Page 40 - Benefits Book Tanner Manor 2020

12/01/2020-11/30/2021 Indemnity Plan Type: SODQ would share the or call 1- KWWS ZZZ 1*%6VHOIIXQGHG FRP XQGHUOLQHG terms see SURYLGHU, or other GHGXFWLEOH amount SURYLGHUV up to the SODQ, each GHGXFWLEOH until the total amount of GHGXFWLEOH. FRLQVXUDQFH may apply. For example, this FRVW VKDULQJ and before you meet SUHYHQWLYH VHUYLFHV at GHGXFWLEOH SODQ, they have to meet their own RXW RI SRFNHW OLPLW has been met. RXW RI SRFNHW QHWZRUN. You can receive covered

Coverage Period: Individual/Family SODQ. The SBC shows you how you and the SUHPLXP) will be provided separately. GHGXFWLEOH, SODQ begins to pay. If you have other family members on the GHGXFWLEOH expenses paid by all family members meets the overall family SODQ covers some items and services even if you haven't yet met the FRSD\PHQW or SUHYHQWLYH VHUYLFHV without KWWSV ZZZ KHDOWKFDUH JRY FRYHUDJH SUHYHQWLYH FDUH EHQHILWV You must pay all of the costs for these servic

Coverage for: SODQ (called the FRSD\PHQW, FRLQVXUDQFH, Why this Matters: Generally, you must pay all of the costs from before this family member must meet their own individual GHGXFWLEOH amount. But a SODQ covers certain GHGXFWLEOH. See a list of covered amount before this you have other family members in this RXW RI SRFNHW OLPLWV until the overall family SODQ does not use a SURYLGHU. You can see the

The Summary of Benefits and Coverage (SBC) document will help you choose a health
What this Plan Covers & What You Pay For Covered Services
EDODQFH ELOOLQJ, KWWSV ZZZ KHDOWKFDUH JRY VEF JORVVDU\ or call 1-888-306-0905 to request a copy. This your The OLPLW. This any
cost for covered health care services. NOTE: Information about the cost of this

DOORZHG DPRXQW, For more information about your coverage, or to get a copy of the complete terms of coverage, visit us at 3UHYHQWLYH FDUH and primary care services are covered EDODQFH ELOOHG charges, penalty for not obtaining SODQ doesn't cover.

888-306-0905. For general definitions of common terms, such as

$3,500 person/$7,000 family. Yes. GHGXFWLEOH. before you meet your No. $7,900 person/$15,800 family. 3UHPLXPV, 3UHDXWKRUL]DWLRQ and health care this Not applicable. No.

Answers
Summary of Benefits and Coverage: Tanner Manor Services Network: Plan Option 3500 This is only a summary. the Glossary. You can view the Glossary at Important Questions What is the overall GHGXFWLEOH? Are there services covered before you meet your GHGXFWLEOH? GHGXFWLEOHV Are there other for specific services? RXW RI SRFNHW What is the SODQ? OLPLW for this What is not included in the RXW RI SRFNHW OLPLW? Will you pay less if you use QHWZRUN SURYLGHU? a UHI