MEDICAL COVERAGE
RGA (Regence Group Administrators)
Benefits Summary
The plan encourages you to use in-network providers by charging you lower co-pays and co-insurance amounts. In-network providers agree to bill RGA directly and to accept a negotiated fee as payment in full. Out-of-Network providers have not and are reimbursed based on Medicare reimbursement rates. You may have to pay amounts above that charge (also called balance billing). To find a list of in-network providers, go to accessrega.com and search for providers. The deductible and out-
DON’T FORGET YOUR ANNUAL EXAM. PREVENTIVE CARE IS COVERED 100%.
of-pocket maximum are on a calendar-year basis and reset every January 1 st . In-network and out-of-network deductibles and out-of- pocket maximums are “aggregated,” such that Covered Services applied to one also apply to the other.
6
TAYLOR METAL PRODUCTS // OPEN ENROLLMENT GUIDE // EFFECTIVE JANUARY 1, 2024
Made with FlippingBook - PDF hosting