Coverage under this plan qualifies as minimum essential coverage.  Please visit the Internal Revenue Service (IRS) website at www.irs.gov/uac/Questions-and-Answers-on-the-Individual-Shared-Responsibility-Provision for more information on the individual requirement for MEC.

Our health coverage meets the minimum value standard of 60% established by the ACA. This means that we provide benefits to cover at least 60% of the total allowed costs of essential health benefits. The 60% standard is an actuarial value; your specific out-of-pocket costs are determined as explained in this brochure.

See www.opm.gov/healthcare-insurance for enrollment information as well as:

• Information on the FEHB Program and plans available to you
• A health plan comparison tool
• A list of agencies that participate in Employee Express
• A link to Employee Express
• Information on and links to other electronic enrollment systems

Also, your employing or retirement office can answer your questions, give you other plans' brochures and other materials you need to make an informed decision about your FEHB coverage. These materials tell you:

• When you may change your enrollment;
• How you can cover your family members;
• What happens when you transfer to another Federal agency, go on leave without pay, enter military service, or retire;
• What happens when your enrollment ends;
• When the next Open Season for enrollment begins.

We do not determine who is eligible for coverage and, in most cases, cannot change your enrollment status without information from your employing or retirement office.  For information on your premium deductions, disability leave, pensions, etc you must also contact your employing or retirement office.

Once enrolled in your FEHB Program Plan, you should contact your carrier directly for address updates and questions about your benefit coverage.

Self Only coverage is only for the enrollee.  Self Plus One coverage is for the enrollee and one eligible family member. Self and Family coverage is for the enrollee and one or more eligible family members. Family members include your spouse, and your dependent children under age 26, including any foster children authorized for coverage by your employing agency or retirement office. Under certain circumstances, you may also continue coverage for a disabled child 26 years of age or older who is incapable of self-support.

If you have a Self Only enrollment, you may change to a Self Plus One or Self and Family enrollment if you marry, give birth, or add a child to your family.  You may change your enrollment 31 days before to 60 days after that event.  The Self Plus One or Self and Family enrollment begins on the first day of the pay period in which the child is born or becomes an eligible family member.  When you change to Self Plus One or Self and Family because you marry, the change is effective on the first day of the pay period that begins after your employing office receives your enrollment form.  Benefits will not be available to your spouse until you are married.  A carrier may request that an enrollee verify the eligibility of any or all family members listed as covered under the enrollee's FEHB enrollment.

Contact your employing or retirement office if you want to change from Self Only to Self Plus One or Self and Family.  If you have a Self and Family enrollment, you may contact us to add a family member.

Your employing or retirement office will not notify you when a family member is no longer eligible to receive benefits.  Please tell us immediately of changes in family member status, including your marriage, divorce, annulment, or when your child reaches age 26.  We will send written notice to you 60 days before we proactively disenroll your child on midnight of their 26th birthday unless your child is eligible for continued coverage because they are incapable of self-support due to a physical or mental disability that began before age 26.  

If you or one of your family members is enrolled in one FEHB plan, you or they cannot be enrolled in or covered as a family member by another enrollee in another FEHB plan.

If you have a qualifying life event (QLE) - such as marriage, divorce, or the birth of a child - outside of the Federal Benefits Open Season, you may be eligible to enroll in the FEHB Program, change your enrollment, or cancel coverage.  For a complete list of QLEs, visit the FEHB website at www.opm.gov/healthcare-insurance/life-events.  If you need assistance, please contact your employing agency, Tribal Benefits Officer, personnel/payroll office, or retirement office.

Family members covered under your Self and Family enrollment are your spouse (including your spouse by valid common-law marriage if you reside in a state that recognizes common-law marriages) and children as described below. A Self Plus One enrollment covers you and your spouse, or one other eligible family member as described below.

Natural children, adopted children, and stepchildren
Coverage: Natural children, adopted children, and stepchildren are covered until their 26th birthday.

Foster children
Coverage: Foster children are eligible for coverage until their 26th birthday if you provide documentation of your regular and substantial support of the child and sign a certification stating that your foster child meets all the requirements. Contact your human resources office or retirement system for additional information.

Children incapable of self-support
Coverage: Children who are incapable of self-support because of a mental or physical disability that began before age 26 are eligible to continue coverage. Contact your human resources office or retirement system for additional information.

Married children
Coverage: Married children (but NOT their spouse or their own children) are covered until their 26th birthday.

Children with or eligible for employer-provided health insurance
Coverage: Children who are eligible for or have their own employer-provided health insurance are covered until their 26th birthday.

Newborns of covered children are insured only for routine nursery care during the covered portion of the mother’s maternity stay.
You can find additional information at www.opm.gov/healthcare-insurance.

OPM implements the Federal Employees Health Benefits Children’s Equity Act of 2000. This law mandates that you be enrolled for Self Plus One or Self and Family coverage in the FEHB Program, if you are an employee subject to a court or administrative order requiring you to provide health benefits for your child(ren).

If this law applies to you, you must enroll in Self Plus One or Self and Family coverage in a health plan that provides full benefits in the area where your children live or provide documentation to your employing office that you have obtained other health benefits coverage for your children. If you do not do so, your employing office will enroll you involuntarily as follows:

• If you have no FEHB coverage, your employing office will enroll you for Self Plus One or Self and Family coverage, as appropriate, in the lowest-cost nationwide plan option as determined by OPM.
• If you have a Self Only enrollment in a fee-for-service plan or in an HMO that serves the area where your children live, your employing office will change your enrollment to Self Plus One or Self and Family, as appropriate, in the same option of the same plan; or
• If you are enrolled in an HMO that does not serve the area where the children live, your employing office will change your enrollment to Self Plus One or Self and Family, as appropriate, in the lowest-cost nationwide plan option as determined by OPM.

As long as the court/administrative order is in effect, and you have at least one child identified in the order who is still eligible under the FEHB Program, you cannot cancel your enrollment, change to Self Only, or change to a plan that doesn’t serve the area in which your children live, unless you provide documentation that you have other coverage for the children.

If the court/administrative order is still in effect when you retire, and you have at least one child still eligible for FEHB coverage, you must continue your FEHB coverage into retirement (if eligible) and cannot cancel your coverage, change to Self Only, or change to a plan that does not serve the area in which your children live as long as the court/administrative order is in effect. Similarly, you cannot change to Self Plus One if the court/administrative order identifies more than one child. Contact your employing office for further information.

The benefits in this brochure are effective January 1. If you joined this Plan during Open Season, your coverage begins on the first day of your first pay period that starts on or after January 1. If you changed plans or plan options during Open Season and you receive care between January 1 and the effective date of coverage under your new plan or option, your claims will be paid according to the 2025 benefits of your prior plan or option.    If you have met (or pay cost-sharing that results in your meeting) the out-of-pocket maximum under the prior plan or option, you will not pay cost-sharing for services covered between January 1 and the effective date of coverage under your new plan or option. However, if your prior plan left the FEHB Program at the end of the year, you are covered under that plan’s 2024 benefits until the effective date of your coverage with your new plan. Annuitants’ coverage and premiums begin on January 1. If you joined at any other time during the year, your employing office will tell you the effective date of coverage.

