Page 11 - Tender Greens EE Guide 01-20 Non-CA.pub

Medical Plan Choices

Blue Shield | PPO HDHP PPO: Access to Care
With the PPO HDHP plan, you can pay for qualified healthcare expenses
now and grow your savings for future healthcare needs. This plan The PPO and the PPO HDHP plans are
combines a High Deductible Health Plan (HDHP) with a special, tax- Preferred Provider Organization (PPO) plans
qualified Health Savings Account (HSA). You and Tender Greens can and use Blue Shield’s “PPO” network. PPO
contribute tax-free money to your HSA up to IRS maximums. The money plans allow you to direct your own care. You
in your account is yours to pay for current healthcare expenses - or you have the freedom to choose your doctor
can save toward future healthcare expenses. More details about the without the requirement of selecting a PCP
HDHP medical plan are located on page 15. and you may self-refer to specialists. You
may use a network provider whose

negotiated rates provide richer levels of
Blue Shield | PPO benefits with claim forms filed by the
The PPO plan requires that you meet a calendar year deductible before providers. You may also obtain services using
Blue Shield starts paying for certain services. Once the deductible has a non-network provider; however, you will be
been met, most services will be covered at a coinsurance or a copay. responsible for the difference between the
For certain services, such as office visits and urgent care, Blue Shield has covered amount and the actual charges, and
waived the deductible and cost sharing begins immediately. you may be responsible for filing claims.

Finding a Medical Provider
Go to www.blueshieldca.com or call (888) 256-1915.
Under ‘Plan Type’ select ‘2020 Employer Group Plans (101+
Employees), then select the subplan:
 PPO HDHP: Refer to the “PPO ” network
 PPO: Refer to the “PPO” network

Blue Shield Mobile App

Download the Blue Shield of California mobile app for greater
access to your insurance information.

Features:
 Find a Doctor
Educational Video  View your personalized plan
Health Insurance Terms  Access your ID card digitally
http://video.burnhambenefits.com/terms
Located for free on the Google Play or Apple App Store.

Team Member Benefits 11
Team Member Benefits 11