General Benefits
In-Network Benefits |
Out-of-Network Benefits |
|---|---|
SelecTEMP Preferred Provider Health Insurance Plan (PPO) pays 80 percent and the policyholder pays 20 percent of eligible expenses after the deductible has been met. |
SelecTEMP Preferred Provider Health Insurance Plan (PPO) pays 60 percent and the policyholder pays 40 percent of eligible expenses after the deductible has been met. |
Physician office visits are subject to deductible and coinsurance. |
Physician office visits are subject to deductible and coinsurance. |
Network providers will pre-authorize medical care. |
Policyholders must pre-authorize hospital admissions and certain services. |
There are usually no claim forms Emergency room visits within 48 hours of accident are subject to deductible, copay and coinsurance — 80/20. |
Policyholder may have to submit claims for reimbursement. Emergency room visits within 48 hours of accident are subject to deductible, copay and coinsurance — 80/20. |