If your enrollment continues after you are no longer eligible for coverage, (i.e. you have separated from Federal service) and premiums are not paid, you will be responsible for all benefits paid during the period in which premiums were not paid.  You may be billed for services received directly from your provider.  You may be prosecuted for fraud for knowingly using health insurance benefits for which you have not paid premiums.  It is your responsibility to know when you or a family member are no longer eligible to use your health insurance coverage.

You will receive an additional 31 days of coverage, for no additional premium, when:

• Your enrollment ends, unless you cancel your enrollment, or
• You are a family member no longer eligible for coverage.

Any person covered under the 31 day extension of coverage who is confined in a hospital or other institution for care or treatment on the 31st day of the temporary extension is entitled to continuation of the benefits of the Plan during the continuance of the confinement but not beyond the 60th day after the end of the 31 day temporary extension.

If you are an enrollee and your divorce or annulment is final, your ex-spouse cannot remain covered as a family member under your Self Plus One or Self and Family enrollment. You must contact us to let us know the date of the divorce or annulment and have us remove your ex-spouse. We may ask for a copy of the divorce decree as proof.  In order to change enrollment type, you must contact your employing or retirement office. A change will not automatically be made.

If you were married to an enrollee and your divorce or annulment is final, you may not remain covered as a family member under your former spouse’s enrollment. This is the case even when the court has ordered your former spouse to provide health coverage for you. However, you may be eligible for your own FEHB coverage under either the spouse equity law or Temporary Continuation of Coverage (TCC). If you are recently divorced or are anticipating a divorce, contact your ex-spouse’s employing or retirement office to get information about your coverage choices. You can also visit OPM’s website at https://www.opm.gov/healthcare-insurance/life-events/memy-family/im-separated-or-im-getting-divorced/#url=Health.  We may request that you verify the eligibility of any or all family members listed as covered under the enrollee's FEHB enrollment.

If you leave Federal service, Tribal employment, or if you lose coverage because you no longer qualify as a family member, you may be eligible for Temporary Continuation of Coverage (TCC).   For example, you can receive TCC if you are not able to continue your FEHB enrollment after you retire, if you lose your Federal or Tribal job, or if you are a covered child and you turn 26.

You may not elect TCC if you are fired from your Federal or Tribal job due to gross misconduct.

Enrolling in TCC. Get the RI 79-27, which describes TCC, from your employing or retirement office or from http://www.opm.gov/healthcare-insurance. It explains what you have to do to enroll.

Alternatively, you can buy coverage through the Health Insurance Marketplace where, depending on your income, you could be eligible for a tax credit that lowers your monthly premiums. Visit https://www.healthcare.gov/ to compare plans and see what your premium, deductible, and out-of-pocket costs would be before you make a decision to enroll. Finally, if you qualify for coverage under another group health plan (such as your spouse’s plan), you may be able to enroll in that plan, as long as you apply within 30 days of losing FEHB Program coverage.

If you leave Federal or Tribal service, your employing office will notify you of your right to convert. You must contact us in writing within 31 days after you receive this notice.  However, if you are a family member who is losing coverage, the employing or retirement office will not notify you.  You must contact us in writing within 31 days after you are no longer eligible for coverage.

Your benefits and rates will differ from those under the FEHB Program; however, you will not have to answer questions about your health, a waiting period will not be imposed, and your coverage will not be limited due to pre-existing conditions.  When you contact us, we will assist you in obtaining information about health benefits coverage inside or outside the Affordable Care Act’s Health Insurance Marketplace in your state. For assistance in finding coverage, please contact us at 800-741-4825 or visit our website at https://sentarahealthplans.com/federal

If you would like to purchase health insurance through the ACA’s Health Insurance Marketplace, please visit https://www.HealthCare.gov.  This is a website provided by the U.S. Department of Health and Human Services that provides up-to-date information on the Marketplace.

Sentara Health Plans offers Open Access to our members within the Plan’s service area identified on page 14. You can go directly to any network specialist for covered services without a referral from your primary care provider (PCP). Whether your covered services are provided by your primary care provider (for your PCP copay) or by any other participating provider in the network (for the specialist copay), you will be responsible for payment which may be in the form of a copay (flat dollar amount) or coinsurance (a percentage of covered expenses). You still must select a PCP and notify member services of your selection. If you go directly to a specialist, you are responsible for verifying that the specialist is participating in the Plan. There are three ways you can check to see if your specialty provider is in the Plan’s network. You can call Member Services, you can check your provider directory, or you can log onto the Plan’s website at
https://www.sentarahealthplans.com to verify that your specialty provider is in the Plan’s network. Please remember that although you do not need a referral for specialty care some services, supplies, and drugs require precertification. Please refer to Section 3 for precertification information and to make sure which services require precertification.

We will send you an identification (ID) card when you enroll. You should carry your ID card with you at all times. You must show it whenever you receive services from a Plan provider, or fill a prescription at a Plan pharmacy. Until you receive your ID card, use your copy of the Health Benefits Election Form, SF-2809, your health benefits enrollment confirmation letter (for annuitants), or your electronic enrollment system (such as Employee Express) confirmation letter.

If you do not receive your ID card within 30 days after the effective date of your enrollment, or if you need replacement cards, call us at 757-552-7550 or 800-206-1060 or write to us at Sentara Health Plans, PO Box 66189, Virginia Beach, VA 23466. You may also request replacement cards through our website at https://www.sentarahealthplans.com.

If you use our Plan you can receive covered services from a participating provider without a required referral from your primary care provider or by another participating provider in the network.  You will not have to file claims.

FEHB Carriers must have clauses in their in-network (participating) providers agreements. These clauses provide that, for a service that is a covered benefit in the plan brochure or for services determined not medically necessary, the in-network provider agrees to hold the covered individual harmless (and may not bill) for the difference between the billed charge and the in network contracted amount. If an in-network provider bills you for covered services over your normal cost share (deductible, copay, co-insurance) contact your Carrier to enforce the terms of its provider contract.

Plan providers are physicians and other health care professionals in our service area that we contract with to provide covered services to our members. Services by Plan Providers are covered when acting within the scope of their license or certification under applicable state law.  We credential Plan providers according to national standards.

Benefits are provided under this Plan for the services of covered providers, in accordance with Section 2706(a) of the Public Health Service Act. Coverage of practitioners is not determined by your state’s designation as a medically underserved area. 

We list Plan providers in the provider directory, which we update periodically. The list is also on our website.

This plan recognizes that transgender, non-binary, and other gender diverse members require health care delivered by healthcare providers experienced in gender affirming health.  Benefits described in this brochure are available to all members meeting medical necessity guidelines regardless of race, color, national origin, age, disability, religion, sex or gender. 

This plan provides Care Coordinators for complex conditions and can be reached at 757-552-7550 or 800-206-1060 for assistance.

Plan facilities are hospitals and other facilities in our service area that we contract with to provide covered services to our members. We list these in the provider directory, which we update periodically, or you can call Member Services to find out if a hospital or other facility is a participating provider. The list is also on our web site.

