Page 18 - ABM 2021 Benefit Guide MGT

CONSUMER DRIVEN HEALTH PLAN (SILVER)

What is a Consumer Driven Health Plan?

Consumer driven health plans have the following characteristics:

„ In-network and out-of-network coverage

„ Family coverage requires the family deductible to be met before coinsurance applies; the
single deductible does not apply to family coverage

„ The freedom to go to the doctor of your choice

„ No copays

Here are the Basics of How This Kind of Why Do We Have a Consumer Driven
Plan Works Health Plan (CDHP)?
„ Except for preventive services and certain CDHPs encourage individuals to become more
preventive prescriptions, you pay 100% active in making healthcare decisions. The
of your medical and prescription drug actual cost of services under a CDHP has more
expenses until you meet the plan’s annual impact on you than under traditional plans.
deductible Instead of paying a lat dollar copay amount like

Note: you have one deductible to satisfy for both medical and in a traditional plan, a CDHP puts you in the
prescription drug services driver’s seat to control how much you spend on

„ After this, you share the medical costs and your healthcare costs.
prescriptions with the insurance plan until
you reach your out-of-pocket maximum
amount for the year

Note: you pay the network discounted rate when services are
rendered by in-network providers

„ Once you reach your out-of-pocket
maximum, the insurance plan will then pay
the remainder of your expenses at 100%
for the rest of the calendar year

18 2021 Benefits Enrollment