Page 10 - ABM 2021 Benefits Guide SVC 30+
P. 10
MINIMUM ESSENTIAL COVERAGE (MEC)


THROUGH BAY BRIDGE ADMINISTRATORS


How Will the Plans Work? To locate a participating provider for preventive

Preventive Care care services, visit the Multiplan website at
multiplan.com/providers.
The Essential Plus and Essential Premium
medical plans will provide complete coverage 1. Click the Find a Provider button
for preventive care at no cost to you. Preventive 2. Click on Select Network
care covers services such as physical exams, 3. Choose PHCS from the dropdown menu
well child care, immunizations, screening
mammograms, and PSA tests, along with 4. Choose Preventive Services Only
many other services to keep you healthy. 5. Enter in Primary Care into Search box
If you are already sick or have a health 6. Enter ZIP Code into Near
problem which needs to be diagnosed, 7. Provider List Will Populate
the preventive care plan will not cover
these services. For a list of preventive care A. Update ilters as needed
services which are covered by the plans, visit For additional customer assistance, you can
healthcare.gov/what-are-my-preventive-care-beneits. call Bay Bridge at 800.922.4362.


To use your preventive care, you must locate a Other Medical Treatment
network provider, schedule your appointment,
and present your Bay Bridge ID card at the If you are sick, injured, or need treatment, the
time of the visit. As long as you are using a plan provides cash reimbursement for
participating provider and obtaining preventive certain services as outlined in the following
care services only, you should not have to pay chart. For covered non-preventive care
out-of-pocket. It is important to note with your treatment, you will have to pay for the services
provider at the time of the visit your plan covers out-of-pocket and ile a claim through Bay
only services with a preventive care diagnosis. Bridge to obtain reimbursement as outlined
in the schedule of beneits. Please note
reimbursement levels vary based on which plan
you choose and not all services are covered for
reimbursement. However, you will have access
to a telemedicine program and a prescription
discount plan which are included in all four
plans, described later in this booklet. Highlights
of the plans are illustrated in the table on the
following page.







10 2021 Benefits Enrollment
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