2020 Employee Benefits Book | Page 32

Medical Plan Options Renown Health offers three medical plans to choose from: Standard Plan The Standard Plan has qualities of both HMO and PPO plans, with benefit levels dependent on where the participant receives care. Primary care providers will coordinate all aspects of care. Participants receive the highest level of benefits by using Renown providers and services. For most services provided by Hometown Health (HTH) preferred providers pay co-insurance (percentage of cost). Services provided by non-preferred providers are covered at a significantly reduced level. Employees with dependents outside of the HTH service area have access to the national network of preferred providers. Add your dependents’ out-of-area address during open enrollment or notify the benefits team throughout the remainder of the year. Enhanced Plan The Enhanced Plan is a health maintenance organization (HMO). Primary care providers will coordinate all aspects of care. NEW THIS YEAR – two levels of benefits. Participants receive the highest level of benefits by using Renown providers and services. Services provided by Hometown Health (HTH) preferred providers pay higher copays. There is no coverage for services provided by a non-preferred provider except in emergencies. Limited Plan This plan is 100 percent employer-paid if the participant and participating spouse achieve the highest level wellness discount. It includes higher co-pays for Renown services than the other plans and high deductibles and coinsurance for HTH preferred providers. This plan provides limited prescription drug benefits and no vision benefits. Eligibility is limited to full-time employees and eligible dependents. Services provided by non-preferred provider are covered at a significantly reduced level. Hometown Health administers the medical, dental and prescription drug plans. • For a complete list of Renown providers, go to HometownHealth.com, Find a Doctor and search the Hometown Health Self-Funded directory. • For a complete list of out-of-area preferred providers on the PHCS National Network, go to HometownHealth.com, Find a Doctor and search by out-of-state networks. • For questions regarding the benefit plans offered, contact the Human Resources Benefits Department at 775-982-4444 or 775-982-5028. • For questions regarding specific benefits or claims information, contact Hometown Health at 775-982-3232. The information presented on the next page is a brief Medical Plan Comparison. For more information, please refer to the Summary of Benefits for each plan located on Inside Renown under Benefits. 30