It depends on the type of care you need. First, you and each family member must choose a primary care provider. This decision is important since your primary care provider provides or arranges for most of your healthcare.

Your primary care provider can be a family practitioner, internist or pediatrician. Your primary care provider will provide most of your healthcare or refer you to see a specialist.

This plan recognizes that transsexual, transgender, and gender-nonconforming members require health care delivered by healthcare providers experienced in transgender health. While gender reassignment surgery is excluded from coverage by the Plan, (benefit details found in Section 5(b)) hormone therapy providers (benefit details found in Section 5(f)) play important roles in preventive care, you should see a primary care provider familiar with your overall healthcare needs. Benefits described in this brochure are available to all members meeting medical necessity guidelines.

If you want to change primary care provider or if your primary care provider leaves the Plan, call us. We will help you select a new one.

You do not need a referral from your primary care provider (PCP) for specialty care from a Plan provider.

Here are some other things you should know about specialty care:

• If you are seeing a specialist when you enroll in our Plan, you must make sure that they participate with us. If your current specialist does not participate with us, you must receive treatment from a specialist who does. Generally, we will not pay for you to see a specialist who does not participate with our Plan.
• If you are seeing a specialist and your specialist leaves the Plan, you may receive services from your current specialist until we can make arrangements for you to see someone else.
• If you have a chronic and disabling condition and lose access to your specialist because we:
  • terminate our contract with your specialist for other than cause; or
  • drop out of the Federal Employees Health Benefits (FEHB) Program and you enroll in another FEHB program plan; or
  • reduce our Service Area and you enroll in another FEHB plan.

You may be able to continue seeing your specialist for up to 90 days after you receive notice of the change. Contact us, or if we drop out of the Program, contact your new Plan.

If you are in the second or third trimester of pregnancy and you lose access to your specialist based on the above circumstances, you can continue to see your specialist until the end of your postpartum care, even if it is beyond the 90 days.

Your Plan primary care provider or specialist will make necessary hospital arrangements and supervise your care. This includes admission to a skilled nursing or other type of facility.

We pay for covered services from the effective date of your enrollment.  However, if you are in the hospital when your enrollment in our Plan begins, call Member Services immediately at 757-552-7550 or 800-206-1060.  If you are new to the FEHB Program, we will arrange for you to receive care and provide benefits for your covered services while you are in the hospital beginning on the effective date of your coverage.

If you changed from another FEHB Plan to us, your former Plan will pay for the hospital stay until:

• you are discharged, not merely moved to an alternative care center; or
• the day your benefits from your former Plan run out; or
• the 92^nd day after you become a member of this Plan, whichever happens first.

These provisions apply only to the benefits of the hospitalized person.  If your Plan terminates participation in the FEHB Program in whole or in part, or if OPM orders an enrollment change, this continuation of coverage provision does not apply. In such case, the hospitalized family member’s benefits under the new Plan begin on the effective date of enrollment.

Since your primary care provider arranges most referrals to specialists and inpatient hospitalization, the pre-service claim approval process only applies to care shown under Other Services.

You must get prior approval for certain services.  Your benefits for Covered Services may be reduced or denied if you do not comply with the Plan's precertification requirements.

Your primary care provider has authority to refer you for most services.  For certain services, however, your physician must obtain prior approval from us.  Before giving approval, we consider if the service is covered, medically necessary, and follows generally accepted medical practice.  You must obtain precertification for:  

• Transplants,
• scheduled ambulance transport,
• outpatient surgery and services,
• inpatient facility admission,
• mental health and substance use disorder services, including:
  • Partial Hospitalization
  • Residential Treatment
  • Intensive Outpatient Programs (IOP)
  • Transcranial Magnetic Stimulation (TMS)
  • Electro-convulsive therapy
• durable medical equipment,
• hearing aids,
• artificial limbs,
• prosthetic and orthopedic appliances,
• home health care services,
• skilled nursing facility care,
• physical therapy, occupational therapy, speech therapy,
• cardiac rehabilitation,
• pulmonary rehabilitation, vascular rehabilitation, vestibular rehabilitation,
• early intervention services,
• clinical trials,
• hospice services,
• oral surgery,
• TMJ services, 
• mental health services,
• growth hormone therapy,
• maternity services, 
• Magnetic Resonance Imaging (MRI), Computerized Axial Tomography (CT) Scans, 
• chemotherapy services, chemotherapy drugs and radiation therapy,
• sleep studies performed in a facility,
• infertility drugs and services,
• services from non-Plan providers, and,
• certain prescription drugs.

First, your physician, your hospital, you, or your representative, must call us at 757-552-7550 or 800-206-1060 before admission or services requiring prior authorization are rendered.

Next, provide the following information:

• enrollee’s name and Plan identification number;
• patient’s name, birth date, identification number and phone number;
• reason for hospitalization, proposed treatment, or surgery;
• name and phone number of admitting physician;
• name of hospital or facility; and
• number of days of requested for hospital stay.

For non-urgent care claims, we will tell the physician and/or hospital the number of approved inpatient days, or the care that we approve for other services that must have prior authorization.  We will make our decision within 15 days of receipt of the pre-service claim.  If matters beyond our control require an extension of time, we may take up to an additional 15 days for review and we will notify you of the need for an extension of time before the end of the original 15-day period.  Our notice will include the circumstances underlying the request for the extension and the date when a decision is expected.

If we need an extension because we have not received necessary information from you, our notice will describe the specific information required and we will allow you up to 60 days from the receipt of the notice to provide the information.

If you have an urgent care claim (i.e., when waiting for the regular time limit for your medical care or treatment could seriously jeopardize your life, health, or ability to regain maximum function, or in the opinion of a physician with knowledge of your medical condition, would subject you to severe pain that cannot be adequately managed without this care or treatment), we will expedite our review and notify you of our decision within 72 hours.  If you request that we review your claim as an urgent care claim, we will review the documentation you provide and decide whether or not it is an urgent care claim by applying the judgment of a prudent layperson that possesses an average knowledge of health and medicine.

If you fail to provide sufficient information, we will contact you within 24 hours after we receive the claim to let you know what information we need to complete our review of the claim.  You will have up to 48 hours to provide the required information.  We will make our decision on the claim within 48 hours of (1) the time we received the additional information or (2) the end of the time frame, whichever is earlier.

We may provide our decision orally within these time frames, but we will follow up with written or electronic notification within three days of oral notification.

You may request that your urgent care claim on appeal be reviewed simultaneously by us and OPM.  Please let us know that you would like a simultaneous review of your urgent care claim by OPM either in writing at the time you appeal our initial decision, or by calling us at 757-552-7550.  You may also call OPM’s FEHB 2 at 202-606-3818 between 8 a.m. and 5 p.m. Eastern Time to ask for the simultaneous review.  We will cooperate with OPM so they can quickly review your claim on appeal.  In addition, if you did not indicate that your claim was a claim for urgent care, call us at 757-552-7550 or 800-206-1060. If it is determined that your claim is an urgent care claim, we will expedite our review (if we have not yet responded to your claim).

