Page 5 - BNDS EE Guide 19
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BENEFITS





         Medical Insurance


         BakerNowicki Design Studio provides you with a selection of medical plan options so you may choose the coverage that is best for
         you and your family.

         CalChoice | HMO Medical Plans
         With the CalChoice Health Maintenance Organization (HMO) plans, you must choose a primary care physician (PCP) or medical
         group within the network that corresponds with the plan you’ve selected. All of your care must be directed through your PCP or
         medical  group.  Any  specialty  care  you  need  will  be  coordinated  through  your  PCP  and  will  generally  require  a  referral  or
         authorization. You will receive benefits only if you use the doctors, clinics and hospitals that belong to the medical group in which
         you are enrolled, except in the case of an emergency.



                        Finding a Medical Provider
                        Go to www.calchoice.com or call (800) 558-8003.
                        •   Anthem Platinum HMO: Select Network
                        •   Anthem Gold HMO: Select Network
                        •   Kaiser Platinum HMO: Kaiser Network
                        •   Sharp Premier Platinum: Premier Network
                        •   Sharp Performance Platinum: Performance Network







         Carrier Mobile Applications
         Consider downloading the mobile apps offered by our insurance
         carriers for instant access to your health plan details. These apps
         provide secure member information, anytime, anywhere. Use them to
         search for providers and access your plan data. Carrier mobile apps are
         convenient, easy-to-use, and free.

         Use our carrier’s secure member apps, where you can:
         •   View plan/membership details
         •   Locate providers
         •   Submit and/or view claims
         •   Contact member services
         •   And More!













         Summary of Benefits and Coverage (SBC)
         Health insurance issuers and group health plans are required to provide you with an easy-to-understand summary about your
         health plan’s benefits and coverage, referred to as a Summary of Benefits and Coverage (SBC). This guide is designed to help you
         understand the medical plan options offered to you by BakerNowicki Design Studio. Please refer to the SBC and carrier contracts
         provided by CahChoice for additional plan details.

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