(Hourly) 2019 McKibbon Benefit Guide

MEDICAL INSURANCE

McKibbon Hospitality offers medical coverage through United Healthcare (UHC). You have four plan options to choose from. To find participating providers go to www.myuhc.com and click on “Find a Doctor”, then follow the prompts to complete the search within the “Choice Plus” network. The chart below provides a brief overview of the medical plans offered.

BUY-UP PLAN #1

BUY-UP PLAN #2

HDHP H.S.A. PLAN

BASE PLAN

IN-NETWORK

Choice Plus

Choice Plus

DEDUCTIBLE (your first dollar cost for covered in-network claims) Deductible (Individual / Family) $6,600 / $13,200

$2,500 / $5,000

$4,500 / $9,000

$3,500 / $7,000

COINSURANCE (your responsibility on claims costs once you’vemet the deductible) 20% 20% OUT OF POCKET MAXIMUM (once met all in-network covered services are covered by the plan) MaximumOut-of-Pocket (Individual / Family) $7,130 / $14,260 $6,350 / $12,700

20%

20%

$5,000 / $10,000

$5,000 / $6,850

Maximum Includes

Deductible, Coinsurance, Prescription Costs & Copays

PREVENTIVE CARE Wellness, Immunizations, Mammography, Colonoscopy, etc.

Covered 100%, no cost to you

Covered 100%, no cost to you

OFFICE VISITS Referral Required

No

No $49

Virtual Visits

$10 Copay

$10 Copay

$10 Copay

Office Visits (Illness/Injury)

Covered 80% after deductible

$50 Copay

$45 Copay

$35 Copay

Covered 80% after deductible

Specialist Visits

$75 Copay

$60 Copay

$60 Copay

HOSPITAL SERVICES Inpatient Hospital

Covered 80% after deductible Covered 80% after deductible Covered 80% after deductible Covered 80% after deductible

Covered 80% after deductible

Covered 80% after deductible Covered 80% after deductible

Outpatient Surgery

Covered 80% after deductible

Covered 80% after deductible Covered 80% after deductible

Emergency Room

$500 Copay

$500 Copay

$500 Copay

Urgent Care

$75 Copay

$75 Copay

$75 Copay

DIAGNOSTIC TESTING Lab & X-Ray Advanced Imaging (MRI, CAT, PET, etc.)

Covered 80% after deductible

Covered 100%

Covered 100%

Covered 100%

Covered 80% after deductible

Covered 80% after deductible

Covered 80% after deductible Covered 80% after deductible

PRESCRIPTIONS

Your medical deductible applies first then, $10 / $35 / $60 Yes

Retail (30 day supply) Tier 1 / 2 / 3 / 4

$20 / $50 / $100 / $200

$20 / $50 / $100 / $200

$20 / $50 / $100 / $200

Medicare (Part D) Creditable

Yes

Yes

Yes

OUT-OF-NETWORK 1

Refer to plan summary for details . Copies can be found within forms library on the Benefits Portal.

$114.56 $293.38 $263.23 $365.10

Employee Only

$ 46.00

$121.92

$161.40

Employee + Spouse

$216.50

$312.23

$350.96

Employee + Child(ren)

$197.50

$280.15

$298.32

Employee + Family

$236.57

$388.55

$447.15

Reminder: You are not able to drop coverage outside of open enrollment unless you experience a qualified life event (QLE). Examples of QLEs are provided on page 3 of this guide. If you later decide the cost of the plan is too expensive, you will not be able to drop the coverage or change plans as this is not a QLE. Please note these rules and restriction are set and regulated by the IRS, not McKibbon Hospitality.

1 Charges are subject to balance billing

4 This chart is intended only to highlight the benefits available and should not be relied upon to fully determine your coverage. If the below illustration of benefits conflicts in any way with the Summary Plan Description (SPD), the SPD shall prevail. It is recommended that you review your exact description of services and supplies that are covered, those which are excluded or limited, and other terms and conditions of coverage.

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