A concurrent care claim involves care provided over a period of time or over a number of treatments.  We will treat any reduction or termination of our pre-approved course of treatment before the end of the approved period of time or number of treatments as an appealable decision. This does not include reduction or termination due to benefit changes or if your enrollment ends.  If we believe a reduction or termination is warranted, we will allow you sufficient time to appeal and obtain a decision from us before the reduction or termination takes effect. 

If you request an extension of an ongoing course of treatment at least 24 hours prior to the expiration of the approved time period and this is also an urgent care claim, we will make a decision within 24 hours after we receive the claim.

You do not need precertification of a maternity admission for a routine delivery.  However, if your medical condition requires you to stay more than 48 hours after a vaginal delivery or 96 hours after a cesarean section, then your physician or the hospital must contact us for precertification of additional days.  Further, if your baby stays after you are discharged, your physician or the hospital must contact us for precertification of additional days for your baby.

Note: When a newborn requires definitive treatment during or after the mother’s hospital stay, the newborn is considered a patient in their own right. If the newborn is eligible for coverage, regular medical or surgical benefits apply rather than maternity benefits.

If you request an extension of an ongoing course of treatment at least 24 hours prior to the expiration of the approved time period and this is also an urgent care claim, we will make a decision within 24 hours after we receive the claim.

If you have a pre-service claim and you do not agree with our decision regarding precertification of an inpatient admission or prior approval of other services, you may request a review in accord with the procedures detailed below.  If your claim is in reference to a contraceptive, call 757-552-7550 or 800-206-1060.

If you have already received the service, supply, or treatment, then you have a post-service claim and must follow the entire disputed claims process detailed in Section 8.

Within 6 months of our initial decision, you may ask us in writing to reconsider our initial decision.  Follow Step 1 of the disputed claims process detailed in Section 8 of this brochure. 

In the case of a pre-service claim and subject to a request for additional information, we have 30 days from the date we receive your written request for reconsideration to

1. Precertify your hospital stay or, if applicable, arrange for the health care provider to give you the care or grant your request for prior approval for a service, drug, or supply; or
2. Ask you or your provider for more information.
   • You or your provider must send the information so that we receive it within 60 days of our request.  We will then decide within 30 more days.
   • If we do not receive the information within 60 days, we will decide within 30 days of the date the information was due.  We will base our decision on the information we already have.  We will write to you with our decision.
3. Write to you and maintain our denial.

In the case of an appeal of a pre-service urgent care claim, within 6 months of our initial decision, you may ask us in writing to reconsider our initial decision.  Follow Step 1 of the disputed claims process detailed in Section 8 of this brochure. 

A copayment is a fixed amount of money you pay to the provider, facility, pharmacy, etc., when you receive services.

Example: In our High Option plan, when you see your primary care provider you pay a copayment of $15 per office visit, and $50 per specialist office visit.

A deductible is a fixed expense you must incur for certain covered services and supplies before we start paying benefits for them. Copayments do not count toward any deductible.

• Under the High Option, the calendar year deductible is $750 per person.  Under a Self Only enrollment, the deductible is considered satisfied and benefits are payable for you when your covered expenses applied to the calendar year deductible for your enrollment reach $750.  Under a Self Plus One enrollment, the deductible is considered satisfied and benefits are payable for you and one other eligible family member when the combined covered expenses applied to the calendar year deductible for your enrollment reach $1,500.  Under a Self and Family enrollment, the deductible is considered satisfied and benefits are payable for all family members when the combined covered expenses applied to the calendar year deductible for family members reach $1,500.
• Under the HDHP Option, the calendar year deductible is $2,000 per person.  Under a Self Only enrollment, the deductible is considered satisfied and benefits are payable for you when your covered expenses applied to the calendar year deductible for your enrollment reach $2,000.  Under a Self Plus One enrollment, the deductible is considered satisfied and benefits are payable for you and one other eligible family member when the combined covered expenses applied to the calendar year deductible for your enrollment reach $4,000.  Under a Self and Family enrollment, the deductible is considered satisfied and benefits are payable for all family members when the combined covered expenses applied to the calendar year deductible for family members reach $4,000.

Note: If you change plans during Open Season, you do not have to start a new deductible under your prior plan between January 1 and the effective date of your new plan.  If you change plans at another time during the year, you must begin a new deductible under your new plan.

If you change options in this Plan during the year, we will credit the amount of covered expenses already applied toward the deductible of your old option to the deductible of your new option.

Coinsurance is the percentage of our allowance that you must pay for your care.  

Example - Cost of Diabetic supplies:

• In our High Option Plan, you pay 30% of our allowance.
• In our HDHP Option Plan, After Deductible, you pay 20% of our allowance.

You should also see section Important Notice About Surprise Billing – Know Your Rights below that describes your protections against surprise billing under the No Surprises Act.

With the High Option, after your (copayments and coinsurance) total $7,350 per person regardless of enrollment tier and will not exceed more than $14,700 combined per Self Plus One or $14,700 combined for Self Plus Family enrollment in any calendar year, you do not have to pay any more for covered services.

With the HDHP Option, after your (copayments and coinsurance) total $6,000 per person regardless of enrollment tier and will not exceed more than $12,000 combined per Self Plus One or $12,000 combined for Self Plus Family enrollment in any calendar year, you do not have to pay any more for covered services. However, copayments and coinsurance for the following services do not count toward your catastrophic protection out-of-pocket maximum, and you must continue to pay copayments/coinsurance for these services:

• IVF drugs and Infertility drugs
• Balance-billed charges
• Healthcare charges this plan does not cover
• Premiums

We will notify you when you reach the maximum.

If you changed to this Plan during Open Season from a plan with a catastrophic protection benefit and the effective date of the change was after January 1, any expenses that would have applied to that plan's catastrophic protection benefit during the prior year will be covered by your prior plan if they are for care you received in January before your effective date of coverage in this Plan.  If you have already met your prior plan's catastrophic protection benefit level in full, it will continue to apply until the effective date of your coverage in this Plan.  If you have not met this expense level in full, your old plan will first apply your covered out-of-pocket expenses until the prior year's catastrophic level is reached and then apply the catastrophic protection benefit to covered out-of-pocket expenses incurred from that point until the effective date of your coverage in this Plan.  Your prior plan will pay these covered expenses according to this year’s benefits; benefit changes are effective January 1.

Note:  If you change options in this Plan during the year, we will credit the amount of covered expenses already accumulated toward the catastrophic out-of-pocket limit of your prior plan's option to the catastrophic protection limit of your new option.

The No Surprises Act (NSA) is a federal law that provides you with protections against “surprise billing” and “balance billing” for out-of-network emergency services; out-of-network non-emergency services provided with respect to a visit to a participating health care facility; and out-of-network air ambulance services.

A surprise bill is an unexpected bill you receive for:

• emergency care – when you have little or no say in the facility or provider from whom you receive care, or for
• non-emergency services furnished by nonparticipating providers with respect to patient visits to participating health care facilities, or for
• air ambulance services furnished by nonparticipating providers of air ambulance services.

