Page 4 - Humano Employee Benefit Guide 2019

Benefits

Medical Insurance

Anthem Blue Cross| PPO Medical Plans

e Anthem Blue Cross Preferred Provider Organization (PPO) plan allows you to direct your own care. You are not limited to the
physicians within the network and you may self-refer to specialists. If you receive care from a physician who is a member of the
Blue Cross PPO (Prudent Buyer) - Small Group network, a greater percentage of the entire cost will be paid by the insurance plan.
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.

Finding a Medical Provider
Go to www.anthem.com/ca or call (855) 383-7248. Refer to the “Blue Cross PPO (Prudent Buyer) - Small
Group” network when prompted.

Educational Video

Benefits terminology can get confusing. Click here to watch a 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/

Working Spouse Eligibility

Medical Plans
Spouses and domestic partners who have other medical coverage available to them through their employer are not eligible to
enroll in our plan. Upon enrolling for your benefits in EaseCentral, all employees will be required to sign-off on The Employee
Affidavit, certifying that any spouse / domestic partner enrolling in the medical plan is eligible.

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