Page 7 - Burnham Benefits Guide 2017

MEDICAL INSURANCE

Kaiser HMO Medical Plan
With the Kaiser Health Maintenance Organization (HMO) plan, services must be obtained at a Kaiser facility, except in the
case of an emergency. Kaiser integrates all elements of healthcare such as physicians, medical centers, pharmacy and
administration in one convenient facility.

H Kaiser Permanente Online
Register at www.kaiserpermanente.org to manage your care online. You can locate Kaiser Permanente
facilities, make or cancel appointments online, refill prescriptions, email your doctor, view medical
records and much more!

HMO Medical Plan
With the UnitedHealthcare Health Maintenance Organization (HMO) plan, you must choose a Primary Care Physician (PCP)
or medical group. 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.

PPO Medical Plan

With the UnitedHealthcare Preferred Provider Organization (PPO) plan, you have the freedom to choose your doctor
without the approval of a Primary Care Physician (PCP) and you may self-refer to specialists. You may use a PPO 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.

HSA Medical Plan

The UnitedHealthcare Health Savings Account (HSA) plan offers the same features as the PPO medical plan with two
important differences: it combines a high deductible PPO medical plan (HDHP) with a special, tax-qualified savings account.
You may use your HSA funds to pay for your annual deductible and current medical and prescription drug expenses or
save toward future expenses. If you choose to enroll in this plan, you are encouraged to open an HSA account through
our preferred vendor, HSA Bank. Burnham will contribute a monthly deposit into the HSA account in the amounts shown
in the table below. In addition to the company contributions, you may elect to make contributions into your account up to
the IRS maximums.

Burnham’s 2017 Annual IRS 2018 Annual IRS
HSA Contributions Monthly HSA Employee Contribution Employee Contribution
Contribution Maximum Maximum

Employee $50 $3,400 $3,450
Employee + Spouse $75 $6,750 $6,900
Employee + Child(ren) $75 $6,750 $6,900
Employee + Family $100 $6,750 $6,900

H UnitedHealthcare Online
Register at www.myuhc.com to manage your care online. You can locate network providers, manage
your claims, obtain health and wellness information and much more!

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