiplan website at
multiplan.com/providers and click the “Find a
Provider” button or call 800.922.4362.
ABM 11
