SCHEDULE OF BENEFITS

(Effective 01/01/08)

 

MONTEREY BAY PUBLIC EMPLOYEES TRUST

Comparison of Medical Plan Benefits

 

The following is a brief summary of the medical benefits provided through the Trust.  Exact benefits are paid according to the terms, exclusions and conditions of the applicable contract or plan booklet.

 

IMPORTANT NOTE: For contract providers, the plan pays the percentage shown of covered charges of a negotiated rate.  For non-contract providers, the plan pays the percentage shown of usual, customary and reasonable (UCR) covered charges.

 

EPO Plan

Managed Care Plan

Medical Choice Plan

Choice of Physicians

 

See Provider directories at school sites and district office.

Exclusive Providers Only; must choose a primary care physician; all referrals must go through PCP, see provider directory.  No non-network coverage except for emergency room treatment for life-threatening illnesses and injuries.

Choice of contract or non-contract physicians.  Contract physician services are reimbursed at a higher level than benefits paid for services rendered by a non-contract physician.  Members must contact a primary care physician for medical care in order to receive maximum benefits.  Please refer to Physician Benefit below.

Choice of contract or non-contract physicians. Contract physician services are reimbursed at a higher level than benefits paid for services rendered by a non-contract physician.

Dependent Coverage

Spouse and unmarried children to age 19, or 25 if full-time student or financially dependent.

Spouse and unmarried children to age 19, or 25 if full-time student or financially dependent.

Spouse and unmarried children to age 19, or 25 if full-time student or financially dependent.

Non-duplication of benefits & coordination of benefits

Normal coordination of benefits applies to this plan.

Normal coordination of benefits applies to this plan.  Please see note (2) for an exception.

Normal coordination of benefits applies to this plan.

Claim Forms

Claim forms are not required when contract providers are used. 

Claim forms are not required when contract providers are used.

Claim forms are not required when contract providers are used. 

Deductibles/

Coinsurance

$100 deductible per individual per calendar year; $200 deductible per family.  For contract providers, the annual out-of-pocket limit (which includes the deductible and covered coinsurance is $500 per individual, $1,000 per family.  No coverage for non-network providers except for emergency room treatment for life-threatening illnesses or injuries.

 

In emergency non-network situations, amounts in excess of UCR are not included in the out-of-pocket limit.

$150 deductible per individual, per calendar year; maximum of 2 deductibles per family.  After the calendar year deductible has been met, the Plan pays the percentage of covered charges as shown below.  When the annual out-of-pocket limit (which includes the deductible and covered coinsurance but not amounts in excess of UCR) has been reached, the plan will pay 100% of covered charges incurred during the remainder of the calendar year.  For contract providers, the annual out-of-pocket limit is $750 per individual.  For non-contract providers, the annual out-of-pocket limit is $2,500 per person.

 

The $1,000.00 hospital admission copayment for Monterey Bay area non primary contracting and non-contracting hospitals does not apply to the out-of-pocket limit. 

 

Expenses incurred for Mental/Nervous and Substance Abuse disorders do not apply to the out-of-pocket maximum.

$250 deductible per individual, per calendar year; maximum of $500 per family.  After the calendar year deductible has been met, the plan pays the percentage of covered charges as shown below.  When the annual out-of-pocket limit (which includes the deductible and covered coinsurance but not amounts in excess of UCR) has been reached, the Plan will pay 100% of covered charges incurred during the remainder of the calendar year.  The maximum annual out-of-pocket limit is $3,000 per member and $6,000 per family.

The maximum annual out-of-pocket limit applies only if services are received from a contract provider, or if you live and receive covered services outside of a contract provider area.

 The $1,000.00 copayment for Monterey Bay area non-primary contracting and non-contracting hospitals does not apply to the out-of-pocket limit.

Physician:

  Surgery

  Office

  Hospital

  Home

 

 

 

 

 

 

Pre-authorization Second Surgical Opinion

 

The plan pays 80% of contracted rates after deductible is satisfied.  (The plan does not pay anything for non-contract providers.)

 

 

 

 

 

 

 

Pre-authorization must be obtained prior to a scheduled surgery and certain medical procedures.  Failure to obtain pre-authorization will result in an additional 25% copayment of eligible expenses.  No second surgical opinion is required under this Plan.

Contract Providers: The plan pays 80% for surgeon/anesthetist; 70% for hospital visits and home visits.  You pay only $15(1) for office visits.  Referral to a specialist must be made by a Primary Care Physician, (PCP) and approved by Network Manager.  PCP referral is not required for ophthalmology, OB/GYN or Podiatry. Non- contract- the plan pays 60% of UCR fees.

 

 

Pre-authorization must be obtained prior to a scheduled surgery and certain medical procedures.  You must obtain a second surgical opinion for certain procedures; failure to obtain a required 2nd surgical opinion will result in an additional 20% copayment on eligible expenses.

