We will continue to offer three plans through Kaiser and Health Net. With a PPO plan, you do not need to choose a primary care physician (PCP). You have the option to go out-of-network for services, but you will receive a higher level of benefit coverage when you see an in-network provider. If you see an out-of-network provider, you will need to file a claim for reimbursement for the services rendered. You still have the option to choose the Kaiser HMO or the Health Net EOA plan. Remember, with Kaiser, you do not need to choose a PCP; however, you must receive all of your medical care from Kaiser providers and facilities. The Health Net EOA plan uses a traditional HMO network, but gives you an option to use the PPO network for office visits only.
Under the Kaiser HMO, you do not need to choose a PCP; however, you must receive all of your medical care from Kaiser providers and facilities.
The Health Net EOA plan uses a traditional HMO network, but gives you an option to use the PPO network for office visits only.
The PPO plan is a traditional health plan with deductibles, coinsurance and copays. Below is a summary of the in-network benefits. Out-of-network benefits are available, however, benefits are reduced.
|Coverage Level||Kaiser HMO||Health Net EOA||Health Net PPO|
|Employee + Spouse||$157.50||$157.50||$559.50|
|Employee + Child(ren)||$143.50||$143.50||$439.50|
|Employee + Family||$258.50||$258.50||$775.00|
The amount you owe for health care services before your health insurance or plan begins to pay.
The portion of eligible expenses that plan members are responsible for paying, most often after the deductible is met. It's usually determined as a percentage of the total cost.
The information contained in this website should in no way be construed as a promise or guarantee of employment. The company reserves the right to modify, amend, suspend, or terminate any plan at any time for any reason. If there is a conflict between the information in this website and the actual plan documents or policies, the documents or policies will always govern. Complete details about the benefits can be obtained by reviewing current plan descriptions, contracts, certificates, policies and plan documents available from your Human Resources Office.