5.3. ERMUSR 10-09-2007 - Laserfiche WebLink

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._ • Rr_~in~l?ccrttil is>st.s. C1o777~'r'titil'r' How this plan option works 1~:r1?or rrrn.rlcc~t. C:~rv~~~z,T~Tr~r~,;T~717~; f~.~r 71101'E' t7?7cj f?r'ftt'r 1'1Fti~~~? 1i7fi:ir;?7i7ti0?r l~i7e 17r•L'c`~ fcr j?nTL~t:'tt1Uil1f'iU:t~ r i Cre~rr. Blrrr~ (:roy L7rrr~ ~tlre S17zr`!r O~ .11.7?f'?EjptG7 l~ t 7f' Urit)' .~l"ri?7?c-~S('~7? ~7['r7~tj? ~1Ldi1 t~lt'if C07i7C??17e'.i 71 ][?rr:' t7~lrati 70 y'E~ars Uf r~r:p~'rir~'7Tet' ra;?i~~r c"i~UC1(~ UY7 t%lE ~7Etritjl}' ~r}.ir2 U~ ~777wir?E,'Stir's like yol-crs. Members can see any health care provider of their choice for most covered services -without referrals. For some services, the best benefits are available when members see health care providers in our statewide Blue Cross (Aware') network The Blue Cross network includes primary care clinics, specialists and hospitals. Network providers take care of all claims paperwork Network providers mean savings By using the extensive network of health care providers, members avoid hidden costs. A11 those providers have agreed to accept the "allowed amount" specified in their contracts as full payment for covered services. The BlueCard~ program extends that protection across the United States and even worldwide through the "Traditional" network If a member sees a health care provider who doesn't have a contract with Blue Cross (a nonparticipating provider), the member is responsible for any deductible, the coinsurance amount applied. to the allowed amount, and the difference between the actual bill and the allowed amount Expect more with Blueprint for Health`' Take advantage of programs designed to improve health and productivity: fitness discounts • EAP • 24-hour nurse ad~lce line • prenatal support estop-smoking pro~bram easy-to-use health information at our online wellness center • Blueprint for Health care support, our groundbreaking grogram. far members with chronic conditions. These programs are offered at na additional charge to groups. A