Contract Providers: The plan pays 70% for surgery.  Co-payment of $10(1) hospital visits and office visits.  Non-contract Providers: The plan pays 50% of UCR covered charges for surgery, hospital and office visits.

 

 

 

 

Pre-authorization must be obtained prior to a scheduled surgery and certain medical procedures.  You must obtain a second surgical opinion for certain procedures; failure to obtain a required 2nd opinion will result in an additional 25% copayment on eligible expenses.

Anesthesia

The plan pays 80% of contracted rates or 80% of UCR covered charges at contracted facilities after deductible is satisfied.

Contract Providers: 80%.  Non-Contract Providers: 80% of UCR covered charges.

Contract Providers: 70%. Non-contract Providers: 50% of UCR covered charges.

Hospital Services

Hospital services must be received at one of the following

Monterey Bay Area Contract Hospitals ( payable at 100%):

 

Natividad Medical Center

G.L. Mee Memorial

Hazel Hawkins

Watsonville Community Dominican Santa Cruz.

 

Must have authorization from Pacific Health Alliance

 

Out of area referral network hospitals (by referral only):

 

The plan pays 80% of contracted

rates after the deductible is satisfied.

 

 

Pre-authorization must be obtained prior to any hospital admission (except in life-threatening emergencies).  Failure to comply will result in an additional 25% copayment

Hospitals of Distinction and Centers of Excellence charges are paid at 100%.  Primary Network Hospitals are paid at 90%. 

Out of Area Network Hospitals are paid at 80%.

 Non-Network Providers are paid at 60%.

 

 Area Non-Network Hospitals have a $1,000.00 per admission deductible (except for life threatening emergencies).  The $1,000.00 copayment does not apply to the out-of-pocket limit.

Hospitals of Distinction

The following is a listing of the Hospitals of Distinction (charges paid at $100%)

Natividad Medical Center

G.L. Mee Memorial Hospital

Hazel Hawkins,

Watsonville Community

Dominican Santa Cruz

Centers of Excellence

Charges paid @ 100%

Stanford University Hospital

UCSF Medical Center Hospital

Sequoia Hospital

O’Conner Hospital

 

(2) See important note concerning hospital Coordination of Benefits on the last page.

 

Pre-authorization must be obtained prior to any hospital admission (except in life-threatening emergencies).  Failure to comply will result in an additional $500 hospital deductible.

Hospitals of Distinction are paid at 100%. 

Network Hospitals charges are paid at 80%.  

Non-Network Hospital reimbursement is limited to 60% of UCR covered charges. Non-primary network hospitals and non-network hospitals have a $1,000.00 per admission copayment, (except for life threatening emergencies).  The copayment does not apply to the annual out-of-pocket limit.

 

Hospitals of Distinction

Charges payable at 100%

Natividad Medical Center

G.L.Mee Memorial Hospital

Hazel Hawkins

Watsonville Community

 Dominican Santa Cruz.

Centers of Excellence

Charges payable at 100%

Stanford Hospital

UCSF Medical Center Hospital

Sequoia Hospital

O’Conner Hospital

 

(2) See important note concerning hospital Coordination of Benefits on the last page.

 

Pre-authorization must be obtained prior to any hospital admission (except in life-threatening emergencies).  Failure to comply will result in an additional 10% hospital copayment.  Failure to obtain a second opinion for certain hospital admissions will result in an additional 25% copayment.

Skilled Nursing

Facility

Contract Providers Only,

The plan pays 80% of contracted rates after deductible is satisfied.  There is a maximum of 100 days each calendar year.  Pre-certification required; otherwise penalties will apply.

The plan will pay 80% of covered charges up to 365 days per lifetime

The plan will pay 70% for the first 10 days and 60% the next 90 days.  There is a maximum of 100 days each calendar year.  Pre-certification required; otherwise penalties will apply.

X-Ray and Lab

Contract Providers Only,

The plan pays 80% of contracted rates after deductible is satisfied.

Lab One Services covered at 100%

The plan will pay 80% of covered charges for services received in a contract facility (1); 60% of UCR for covered services by a non-contract provider.

Lab One Services covered at 100%.

The plan will pay 70% of covered charges for services received in a contract facility; 50% of UCR for covered at non-contract provider.

Lab One Services covered at 100%

Maternity

Covered as any other illness.

Covered as any other illness.

Covered as any other illness.

Interrupted

Pregnancy

Covered as any other illness.

Covered as any other illness.

Covered as any other illness.

Tubal Ligation

Covered as any other illness.

Covered as any other illness.

Covered as any other illness.

Vasectomy

Covered as any other illness.

Covered as any other illness.

Covered as any other illness.

Emergency Room or

Urgent Care Center

The plan pays 80% of contracted rates or 80% of UCR for non-contract facilities after deductible is satisfied.   A $50.00 co-payment

applies to all emergency room billings.

Emergency Room Continued

 

100% of Covered Charges payable at Natividad under this Plan) for emergency room sevices.

The plan will pay 80% of covered charges in a contract facility and 60% of UCR covered charges in a non-contract facility.  A $50.00 co-payment applies to all emergency room billings.

