Medical Insurance

Committed to supporting all staff members' success throughout every stage of your employment.

2020 MEDICAL PLANS


IN- MICHIGAN EMPLOYEE PLANS OUT-OF-MICHIGAN EMPLOYEE PLANS

1. CORE PLAN Blue Cross/Blue Shield PPO 1. CORE PLAN Blue Cross/Blue Shield PPO

2. Health Savings Account (HSA ) Blue Cross/Blue Shield PPO 2. Health Savings Account (HSA) Blue Cross/Blue Shield PPO

3. Blue Care Network (BCN) HMO

2020 Medical Health Insurance Overview

In order to help you make an informed decision as to which medical insurance plan option is best for you, please click on the link below. This short medical insurance overview is designed to guide you to key in on which factors are most important to you and what plan best meets that criteria.

To view the overview as a presentation and not just PowerPoint slides, click on the link below and download the overview. Once it opens, please click on "Slide Show" in the top ribbon,then select" F."

OPTION 1: CORE MEDICAL PLAN, BLUE CROSS/BLUE SHIELD PPO

For more information regarding the Ave Maria Employee Health Plan CORE Plan coverage, please review this information at the link below:

In the event you wish to have a copy and are unable to print the document for yourself, please contact the Human Resources Department and we will provide you a copy free of charge.

In accordance with the Patient Protection and Affordable Care Act, you will find the required Summary of Benefits and Coverage (SBC) for the Core Plan below:

Link: 2020 CORE PLAN BCBS PPO Summary of Benefits

*Please keep in mind that these are generic summaries of benefits and coverage provided by Blue Cross and Blue Shield; to know specific coverage under the Ave Maria Employee Health Plan, refer to the Benefits-at-a-Glance for your specific Plan.

OPTION 2: BLUE CROSS/BLUE SHIELD PPO HEALTH SAVINGS PLAN (HSA)

For more information regarding the Ave Maria Employee Health Plan MEDICAL PLAN TWO (2) coverage, please this information on the link below:

In the event you wish to have a copy and are unable to print the document for yourself, please contact the Human Resources Department and we will provide you a copy free of charge.

In accordance with the Patient Protection and Affordable Care Act, you will find the required Summary of Benefits and Coverage (SBC) for the Medical Plan Two (2) BCBS PPO HSA by clicking this link:

Link: 2020 Health Savings Account (HSA) BCBS PPO Summary of Benefits and Coverage

*Please keep in mind that these are generic summaries of benefits and coverage provided by Blue Cross and Blue Shield; to know specific coverage under the Ave Maria Employee Health Plan, refer to the Benefits-at-a-Glance for your specific Plan.

OPTION 3: BCN HMO PLAN, BLUE CARE NETWORK

The Blue Care Network (BCN) HMO is currently available in Michigan only. This plan has a low deductible and low bi-weekly employee deductions. With this plan you must designate a Primary Care Physician (PCP) for medical care management. Your PCP must initiate a referral to a specialist for their medical services to be covered. Coverage is "in-network" only. Please review the chart below for the specifics of this plan.

For more information regarding the Ave Maria Employee Health Plan Blue Care Network HMO coverage, please click on the link below:

In accordance with the Patient Protection and Affordable Care Act, you will find the required Summary of Benefits and Coverage (SBC) for the Blue Care Network HMO by clicking this link:

Link: 2020 Blue Care Network (BCN) HMO Summary of Benefits

*Please keep in mind that these are generic summaries of benefits and coverage provided by Blue Cross and Blue Shield; to know specific coverage under the Ave Maria Employee Health Plan, refer to the Benefits-at-a-Glance for your specific Plan.

WAIVER OPTION

An employee may choose to opt-out of any medical plan when proof of other medical coverage through a spouse or parent is provided to Human Resources. Once proper documentation of medical coverage for the employee has been verified, the employee may receive a bi-weekly opt-out credit of $15.00.

CONTACTS

Becky Zmuda, HR Director

734.930.3196

rzmuda@avemariafoundation.org OR

rzmuda@dominosfarms.com


Enrollments and Life Change Events

Gloria Jancar, HR Generalist

734.930.4542

gjancar@avemariafoundation.org OR

gjancar@dominosfarms.org



COMPANY

BLUE CROSS/BLUE SHIELD (PPO)

877.790.2583


General Claims and Benefit Information: www.bcbsm.com


To locate a physician or hospital: www.bcbs.com


Blue Cross Online Visits Sign Up: www.bcbsmonlinevisits.com 844.606.1608


Health Equity BCBS Health Savings Account www.healthequity.com 866.346.5800


Script Navigator

Hylant pharmacy search engine for discounted generic prescriptions

www.hylant.medtipster.com


BLUE CARE NETWORK (HMO)

800.970.6684


General Claims and Benefit Information: www.mibcn.com


To locate a physician or hospital online: www.bcbs.com


Blue Cross Online Visits Sign Up: www.bcbsmonlinevisits.com 844.606.1608


MOBILE APP

Blue Cross Blue Shield of Michigan

(both PPO and HMO)

www.bcbsm.com/content/microsites/app/en/index.html