Balance billing happens when you receive a bill from the nonparticipating provider, facility, or air ambulance service for the difference between the nonparticipating provider's charge and the amount payable by your health plan.  Your health plan must comply with the NSA protections that hold you harmless from surprise bills. In addition, your health plan adopts and complies with the surprise billing laws of Virginia and § 38.2-3445.01. For specific information on surprise billing, the rights and protections you have, and your responsibilities go to www.sentarahealthplans.com/federal or contact the health plan at 757-552-7550 or 800-206-1060.

• Healthcare FSA (HCFSA) – Reimburses an FSA participant for eligible out-of-pocket healthcare expenses (such as copayments, deductibles, over-the-counter drugs and medications, vision and dental expenses, and much more) for their tax dependents, and their adult children (through the end of the calendar year in which they turn 26).
• FSAFEDS offers paperless reimbursement for your HCFSA through a number of FEHB and FEDVIP plans. This means that when you or your provider files claims with your FEHB or FEDVIP plan, FSAFEDS will automatically reimburse your eligible out-of-pocket expenses based on the claim information it receives from your plan.

• Deductible is $750 per person regardless of enrollment tier and will not exceed more than $1,500 combined per Self Plus One or $1,500 combined for Self Plus Family.
• $15 copayment for primary care physician office visits
• $50 copayment for specialist office visits
• No copayment for primary care physician office visits for preventive care
• No referral needed to see a specialist
• $5 copayment for Tier 1 prescription drugs
• Protection against catastrophic costs (out of pocket maximum) is $7,350 for Self Only or $14,700 for Self Plus One or Self Plus Family enrollment per year 

Professional services of physicians

• In physician’s office
• Office medical consultation
• Second surgical opinion
• Advance care planning

$15 copayment per office visit to your primary care provider (No deductible)

$50 copayment per office visit to a specialist (No deductible)

Professional services of physicians

• During a hospital stay
• In a skilled nursing facility

30% coinsurance of our Plan allowance

Professional services of physicians

• In an Urgent Care Center

$50 copayment per visit (No deductible)

• MDLIVE Virtual Office Visit

How to get started?

• Sign in to www.sentarahealthplans.com and select Access MDLIVE or call 866-648-3638.
• Have your Sentara Health Plans member ID number available to register. Please note that you’ll need to create an account for each covered member of your family over the age of two.
• When you want to see a doctor, you can go online to request immediate access to a provider on-call via phone or schedule a time at your convenience. You can also get connected by calling 866-648-3638.

$10 copayment per visit (No deductible)

Tests, such as:

• Blood tests
• Urinalysis
• Non-routine Pap test
• Pathology
• X-ray
• Non-routine mammogram
• CT Scan
• MRI
• Ultrasound
• Electrocardiogram and EEG

30% coinsurance of our Plan allowance

Routine physical every year.  

The following preventive services are covered at the time interval recommended at each of the links below:

• U.S. Preventive Services Task Force (USPSTF) A and B recommended screenings, such as cancer, osteoporosis, depression, diabetes, high blood pressure, total blood cholesterol, HIV, and colorectal cancer. For a complete list of screenings go to the U.S. Preventive Services Task Force (USPSTF) website at https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
• Individual counseling on prevention and reducing health risks
• Preventive care benefits for woman such as Pap smears, gonorrhea prophylactic medication to protect newborns, annual counseling for sexually transmitted infections, contraceptive methods, and screening for interpersonal and domestic violence. For a complete list of preventive care services for woman please go to the Health and Human Services (HHS) website at https://www.hrsa.gov/womens-guidelines
• To build your personalized list of preventive services go to https://health.gov/myhealthfinder
• Adult Immunizations endorsed by the Centers for Disease Control and Prevention (CDC): based on the Advisory Committee on Immunization Practices (ACIP) schedule. For a complete list of endorsed immunizations go to the Centers for Disease Control (CDC) website at https://www.cdc.gov/vaccines/schedules/
• Routine exams limited to:
  • One routine eye exam every 12 months
  • One routine hearing exam every 12 months.

Note: Any procedure, injection, diagnostic service, laboratory, or X-ray service done in conjunction with a routine examination and is not included in the preventive recommended listing of services will be subject to the applicable member copayments, coinsurance, and deductible.

Nothing (No deductible)

Obesity counseling, screening and referral for those persons at or above the USPSTF obesity prevention risk factor level, to intensive nutrition and behavioral weight-loss therapy, counseling, or family centered programs under the USPSTF A and B recommendations are covered as part of prevention and treatment of obesity as follows:

• Intensive nutrition and behavioral weight-loss counseling therapy
• Family centered programs when medically identified to support obesity prevention and management by an in-network provider
• When anti-obesity medication is prescribed as indicated by the FDA obesity medication treatment guidelines. See Section 5(f) for cost share requirements for anti-obesity medications.
• When Bariatric or Metabolic surgical treatment or intervention is indicated for severe obesity. See Section 5(b) for surgery requirements and cost share.

Note:  See Section 5(h). Wellness and Other Special Features for more details on weight management programs.

Nothing (No Deductible)

Not covered:

• Physical exams required for obtaining or continuing employment or insurance, attending schools or camp, or travel.
• Immunizations, boosters, and medications for travel or work-related exposure.
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving this service.

All charges

• Well-child visits, examinations, and other preventive services as described in the Bright Future Guidelines provided by the American Academy of Pediatrics. For a complete list of the American Academy of Pediatrics Bright Futures Guidelines go to https://brightfutures.aap.org
• Children’s immunizations endorsed by the Centers for Disease Control (CDC) including DTaP/Tdap, Polio, Measles, Mumps, and Rubella (MMR), and Varicella. For a complete list of immunizations go to the website at https://www.cdc.gov/vaccines/schedules/index.html

Nothing (No deductible)

• You can also find a complete list of U.S. Preventive Services Task Force (USPSTF) A and B recommendations online at https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations 

Note: Any procedure, injection, diagnostic service, laboratory, or X-ray service done in conjunction with a routine examination and is not included in the preventive recommended listing of services will be subject to the applicable member copayments, coinsurance, and deductible.

Obesity counseling, screening and referral for those persons at or above the USPSTF obesity prevention risk factor level, to intensive nutrition and behavioral weight-loss therapy, counseling, or family centered programs under the USPSTF A and B recommendations are covered as part of prevention and treatment of obesity as follows:

• Intensive nutrition and behavioral weight-loss counseling therapy
• Family centered programs when medically identified to support obesity prevention and management by an in-network provider
• When anti-obesity medication is prescribed as indicated by the FDA obesity medication treatment guidelines. See Section 5(f) for cost share requirements for anti-obesity medications.
• When Bariatric or Metabolic surgical treatment or intervention is indicated for severe obesity. See Section 5(b) for surgery requirements and cost share.

Note: See Section 5(h). Wellness and Other Special Features for more details on weight management programs.

Nothing (No deductible)

Not covered:

• Physical exams required for obtaining or continuing employment, attending schools or camp, or travel.
• Immunizations, boosters, and medications for travel. 
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving this service.

