Smokey Bones Online Benefits Information

MEDICAL

The medical program provides the framework for your good health and well-being. Below is a brief summary of the High Deductible Health Plan (HDHP) being offered through UnitedHealthcare  Choice Plus Network. A Choice Plus network is a network of providers contracted with UnitedHealthcare to provide healthcare services at negotiated rates for our firestarters and their covered family members. Although you may use the services of an out-of-network provider; you will receive the highest level of benefits and pay at a lower cost when you choose an in-network provider.

Medical Plan Summary

Benefit Highlights

In-Network

Out-of-Network

Annual Deductible

Individual / Family

 

$2,000/$4,000

 

$5,000/$10,000

Out-of-Pocket Maximum

Individual / Family

Coinsurance (plan will pay)

 

$5,000/$6,850

70%

 

$10,000/$20,000

50%

Physician Office Visits

Primary Care Physician

 

CYD + Coins. *

 

CYD + Coins. *

Specialist CYD + Coins. * CYD + Coins. *
Virtual Visits CYD + Coins. * CYD + Coins. *
Preventive Care 100%, no CYD CYD + Coins. *
Inpatient Care CYD + Coins. * CYD + Coins. *
Outpatient Care CYD + Coins. * CYD + Coins. *
Routine X-Ray & Lab CYD + Coins. * CYD + Coins. *
Emergency Room CYD + Coins. * CYD + Coins. *
Urgent Care CYD + Coins. * CYD + Coins. *

 

Additional Information-Click on links below

United Healthcare Provider (Choice Plus) Network - Shop for doctor
HDHP Plan Summary

© Copyright 2017 Smokey Bones All Rights Reserved.


270.21-86