Understand Your Plans
HOW MEDICAL COVERAGE WORKS
VPP medical coverage provides you and your family the protection you need for everyday health issues or unexpected medical expenses. When you enroll in medical coverage, you pay a portion of your health care costs when you receive care and the plan pays a portion, as detailed below. Preventive care, such as physical exams and flu shots, is fully covered by in-network providers. The plans have different:
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Flimp Video Library one-minute explanations of key terms and benefit overviews
Key Terms for Coverage
Annual Deductible: A deductible is the amount you pay for out-of-pocket costs for your covered health care before your plan begins to pay.
Copay: Depending on which plan you choose, you may have care available for a simple copay. A copay is the flat amount you can expect to pay for a specific service.
Coinsurance: Once you’ve met the plan’s annual deductible, you may be responsible for a percentage of your medical expenses, which is called coinsurance.
Out-of-Pocket Maximum: Once your deductible and coinsurance add up to the plan’s annual out-of-pocket maximum, the plan will pay 100% of all eligible covered services for the rest of the year.
In-Network: A provider that has contracted to be a part of your Insurance Network. Seeing an in-network provider for medical services can significantly reduce your medical expenses.
Out-of-Network: A provider that has no contract with your health plan. There are no discounted rates for services and no contracted limits to the amount they can charge you. The general rule is that you will pay more for services if you use out-of-network providers.
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