All charges

• Prenatal and Postpartum care
• Screening for gestational diabetes 
• Breastfeeding and lactation support, supplies and counseling for each birth
• Screening and counseling for prenatal and postpartum depression

Nothing (No deductible)

Complete maternity (obstetrical) care, such as:

• Delivery

30% coinsurance of our Plan allowance 

Note: Here are some things to keep in mind:

You do not need to pre-certify your vaginal delivery; see page 18 for other circumstances, such as extended stays for you or your baby.

• As part of your coverage, you have access to in-network certified nurse midwives, home nurse visits and board-certified lactation specialists during the prenatal and post-partum period.
• You may remain in the hospital up to 48 hours after a vaginal delivery and 96 hours after a cesarean delivery. We will extend your inpatient stay if medically necessary.
• We cover routine nursery care of the newborn child during the covered portion of the mother’s maternity stay. We will cover other care of an infant who requires non-routine treatment only if we cover the infant under a Self Plus One or Self and Family enrollment. 
• We pay hospitalization and surgeon services for non-maternity care the same as for illness and injury.
• Hospitalization services are covered under Section 5(c) and Surgical benefits Section 5(b).

Note: When a newborn requires definitive treatment during or after the mother’s hospital stay, the newborn is considered a patient in their own right. If the newborn is eligible for coverage, regular medical or surgical benefits apply rather than maternity benefits. In addition, circumcision is covered at the same rate as for regular medical or surgical benefits. In addition, circumcision is covered at the same rate as for regular medical or surgical benefits.

$15 copayment per office visit to your primary care physician (No deductible)

$50 copayment per office visit to a specialist (No deductible)

Not covered:

• Routine care and services for pregnancy outside the Plan’s service area.
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service.

Contraceptive counseling on an annual basis

Nothing (No deductible)

A range of voluntary family planning services, without cost sharing, that includes at least one form of contraception in each of the categories on the HRSA list. This list includes:

• Voluntary female sterilization
• Surgically implanted contraceptives
• Injectable contraceptive drugs (such as Depo Provera)
• Intrauterine devices (IUDs)
• Diaphragms

Note: See additional Family Planning and Prescription drug coverage Section 5(f).

Note: Your plan offers some type of voluntary female sterilization surgery coverage at no cost to members. The contraceptive benefit includes at least one option in each of the HRSA-supported categories of contraception (as well as the screening, education, counseling, and follow-up care). Any type of voluntary female sterilization surgery that is not already available without cost sharing can be accessed through the contraceptive exceptions process described below.

If you need assistance requesting a medical exception for a non-formulary contraceptive, please contact Sentara Health Plans at 1-800-229-5522. The prescribing physician must complete the Contraceptive Medical Exception Request and fax to 1-800-750-9692. We will review your exception request and provide a determination within 24 hours of receipt of exception request.  If you have difficulty accessing contraceptive coverage or other reproductive healthcare, you can contact contraception@opm.gov.

Nothing (No deductible)

Voluntary male sterilization 

$50 copayment per office visit to a specialist (No deductible)

30% coinsurance of Plan allowance 

Not covered:

• Reversal of voluntary surgical sterilization
• Genetic testing and counseling that is determined to be not medically necessary. 
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service.

Infertility is defined as failure to achieve pregnancy within 12 months of unprotected intercourse or therapeutic donor insemination in an individual younger than 35 years or, for an individual 35 years and older, within 6 months. Infertility may also be established through an evaluation based on medical history and diagnostic testing.

Diagnosis and treatment of infertility:

• Artificial insemination-Limited to 3 per year
  • Intravaginal insemination (IVI)
  • Intracervical insemination (ICI)
  • Intrauterine insemination (IUI)
• Assisted Reproductive Technology (ART)-Limited to 3 per year 
  • In vitro fertilization (IVF) 
  • Zygote intrafallopian transfer (ZIFT)
• Endometrial biopsies-Limited to 1 per year 
• Semen analysis - Limited to 2 per year
• Hysterosalpingography -Limited to 2 per year
• Sims-Huhner test (smear) - Limited to 2 per year
• Diagnostic laparoscopy -Limited to 1 per year
• Fertility Drugs (See Section5(f))

Note:  IVF drugs and infertility drugs do not count toward your Deductible or Maximum Out-of-Pocket Amount.

Note: Precertification is required. See Section 3.

$50 copayment per office visit to a specialist

30% coinsurance of Plan allowance 

Cryopreservation for egg or sperm for persons facing the possibility of iatrogenic infertility, including infertility associated with gender affirming surgery.

• Includes short-term storage coverage while the member is undergoing therapy (up to 12 months)
  • Benefits are not available for long-term storage costs (greater than one year)
  • Benefits are further limited to three cycles of fertility preservation for Iatrogenic Infertility per covered person per year

30% coinsurance of our Plan allowance

Not covered:

• reversal of voluntary sterilization, and infertility service required because of such reversal
• donor egg, and any other programs not listed as a covered service
• reproductive material storage
• any treatment related to sexual organ function, dysfunction, or inadequacies, including but not limited to impotency

All charges

• Testing and treatment
• Allergy injections
• Allergy serum

$50 copayment per office visit to a specialist (No deductible)

30% coinsurance of Plan allowance 

Not covered:

• Provocative food testing and sublingual allergy desensitization
• Food allergy ingestion testing
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

• Chemotherapy and radiation therapy

Note: High dose chemotherapy in association with autologous bone marrow transplants is limited to those transplants listed under Organ/Tissue Transplants on page 42.

• Respiratory and inhalation therapy
• Intravenous (IV)/Infusion Therapy – Home IV and antibiotic therapy
• Growth hormone therapy (GHT)

Note: Growth hormone is covered under the prescription drug benefit.  We only cover GHT when we precertify the treatment.  We will ask you to submit information that establishes that the GHT is medically necessary.  Ask us to precertify GHT before you begin treatment.  We will only cover GHT services and related services and supplies that we determine are medically necessary.  See Other Services under You Need Prior Plan Approval for certain services on page 19.

30% coinsurance of our Plan allowance

• Cardiac rehabilitation following a qualifying event/condition is provided for up to 90 consecutive days from the start of rehabilitation.

$50 copayment per specialist office visit (No deductible)

30% coinsurance of our Plan allowance

• Pulmonary, vascular, and vestibular rehabilitation is covered for up to 90 consecutive days from the start of rehabilitation.

$50 copayment per specialist office visit (No deductible)

30% coinsurance of our Plan allowance

• Dialysis – hemodialysis and peritoneal dialysis

$15 copayment per provider office visit (No deductible)

30% coinsurance of our Plan allowance

Applied Behavior Analysis (ABA) - Members with autism spectrum disorder

Covered Services include “diagnosis” and “treatment” of Autism Spectrum Disorder.

“Autism Spectrum Disorder” means any pervasive developmental disorder, including (i) autistic disorder, (ii) Asperger's Syndrome, (iii) Rett syndrome, (iv) childhood disintegrative disorder, or (v) Pervasive Developmental Disorder – Not Otherwise Specified, as defined in the most recent edition of The Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association.  

“Diagnosis of autism spectrum disorder” means medically necessary assessments, evaluations, or tests to diagnose whether an individual has an autism spectrum disorder.

