Page 5 - Petroleum Mktg EE Guide 12-19
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BENEFITS





         Medical Insurance


         United Healthcare | HMO Plans
         Four HMO plan options are available
         With the United Healthcare Health Maintenance Organization (HMO) plans, you must     Virtual Visits
         choose a primary care physician (PCP) or medical group within the network associated   When you don’t feel well, or your
         with the plan you’ve selected. All of your care must be directed through your PCP or   child is sick, the last thing you want
         medical group. Any specialty care you need will be coordinated through your PCP and will   to do is leave the comfort of home
         generally require a referral or authorization. You will receive benefits only if you use the   to sit in a waiting room. Now you
         doctors, clinics, and hospitals that belong to the medical group in which you are enrolled,   don’t have to.
         except in the case of an emergency.
                                                                                      Virtual Visits allow you see and talk
         United Healthcare | PPO Plans                                                to a doctor from your mobile device
         Two PPO plan options are available                                           or computer without an
         The United Healthcare Preferred Provider Organization (PPO) plans allow you to direct   appointment. Most visits take
         your own care. If you receive care from a physician who is a member of the network, a   about 10-15 minutes and doctors
         greater percentage of the entire cost will be paid by the insurance plan. However, you are   can write a prescription, if needed,
         not limited to the physicians within the network and you may self-refer to specialists. If   that you can pick up at your local
         you obtain services using a non‐network provider, please note that you will be   pharmacy.
         responsible for the difference between the covered amount and the actual charges, and
         you may be responsible for filing claims.                                              Good For
                                                                                      •   Allergies
                                                                                      •   Bronchitis
                        Finding a Medical Provider                                    •   Coughs, Colds, Fever, Flu
                        Go to www.myuhc.com.                                          •   Stomach Ache, Diarrhea
                        •   HMO 20-30/20% → Signature Value HMO network               •   Soar Throats
                        •   Advantage HMO 20-30/20% → Signature Value Advantage       •   Pinkeye
                           network                                                            Not Good For
                        •   Focus HMO 15-30/750A → Signature Value Focus network
                        •   Alliance HMO 25-40/30% → Signature Value Alliance network   •   Anything requiring a hands-on
                        •   Select Plus BILS PPO → Select Plus network                    exam
                        •   Select Plus PRY PPO → Select Plus network                 •   Anything requiring a test
                                                                                      •   Cancer or other complex
                                                                                          conditions
                                                                                      •   Chronic conditions
         Summary of Benefits and Coverage (SBC)                                       •   International visits
         Health insurance issuers and group health plans are required to provide you with an easy  •   Sprains, broken bones, or
         -to-understand summary about your health plan’s benefits and coverage, referred to as a   injuries requiring bandaging
         Summary of Benefits and Coverage (SBC). This guide is designed to help you understand

         the medical plan options offered to you by Petroleum Marketing Equipment. Please refer   United Healthcare
         to the SBC and carrier contracts provided by United Healthcare for additional plan   www.myuhc.com
         details.
                                                                                      Signing up is quick, easy, and free
                                                                                      to do. Be sure to enter your
                                                                                      insurance information since Virtual
                         Educational Video                                            Visits are a covered benefit under
                         Benefits terminology can get confusing. Click here to watch a   our United Healthcare plans.

                         quick video to learn the basics of how our medical plans work.

                         Deductibles, Copays, Coinsurance, and Out-of-Pocket Maximums
                         http://video.burnhambenefits.com/terms/


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