Page 40 - 2020 Barrister Employee Benefits Book
P. 40

12/01/2020-11/30/2021  Indemnity  Plan Type:  plan would share the  or call 1- http://www.NGBSselffunded.com  underlined terms see provider, or other  deductible amount providers up to the  plan, each deductible until the total amount of  deductible.  coinsurance may apply. For example, this cost-sharing and before you meet  preventive services at  deductible  plan, they have to meet their own out-of-pocket limit has been met.  out-of-pocket  network.  You can receive covered











        Coverage Period:  Individual/Family  plan. The SBC shows you how you and the premium) will be provided separately.  deductible,  plan begins to pay. If you have other family members on the deductible expenses paid by all family members meets the overall family plan covers some items and services even if you haven't yet met the  copayment or  preventive services without https://www.healthcare.gov/coverage/preventive-care-benefits/ You must pay all of the costs for these servic










            Coverage for:  plan (called the  copayment,  coinsurance,  Why this Matters: Generally, you must pay all of the costs from  before this family member must meet their own individual  deductible amount. But a  plan covers certain deductible. See a list of covered  amount before this  you have other family members in this out-of-pocket limits until the overall family  plan does not use a  provider.  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
                          balance billing, https://www.healthcare.gov/sbc-glossary or call 1-888-306-0905 to request a copy.  This  your  The  limit.  This  any
                     cost for covered health care services. NOTE: Information about the cost of this





                          allowed amount, For more information about your coverage, or to get a copy of the complete terms of coverage, visit us at  Preventive care and primary care services are covered  balance-billed charges, penalty for not obtaining  plan doesn't cover.







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

                                    $3,500 person/$7,000 family.  Yes.  deductible. before you meet your  No.  $7,900 person/$15,800 family.  Premiums, Preauthorization and health care this  Not applicable.  No.








                                 Answers
        Summary of Benefits and Coverage: Barrister Global Services Network: Plan Option 3500  This is only a summary.  the Glossary.  You can view the Glossary at  Important Questions  What is the overall  deductible?  Are there services covered  before you meet your  deductible?  deductibles Are there other  for specific services?  out-of-pocket  What is the  plan? limit for this  What is not included in the  out-of-pocket limit?  Will you pay less if you use  network provider?  a
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