2015 Benefits Comparison
About Exchanges – White Papers
Full Summary of Benefits Coverage – oxford sbc Liberty HMO 2014
Oxford Liberty Physician Locator – click here
It’s not about a number … The North Shore-LIJ CareConnect network is built around the North Shore–LIJ Health System, its employed physicians and thousands of select affiliated community providers.
This network is designed to provide you access to the highest quality doctors, so choosing the right provider is worry free.
- -17 hospitals, 8,000 providers, and an additional 12,000 contracted providers
- -Future expansion includes network in northern NJ, Western CT, and Westchester.
- -Partnership with CVS/MinuteClinic to provide basic care outside of the service area.
- -New “Tradition” plans put the co-pay first, like we’re used to.
What makes CareConnect unique:
- Concierge style service.
- Call their customer support, speak with a real person empowered to help.
- They’ll even find a doctor, and schedule an appointment, for a time that works for you.
- Integrated care.
- Low denial rate.
- Integrated medical management.
- Customer care centers for those who want to stop in and ask questions on their plan, their care, or even payment assistance.
Hospital Listing – click here
Physician Locator – click here
Physician Directory Download – click here
* * 2016 Care Connect Small Group Rate Card * *
Voluntary Dental,Vision, Life, Accident and Disability
Dental
HealthPass offers four great dental options; Guardian Managed DentalGuard (DMO),Guardian Managed DentalGuard Plus, (DMO), Guardian DentalGuard Preferred (DMO/PPO, and Guardian DentalGuard Preferred Plus (DMO/PPO)). Managed DentalGuard provides you and your family with accessible, quality care. The DentalGuard network is comprised of carefully selected dentists dedicated to delivering personalized In-Network services, with an emphasis on preventive treatment. DentalGuard Preferred combines the freedom of choice of In-Network or Out-of-Network care, although you will typically receive a higher level of benefits and save on out-of-pocket costs if you visit an In-Network dentist.
DentalGuard Managed (In-Network Only):
DentalGuard Managed Plus (In-Network Only):
DentalGuard Preferred (In and Out of Network):
DentalGuard Preferred Plus (In and Out of Network):
VisionGuard
Guardian VisionGuard provides access to the Davis Vision network. Exams and materials are covered and members can visit any doctor they wish using both In and Out-of-Network benefits. Members have access to to generous discounts including up to 25% off laser vision correction, discounts on glasses and cosmetic enhancements such as tints, special lenses and scratch-resistant coating.
Bundled Life and Disability
HealthPass makes it easy for employers to offer EverGuard, EverGuard Plus and now the EverGuard Dual Option. Personal protection from Guardian offers Term Life, AD&D and Long Term Disability. The coverage is available on a guaranteed basis, no medical examination and no industry will be excluded. These complete benefit packages are offered with low monthly premiums based on ages.
- $1,000 per month of Disability Income
- $25,00 of Term Life Insurance
- $75,000 of AD&D
- EverGuard Plus:
- $1,500 per month Disability Income
- $50,000 of Term Life Insurance
- $100,000 of AD&D
All employees enrolled in medical coverage have access to this advocacy and assistance company. Registered nurses can help guide members through questions regarding claims, healthcare bills, authorizations, finding doctors and hospitals as well as scheduling specialists. Click here for additional information.
** Healthpass Renewal Enrollment/Change Form **
HealthPass Discounts
Hpass FAQ
As an Employer you are able to offer:
- Multiple carriers and plan designs
- Various pharmacy options
- DMO & PPO dental coverage
- EverGuard – Bundled Term Life, AD&D, Disability Package
- A defined Contribution per employee status
– Single
– Employee Spouse
– Employee Child(ren)
– Family
As an Employee, You are able to choose:
- Multiple Carriers and Plan Designs
- Various Doctors. Hospitals, Rx, Copays and Deductibles
- Types of Medical Coverage
– In-Network Plans
– In & Out of Network Plans
– Cost Sharing Plans
– Health Savings Accounts (HSA’s) - Dental Coverage
– Managed DentalGuard DMO
– DentalGuard Preferred PPO - EverGuard – Bundled Term Life, AD&D, Disability Package
Plan Info Downloads
Health Republic EssentialCare Bronze
Health Republic EssentialCare Catastrophic
Health Republic EssentialCare Silver
Health Republic EssentialCare Gold
Health Republic EssentialCare Platinum
Health Republic -PrimarySelect SBC – All Metal Tiers
Health Republic Gym Reimbursement_v1
Health Republic Underwriting Guidelines
NSLIJ
** Healthpass Renewal Enrollment/Change Form ** – need this form to make changes such as switching plans, insurers, dental, vision, life insurance/disability package before your renewal. You cannot make plan changes midyear.
For more information, please