“Treatment for autism spectrum disorder” shall be identified in a treatment plan and included the following care prescribed or ordered for an individual diagnosed with autism spectrum disorder by a licensed physician or a licensed psychologist who determines the care to be medically necessary: (i) behavioral health treatment, (ii) pharmacy care, (iii) psychiatric care, (iv) psychological care, (v) therapeutic care, and (vi) applied behavioral analysis when provided or supervised by a board certified behavioral analyst licensed by the Board of Medicine. No limit on visits.

“Applied behavioral analysis” means the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior. 

$50 copayment per specialist office visit (No deductible)

30% coinsurance of our Plan allowance

Not covered:

• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

• Qualified physical therapists 
• Occupational therapists

Coverage will include 30 rehabilitative combined physical therapy and occupational therapy visits per year and 30 habilitative combined physical therapy and occupational therapy visits per year.

Note: For mental health conditions or substance use disorders visit limits will not apply.

Note: Precertification is required. We only cover therapy when a physician:

• orders the care;
• identifies the specific professional skills the patient requires and the medical necessity for skilled services; and
• indicates the length of time the services are needed.

30% coinsurance of our Plan allowance

Early Intervention Services are covered for children from birth to age three for medically necessary services limited to:

• speech, language, occupational and physical therapy
• assistive technology services and devices

Note: Covered services are provided to enhance functional ability without effecting a cure. Department of Mental Health, Mental Retardation, and Substance Abuse Services must certify dependents as eligible for services under Part H of the Individuals with Disabilities Act.

Note: Precertification is required. See Section 3.

$50 copayment per office visit to a specialist (No deductible)

30% coinsurance of Plan allowance 

Not covered:

• Long-term rehabilitative therapy
•  Therapies available in a school program or available through state and local funding, including sign language therapies
• Recreation therapies, including art, dance, or  music therapies
• Sleep therapies
• Exercise programs, or equine therapies
• Driver evaluations as part of occupational therapy
• Driver training
• Functional capacity testing needed to return to work
• Any service or supply, unless provided in accordance with a specific treatment plan pre-authorized by the Plan
• Therapy which is primarily educational in nature, special education, or sign language
• Work-hardening programs
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

Speech therapy is covered for up to 30 rehabilitative speech therapy visits per year; up to 30 habilitative speech therapy visits per year for medically necessary treatment.

Note: For mental health conditions or substance use disorders visit limits will not apply.

30% coinsurance of our Plan allowance

Not covered:

• Speech therapy not precertified by the Plan as part of a specific treatment plan
• Care and services from non-Plan providers unless precertifed by the Plan prior to receiving the service

• For treatment related to illness or injury, including evaluation and diagnostic hearing tests performed by an M.D., D.O., or audiologist

Note: For routine hearing screening performed during a child’s preventive care visit, see Section 5(a) Preventive Care, Children.

• Implanted hearing-related devices, such as bone anchored hearing aids (BAHA) and cochlear implants

Note: See Section 5(a), Orthopedic and Prosthetic Devices, for benefits for the devices.

$15 copayment per primary care provider office visit (No deductible)

$50 copayment per specialist office visit (No deductible)

Not covered:

• All other hearing testing
• Hearing aids, testing and examinations for them
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

"Hearing Aid" means any wearable, non-disposable instrument or device designed or offered to aid or compensate for impaired human hearing and any parts, attachments, or accessories, including earmolds, but excluding batteries and cords. Hearing aids are not to be considered durable medical equipment.

• Coverage includes hearing aids and related services for children 18 years of age or younger. Coverage is limited to the cost of one hearing aid per hearing-impaired ear every 24 months, up to $1,500 per hearing aid. Members may choose a higher-priced hearing aid and pay the difference.
• "Related Services" includes earmolds, initial batteries, and other necessary equipment, maintenance, and adaptation training.
• Coverage is limited to services and equipment recommended by an otolaryngologist (ENT) and provided or dispensed by an otolaryngologist (ENT), licensed audiologist, or licensed hearing aid specialist.

Note: Pre-certification is required.

Nothing (No deductible)

Preventive vision care and services are administered by Vision Service Plan (VSP).  The following services are covered once every 12 months: 

• Annual eye refraction including care history, visual acuity test for glasses and written lens prescription.
• Screening tests for diseases or abnormalities, including glaucoma and cataracts.

Note: You should select a Vision Service Provider and call him or her directly to schedule an appointment.  If you need help or a current list of participating providers, call Sentara Health Plans at 757-552-7550 or 800-206-1060, or visit https://www.sentarahealthplans.com/federal.  You may receive an eye exam from a non-Plan provider and receive a $30 reimbursement.

Nothing (No deductible)

• One pair of eyeglasses or contact lenses (up to $200 allowance) to correct an impairment directly caused by accidental ocular injury or intraocular surgery (such as for cataracts).   Please note that New technology, intraocular lens are excluded from coverage.

Nothing (No deductible)

• Eye exam to determine the need for vision correction for children up to age 22 (see Preventive care, children)

Nothing per primary care provider office visit (No deductible)

$50 copayment per specialist office visit (No deductible)

Not covered:

• Eyeglasses or contact lenses 
• Eye exercises and orthoptics
• Radial keratotomy and other refractive surgery
• Any eye examination, or any corrective eyeware required by an employer as a condition as employment
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

$15 copayment per primary care provider office visit (No deductible)

$50 copayment per specialist office visit (No deductible)

Not covered:

• Cutting, trimming or removal of corns, calluses, or the free edge of toenails, and similar routine treatment of conditions of the  foot, except as stated above
• Treatment of weak, strained or flat feet or bunions or spurs; and of any instability, imbalance or subluxation of the foot (unless the treatment is by open cutting surgery) 
• Foot orthotics of any kind including customized or non-customized shoes, boots, and inserts, except as medically necessary and approved by the Plan for members with diabetes
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

• Artificial limbs and eyes
• Prosthetic sleeve or sock
• Externally worn breast prostheses and surgical bras, including necessary replacements following a mastectomy
• Corrective orthopedic appliances for non-dental treatment of temporomandibular joint (TMJ) pain dysfunction syndrome
• Implanted hearing-related devices, such as bone anchored hearing aids (BAHA) and cochlear implants
• Internal prosthetic devices, such as artificial joints, pacemakers, and surgically implanted breast implant following mastectomy.
• Lenses following cataract removal
• Repair and replacement

Note: For information on the professional charges for the surgery to insert an implant, see Section 5(b) Surgical Procedures.  For information on the hospital and/or ambulatory surgery center benefits, see Section 5(c) Services Provided by a Hospital or Other Facility, and Ambulance Services.

30% coinsurance of our Plan allowance

Not covered:

• Orthopedic and corrective shoes, arch supports, foot orthotics, heel pads and heel cups
• Lumbosacral supports
• Corsets, trusses, elastic stockings, support hose, and other supportive devices
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

We cover rental or purchase of durable medical equipment, at our option, including repair and adjustment. Covered items include:

• Oxygen
• Dialysis equipment
• Hospital beds
• Standard non-motorized wheelchairs
• Crutches
• Walkers
• Colostomy, iliostomy, and tracheostomy supplies
• Suction and urinary catheters
• Formula and enteral nutrition products that are prescribed for a inherited metabolic disorder

Note: When your Plan physician prescribes this equipment we will arrange with a healthcare provider to rent or sell you Durable Medical Equipment at discounted rates.