 

Emergency Room Continued

 

100% OF COVERED CHARGES PAYABLE AT NATIVIDAD MEDICAL CENTER FOR EMERGENCY ROOM

SERVICES.

The plan will pay 70% of covered charges in a contract facility and 50% of UCR charges in a non-contract facility.  A $50.00 co-payment applies to all emergency

room billings.

Emergency Room Continued           

 

100% OF COVERED CHARGES PAYABLE AT NATIVIDAD MEDICAL CENTER FOR EMERGENCY ROOM SERVICES.

 

Wellness

 Well Baby

Contract Providers Only,

The plan pays 90% of contracted rates after deductible is satisfied for dependent children through age 17.  Includes only exams and immunizations as recommended by the American Pediatric Association's guidelines.

After a $15 office visit copayment, the plan will pay 100% of covered charges by contract physicians for dependent children through age 17.  Includes only exams and immunizations as recommended by the American Pediatric Association's guidelines.  Charges by non-contract physicians are not covered.

The plan will pay 100% of covered charges by contract physicians; 60% for non-contract physicians.  Includes exams and immunizations as recommended by the American Pediatric Association's guidelines

Immunizations

Contract Providers Only,

The plan pays 80% of contracted rates after deductible is satisfied

Not covered, except as indicated in Well Baby Care Benefit and for annual flu shots under a program offered by the Trust.  No coverage for flu shots received from an entity other than as arranged by the Trust.

The plan will pay 100% of covered charges for immunization received in a contract facility; 60% from a non-contract facility. 

Physical Exams

Contract Providers Only,

The plan pays 90% of contracted rates after deductible is satisfied.

The plan will pay 100% of covered charges for mammograms and up to $200 per exam for routine physicals (see page 38) when performed by contract providers (1).  Physicals and mammograms are covered through contract providers only.

The plan will pay 100% of covered charges for gynecological exams and routine health exams, received in a contract facility; 60% from a non-contract facility.  Services provided on an age-based schedule. (See page 38)

Allergy Testing and

Administration of

Allergy Serum

Contract Providers Only,

The plan pays 80% of contracted rates (1).

The plan will pay 80% of covered charges rendered by a contract provider and 70% of UCR covered charges rendered by a non- contract provider.  No charge to you for administration of allergy serum.

The plan will pay 70% off covered charges for testing/treatment by a contract provider; 50% from a non-contract provider.  The plan pays up to $400 per calendar year for antigens.

Home Health Care

Contract Providers Only,

The plan pays 80% of contracted rates after deductible is satisfied, with a $6,000 calendar year maximum.

The plan pays 80% of covered charges up to 120 days per disability. A home health care treatment plan must have prior approval by your physician.

The plan will pay 70% of covered charges from a contract provider, with a $6,000 calendar year maximum; 50% from a non-contract provider, with a $6,000 calendar year maximum.  Pre-certification required for more than 10 visits per calendar year; otherwise, penalties will apply.

Hospice Care

The plan pays 80% of covered charges after deductible is satisfied up to a $7,500 lifetime maximum; 2 visits bereavement counseling.  Pre-certification required for all hospice care; otherwise, penalties will apply.

The plan will pay 80% of covered charges up to $15,000 lifetime maximum. Pre-certification required for all hospice care; otherwise, penalties will apply.

The plan will pay 70% of covered charges up to a $7,500 lifetime maximum; 2 visits bereavement counseling.  Pre-certification required for all hospice care; otherwise, penalties will apply.

Mental Health

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mental Health

(Continued)

Benefits are provided through Claremont Behavioral Health.  First 5 visits at no charge to you when a Claremont Behavioral Health provider used, then the plan pays 80% of covered charges for visits 6-20 and 50% of covered charges for visits 21-52.  Maximum of 52 visits per calendar year.  If a non-CBH provider is used, the plan pays 80% of UCR covered charges for the first 15 visits and 50% of UCR covered charges for the next 32 visits; maximum of 47 visits per calendar year.

 

Inpatient benefits are provided through CBH only. Inpatient: 30 days per calendar year. Lifetime Max: 90 Days .No inpatient benefits payable at non- contract facilities.

Benefits are provided through Claremont Behavioral Health .  First 5 visits at no charge to you when a United Behavioral Health provider used, then the plan pays 80% of covered charges for visits 6-20 and 50% of covered charges for visits 21-52.  Maximum of 52 visits per calendar year.  If a non-CBH provider is used, the plan pays 80% of UCR covered charges for the first 15 visits and 50% of UCR covered charges for the next 32 visits; maximum of 47 visits per calendar year.

 

 

Inpatient benefits are provided through CBH only. Inpatient: 30 days per calendar year. Lifetime Max: 90 Days.  No inpatient benefits payable at non- contract facilities.

Benefits are provided through Claremont Behavioral Health.  First 5 visits at no charge to you when a Claremont Behavioral Health provider used, then plan pays