Page 6 - 2020 BH Management Benefits Guide
P. 6
Wellmark Blue Cross Medical and Prescription
Blue Shield Drug Coverage
Group #52572
www.wellmark.com BH Management offers employees two medical plan options through
800.524.9242 Wellmark Blue Cross Blue Shield: a Traditional PPO plan and a High
Deductible Health Plan (HDHP) option.
Both plan options offer in-network and out-of-network coverage and in-
In-Network vs. Out-of- network preventive care is covered at 100% in both plans.
Network
A network is a group of providers Wellmark Blue Cross Blue Shield Member Site
your plan contracts with at The Wellmark Blue Cross Blue Shield member site, www.wellmark.com
discounted rates. You will almost offers many valuable services including the following:
always pay less when you receive
care in-network. X In-network providers and pharmacy searches
X Prescription drug formulary
If you choose to see an out-of-
network provider, you may be X Access to temporary ID cards and means to order another ID card
balance billed, which means you X Information regarding paid and pending claims
will be responsible for charges
above Wellmark Blue Cross Blue To Find an In-Network Provider, Follow
Shield’s reimbursement amount. These Steps:
X Visit www.wellmark.com
Family Coverage and X Click on “Find a Doctor or Hospital” (employees outside of Iowa),
Embedded Deductibles then will select “National Providers”
To make the medical plans more X You may also call provider inder at 800.524.9242
affordable for families, BH
Management embeds the family 2020 Employee Contributions
deductible. This means as soon as Traditional PPO Plan HDHP
one family member reaches the Monthly Cost Per 24 Monthly Cost Per 24
individual deductible, coinsurance Cost Pay Periods Cost Pay Periods
will apply for that family member. Employee Only $159.24 $79.62 $148.32 $74.16
The remaining family members Employee and Spouse $431.97 $215.99 $402.17 $201.09
would need to satisfy the rest Employee and Child(ren) $399.48 $199.74 $371.94 $185.97
of the family deductible (since Employee and Family $645.97 $322.99 $601.31 $300.66
family deductibles are two times Note: Rates do not include $50 spousal surcharge.
the individual deductible) before
coinsurance would apply for the
entire family.
6 2020 Benefits Guide
Blue Shield Drug Coverage
Group #52572
www.wellmark.com BH Management offers employees two medical plan options through
800.524.9242 Wellmark Blue Cross Blue Shield: a Traditional PPO plan and a High
Deductible Health Plan (HDHP) option.
Both plan options offer in-network and out-of-network coverage and in-
In-Network vs. Out-of- network preventive care is covered at 100% in both plans.
Network
A network is a group of providers Wellmark Blue Cross Blue Shield Member Site
your plan contracts with at The Wellmark Blue Cross Blue Shield member site, www.wellmark.com
discounted rates. You will almost offers many valuable services including the following:
always pay less when you receive
care in-network. X In-network providers and pharmacy searches
X Prescription drug formulary
If you choose to see an out-of-
network provider, you may be X Access to temporary ID cards and means to order another ID card
balance billed, which means you X Information regarding paid and pending claims
will be responsible for charges
above Wellmark Blue Cross Blue To Find an In-Network Provider, Follow
Shield’s reimbursement amount. These Steps:
X Visit www.wellmark.com
Family Coverage and X Click on “Find a Doctor or Hospital” (employees outside of Iowa),
Embedded Deductibles then will select “National Providers”
To make the medical plans more X You may also call provider inder at 800.524.9242
affordable for families, BH
Management embeds the family 2020 Employee Contributions
deductible. This means as soon as Traditional PPO Plan HDHP
one family member reaches the Monthly Cost Per 24 Monthly Cost Per 24
individual deductible, coinsurance Cost Pay Periods Cost Pay Periods
will apply for that family member. Employee Only $159.24 $79.62 $148.32 $74.16
The remaining family members Employee and Spouse $431.97 $215.99 $402.17 $201.09
would need to satisfy the rest Employee and Child(ren) $399.48 $199.74 $371.94 $185.97
of the family deductible (since Employee and Family $645.97 $322.99 $601.31 $300.66
family deductibles are two times Note: Rates do not include $50 spousal surcharge.
the individual deductible) before
coinsurance would apply for the
entire family.
6 2020 Benefits Guide
