Medical Insurance
Administered by SelectHealth
We know that when people know more about their health and healthcare , they can make better informed healthcare decisions . We want to help you understand more about your healthcare and the resources that are available to you .
Comprehensive and preventive healthcare coverage is important in protecting you and your family from the financial risks of unexpected illness and injury . A little prevention usually goes a long way — especially in healthcare . Routine exams and regular preventive care provide an inexpensive review of your health . Small problems can potentially develop into large expenses . By identifying the problems early , often they can be treated at little cost .
Comprehensive healthcare also provides peace of mind . In case of an illness or injury , you and your family are covered with excellent medical plans through SelectHealth .
Share Traditional Plan Share High Deductible Health Plan
PLAN HIGHLIGHTS
Annual Deductible ( per contract year )
Out-of-Pocket Maximum ( per contract year ) Includes annual deductible
In-Network
$ 750 individual $ 1,500 family
In-Network
$ 2,000 individual $ 4,000 family
$ 4,000 individual $ 8,000 family $ 4,000 individual $ 8,000 family
Benefit Plan Coinsurance 20 % after deductible has been met 20 % after deductible has been met Maximum Policy Benefit No maximum limit No maximum limit PHYSICIAN ’ S OFFICE SERVICES — SICKNESS AND INJURY
Primary Physician Office Visit $ 40 copayment per visit $ 15 after deducible
Specialist Physician Office Visit |
$ 40 copayment per visit |
$ 25 after deductible |
PREVENTIVE CARE SERVICES * Primary Physician Office Visit |
100 % covered , deductible does not apply |
100 % covered , deductible does not apply |
Specialist Physician Office Visit |
100 % covered , deductible does not apply |
100 % covered , deductible does not apply |
Lab , X-ray or Other Preventive Tests |
100 % covered , deductible does not apply |
100 % covered , deductible does not apply |
AMBULANCE SERVICE — EMERGENCY AND NON-EMERGENCY |
Ground Ambulance Pre-service notification is required for nonemergency ambulance
Air Ambulance Pre-service notification is required for nonemergency ambulance
ADDITIONAL SERVICES
20 % after deductible has been met 20 % after deductible has been met
20 % after deductible has been met 20 % after deductible has been met
Urgent Care Center Services $ 50 copayment per visit $ 35 after deductible has been met
Connect Care ( Telemedicine ) 100 % covered , deductible does not apply
100 % covered after deductible has been met
Emergency Health Services $ 250 after deductible has been met $ 75 after deductible has been met
Hospital — Inpatient Stay 20 % after deductible has been met 20 % after deductible has been met Home Healthcare 20 % after deductible has been met 20 % after deductible has been met Hospice Care 20 % after deductible has been met 20 % after deductible has been met
Davis Behavioral Health
10