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Medical Insurance

Blue Shield | HSA Medical Plan

With the HSA plan through Blue Shield, you can pay for qualified healthcare expenses now and grow your savings for
future healthcare needs. This plan combines a High Deductible Health Plan (HDHP) with a special, tax-qualified savings
account (HSA). You can contribute tax-free money to your HSA up to IRS maximums. In addition, Rauxa will deposit
$20 per paycheck into your account. The money in your account is yours to pay for current healthcare expenses - or
you can save toward future healthcare expenses. Similar to the PPO plan, you have the freedom to choose your doctor
without the requirement of selecting a PCP and you may self-refer to specialists. You may use a network provider whose
negotiated rates provide richer levels of benefits with claim forms filed by the providers. You may also obtain services
using a non-network provider; however, you will be responsible for the difference between the covered amount and the
actual charges and you may be responsible for filing claims.

Blue Shield | PPO Medical Plans

The Blue Shield Preferred Provider Organization (PPO) plans allow you to direct your own care. If you receive care from
a physician who is a member of the network, a greater percentage of the entire cost will be paid by the insurance plan,
however, you are not limited to the physicians within the network and you may self-refer to specialists. If you obtain
services using a non-network provider, please note that you will be responsible for the difference between the covered
amount and the actual charges, and you may be responsible for filing claims.

Finding a Medical Provider:
Go to https://provider.bcbs.com or call (855) 599-2650. When prompted, please refer to
plan “XRD”.

Please note, this guide is designed to help you understand the medical plan options offered to you by Rauxa. Please
refer to the SBC and carrier contracts provided by Blue Shield for additional plan details.

Blue Shield Discount Programs
To help you save money while you’re working on your health, Blue Shield offers discounts on popular
weight loss, fitness, health and wellness, and vision programs.

Discounts include:
• Diet & Exercise: 24 Hour Fitness, ClubSport and Renaissance ClubSport, and Weight Watchers
• Health and Wellness: Alternative Care (Acupuncture, Chiropractic, Massage, and Health/Wellness
Products), Vision Discounts at Participating Providers, MESVision Optics, QualSight LASIK, NVISION
Laser Eye Centers Discounts.

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