移动菜单的网站. 导航菜单

重要的披露信息

This information can help you understand what your plan covers, 使用你的计划的成本和规则, 如何提出申诉.

全博体育网址符合质量标准

全博体育网址符合质量标准

We follow health plan accreditation standards of the National Committee for Quality Assurance (NCQA) to offer you quality health plans. Learn how we meet those standards —  plus how you can get plan details online or by phone, 找出你的权利和责任, 了解计划成本等.

健康、牙科和视力计划的消费者披露

 

个人的计划

In certain states we offer health plans for you and your family. Just select a state to find documents that describe these plans, along with state-specific disclosure requirements to help you determine the right coverage.

牙科-一个独立的个人计划

个别牙科资料披露(PDF)

健康计划

集团计划

We also offer group health, dental and vision plans (available through an employer). Just select a state to find documents that describe these plans, along with state-specific disclosure requirements to help you determine the right coverage.

1月1日开始, 2022, covered dental services provided to 德州 members through Teledentistry by a licensed health professional, will be covered the same as if the services were performed in an in-person setting.

 

Affordable Care Act Individual Health Insurance Broker Compensation Information For Policies Sold in 佛罗里达, 乔治亚州, 密苏里州, 北卡罗莱纳, 内华达, 德州, 和弗吉尼亚州为2022年日历年.

 

直接经纪人佣金表

状态

每位登记会员每月支付的金额*

佛罗里达

$28

乔治亚州

$22

密苏里州

$20

北卡罗莱纳

$25

内华达

$18

德州

$25

维吉尼亚州

$20

状态

佛罗里达

每位登记会员每月支付的金额*

$28

状态

乔治亚州

每位登记会员每月支付的金额*

$22

状态

密苏里州

每位登记会员每月支付的金额*

$20

状态

北卡罗莱纳

每位登记会员每月支付的金额*

$25

状态

内华达

每位登记会员每月支付的金额*

$18

状态

德州

每位登记会员每月支付的金额*

$25

状态

维吉尼亚州

每位登记会员每月支付的金额*

$20

 

 

*Commissions are payable to a maximum of five members per policy.

 

 

In addition to direct commissions, your broker may also be eligible for a bonus program:

 

1月1日登记的新会员一次性奖金, 2022年和2月1日, 2022年按以下时间表进行:

数量的成员

每位登记会员的缴费金额

10 - 24成员

$25

25-49成员

$50

50 +的成员

$75

数量的成员

10 - 24成员

每位登记会员的缴费金额

$25

数量的成员

25-49成员

每位登记会员的缴费金额

$50

数量的成员

50 +的成员

每位登记会员的缴费金额

$75

 

 

 

The broker bonus program applies only to policies sold in these states for the 2022 calendar year. 某些其他条件适用.

《全博体育》

《全博体育》

如果你已经或将要做乳房切除术, you may be entitled to certain benefits under the WHCRA of 1998. We’ll determine what your coverage will be based on our consultations with you and the attending physician regarding:
 

  • All stages of reconstruction of the breast on which the mastectomy was performed
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance
  • 假肢
  • Treatment of physical complications of the mastectomy, including lymphedema

You’ll also receive benefits if you’ve had a mastectomy as a result of breast cancer while covered under a different health plan. Your coverage is provided in accordance with your plan design and is subject to plan limitations, 元钱, 免赔额, 共同保险和推荐要求, 如果有任何, 如你的计划文件所述.

For more information, contact Member Services at the number on your ID card. 你也可以从医疗保险中心找到资源 & 医疗补助服务和国家卫生研究院.

额外的资源

Brush up on benefits details and your rights as a health care consumer so you can make the right decisions about your care.

权利和责任

了解您作为全博体育网址 HMO或PPO成员的权利.

具体由各州完成的信息

Find health plan policies and guidelines for various states.

失去团体保险

如果你失去了团体保险,探索一下你的选择.

支出账户的指导方针

Learn about IRS rules for different flexible spending accounts (FSAs).

改变你的报道

Get guidance for changing your health plan as your life changes.

联邦无意外法案

Understand your rights and protections against surprise medical bills.

法律声明

有关雇主资助计划的说明: 状态 mandates do not apply to self-funded plans governed by ERISA. If you are unsure if you’re plan is self-funded and/or governed by ERISA, 请与你的福利管理员协商. Specific plan documents supersede general disclosures contained within, as applicable.

卫生组织实体提供的管理计划是: 仅限全博体育网址健康网络TM全博体育网址初级护理公司SM 计划HMO, 全博体育网址健康网络选项SM,全博体育网址开放存取® HMO,全博体育网址的选择® POS和qpo®.

全博体育网址人寿保险公司提供的管理计划如下: 成功的选择® POS,全博体育网址的选择® 计划POS,全博体育网址开放存取® 管理选择,开放选择® PPO,全博体育网址的选择® 计划PPO,全博体育网址开放获取® 选择选择,全博体育网址选择® POS,全博体育网址选择SM 和开放存取的全博体育网址选择SM.

牙科保险由下列机构提供、承保或管理: 全博体育网址健康公司.加州全博体育网址健康公司., 纽约全博体育网址健康保险公司, 全博体育网址健康保险公司, 全博体育网址人寿保险公司, 全博体育网址牙科公司. 和/或加州全博体育网址牙科公司.

OK发出的保单包括: GR - / GR-9N GR-29 / GR-29N-29N.