Page 6 - 2018 BH Management Guide
P. 6
2018 Benefits Enrollment
Medical Coverage
BH Management partners with To Find a Provider, Follow These Steps
Wellmark Blue Cross Blue Shield for Visit www.wellmark.com
medical coverage. Our plan offers Click on “Find a Doctor or Hospital” (employees outside of
coverage for in-network and out-of- Iowa), then will select “National Providers”
network providers, but you will receive
the greatest beneit by visiting an in- You may also call provider inder at 800.524.9242
network provider to receive negotiated 2018 Employee Contributions
discounts with Wellmark.
Medical Monthly Cost Per 24 Pay Periods
Wellmark Blue Cross Blue Employee Only $155.75 $77.88
Shield Member Site Employee and Spouse $416.32 $208.16
Employee and Child(ren) $375.08 $187.54
The Wellmark Blue Cross Blue Shield Employee and Family $638.77 $319.39
member site, www.wellmark.com
offers many valuable services including In-Network vs. Out-of-Network
the following. A network is a group of providers your plan contracts with at
In-network providers and discounted rates. You will almost always pay less when you receive
pharmacy searches care in-network.
Prescription drug formulary If you choose to see an out-of-network provider, you may be balance
Access to temporary ID cards and billed, which means you will be responsible for charges above
means to order another ID card Wellmark Blue Cross Blue Shield’s reimbursement amount.
Information regarding paid and
pending claims Family Coverage and Embedded Deductibles
Embedded deductibles mean your plan has individual deductibles
Wellmark Blue Cross for each family member and the family deductible. When a family
member meets his or her deductible, the plan will begin sharing
Blue Shield healthcare costs for that family member. The rest of the family still
Group #52572 has to satisfy their individual deductible. However, all individual
www.wellmark.com expenses for each family member count toward the family deductible.
800.524.9242
Once the family deductible is met (by more than one family member)
the plan will share costs for all family members for the rest of the
plan year.
6
Medical Coverage
BH Management partners with To Find a Provider, Follow These Steps
Wellmark Blue Cross Blue Shield for Visit www.wellmark.com
medical coverage. Our plan offers Click on “Find a Doctor or Hospital” (employees outside of
coverage for in-network and out-of- Iowa), then will select “National Providers”
network providers, but you will receive
the greatest beneit by visiting an in- You may also call provider inder at 800.524.9242
network provider to receive negotiated 2018 Employee Contributions
discounts with Wellmark.
Medical Monthly Cost Per 24 Pay Periods
Wellmark Blue Cross Blue Employee Only $155.75 $77.88
Shield Member Site Employee and Spouse $416.32 $208.16
Employee and Child(ren) $375.08 $187.54
The Wellmark Blue Cross Blue Shield Employee and Family $638.77 $319.39
member site, www.wellmark.com
offers many valuable services including In-Network vs. Out-of-Network
the following. A network is a group of providers your plan contracts with at
In-network providers and discounted rates. You will almost always pay less when you receive
pharmacy searches care in-network.
Prescription drug formulary If you choose to see an out-of-network provider, you may be balance
Access to temporary ID cards and billed, which means you will be responsible for charges above
means to order another ID card Wellmark Blue Cross Blue Shield’s reimbursement amount.
Information regarding paid and
pending claims Family Coverage and Embedded Deductibles
Embedded deductibles mean your plan has individual deductibles
Wellmark Blue Cross for each family member and the family deductible. When a family
member meets his or her deductible, the plan will begin sharing
Blue Shield healthcare costs for that family member. The rest of the family still
Group #52572 has to satisfy their individual deductible. However, all individual
www.wellmark.com expenses for each family member count toward the family deductible.
800.524.9242
Once the family deductible is met (by more than one family member)
the plan will share costs for all family members for the rest of the
plan year.
6