30% coinsurance of our Plan allowance

Diabetic supplies and equipment for insulin dependent, gestational, and non-insulin dependent diabetics.

• Pump Infusion Sets and Supplies

Note: Precertification is required for insulin pumps and pump infusion sets and supplies, see Durable Medical Equipment.

Coverage includes benefits for FDA-approved equipment and supplies for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and non-insulin-using diabetes if prescribed by a healthcare professional legally authorized to prescribe such items.

• Insulin, needles, and syringes as well as testing supplies (test strips, lancets, lancet devices, blood glucose monitors, continuous glucose monitors and control solution) are covered under the Plan’s pharmacy benefits, see Section 5(f).
• Diabetes testing supplies will be limited to LifeScan products, except in the case of members using an insulin pump associated with a specific, non-LifeScan meter.

For members who may not be using a LifeScan meter currently, there are two ways to obtain a free LifeScan meter:

1. Order online at www.OneTouch.orderpoints.com and input the Sentara Health Plans order code 741OPT016;
2. Call the toll-free number: 855-776-4464 and provide the order code 741OPT016

30% coinsurance of the Plan allowance (No deductible)

• External insulin pumps

Nothing (No deductible)

Not covered:

• Motorized wheelchairs or scooters
• Exercise equipment
• Air conditioners, purifiers, humidifiers, and dehumidifiers
• Whirlpool baths
• Convenience items, including but not limited to hypoallergenic bed linens, water purification devices, and adaptive feeding devices
• Telephones
• Changes made to vehicles, residences, or places of business including, but not limited to, handrails, ramps, elevators, and stair glides
• Repair or replacement of equipment damaged through neglect or loss
• More than one item of equipment for the same purpose
• Disposable medical supplies, including but not limited to medical dressings, disposable diapers
• Durable medical equipment primarily for comfort and well being of the member
• Care and services from non-plan providers unless precertified by the Plan prior to receiving the service

• Home healthcare ordered by a Plan physician and provided by a registered nurse (R.N.), licensed practical nurse (L.P.N.), licensed vocational nurse (L.V.N.), or home health aide
• Services include oxygen therapy, intravenous therapy and medications
• Part-time or intermittent nursing care
• Part-time or intermittent home health aide services
• Surgical dressings and medical appliances

30% coinsurance of our Plan allowance

• Physical, occupational, or speech therapy

30% coinsurance of our Plan allowance

Not covered:

• Nursing care requested by, or for the convenience of, the patient or the patient’s family
• Home care primarily for personal assistance that does not include a medical component and is not diagnostic, therapeutic, or rehabilitative
• Services primarily for hygiene, feeding, exercising, moving the patient, homemaking, companionship or giving oral medication
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

No benefit

All charges

No benefit

All charges

Coverage is provided for:

• Diabetes self management

Note: Members should call 1-800-SENTARA for information on classes

Nothing (No deductible)

• Counseling and education for birth control options

Nothing (No deductible)

• Tobacco Cessation programs, including individual/group/telephone counseling, and for over-the-counter (OTC) and prescription drugs approved by the FDA to treat tobacco dependence (see Prescription Drugs).  

Nothing (No deductible)

A comprehensive range of services, such as:

• Operative procedures
• Treatment of fractures, including casting
• Normal pre- and post-operative care by the surgeon
• Correction of amblyopia and strabismus
• Endoscopy procedures
• Biopsy procedures
• Removal of tumors and cysts
• Correction of congenital anomalies (see Reconstructive surgery )
• Surgical treatment of severe obesity (bariatric surgery) -- a condition in which an individual has a BMI of 30 kg/m2 or higher; eligible members must be age 18 or over.
• Insertion of internal prosthetic devices. See 5(a) – Orthopedic and prosthetic devices for device coverage information
• Treatment of burns

Note: For female surgical family planning procedures see Family Planning Section 5(a)

Note: For male surgical family planning procedures see Family Planning Section 5(a)

Note: Generally, we pay for internal prostheses (devices) according to where the procedure is done. For example, we pay Hospital benefits for a pacemaker and Surgery benefits for insertion of the pacemaker.

30% coinsurance of our Plan allowance

Not covered:

• Reversal of voluntary sterilization
• Routine treatment of conditions of the foot; see Foot care
• Surgery primarily for cosmetic purposes
• Any surgical services, other than emergent, which have not been pre-authorized by the Plan.
• Any surgical services determined not medically necessary by the Plan.
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

• Surgery to correct a functional defect
• Surgery to correct a condition caused by injury or illness if:
  • the condition produced a major effect on the member’s appearance; and 
  • the condition can reasonably be expected to be corrected by such surgery
• Surgery to correct a condition that existed at or from birth and is a significant deviation from the common form or norm. Examples of congenital anomalies are: protruding ear deformities; cleft lip; cleft palate; birth marks; and webbed fingers and toes.
• All stages of breast reconstruction surgery following a mastectomy, such as:
  • surgery to produce a symmetrical appearance of breasts;
  • treatment of any physical complications, such as lymphedemas;
  • breast prostheses and surgical bras and replacements (see Prosthetic devices)

Note: If you need a mastectomy, you may choose to have the procedure performed on an inpatient basis and remain in the hospital up to 48 hours after the procedure.

30% coinsurance of our Plan allowance

Gender Affirming Surgery

The following genital surgeries may be considered for male to female: 

• Orchiectomy - removal of testicles
• Penectomy - removal of penis
• Vaginoplasty - creation of vagina
• Clitoroplasty - creation of clitoris
• Labiaplasty - creation of labia
• Mammaplasty - breast augmentation
• Prostatectomy -removal of prostate
• Urethroplasty - creation of urethra

The following genital surgeries may be considered for female to male:

• Breast reconstruction (e.g., mastectomy) - removal of breast
• Nipple reconstruction (only if a mastectomy has been done)
• Hysterectomy - removal of uterus
• Salpingo-oophorectomy - removal of fallopian tubes and ovaries
• Vaginectomy - removal of vagina
• Vulvectomy - removal of vulva
• Metoidioplasty - creation of micro-penis, using clitoris
• Phalloplasty - creation of penis, with or without urethra
• Urethroplasty - creation of urethra within the penis
• Scrotoplasty - creation of scrotum
• Testicular prostheses - implantation of artificial testes

30% coinsurance of our Plan allowance

Not covered:

• Blepharoplasty, brow reduction, brow lift
• Chin augmentation (reshaping or enhancing the size of the chin)
• Chin, nose, cheek implants
• Any surgical services, other than emergent, which have not been precertified by the Plan
• Any surgical services determined not medically necessary by the Plan
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

Oral surgical procedures, limited to:

• Reduction of fractures of the jaws or facial bones;
• Surgical correction of cleft lip, cleft palate or severe functional malocclusion;
• Removal of stones from salivary ducts;
• Excision of leukoplakia or malignancies;
• Excision of cysts and incision of abscesses when done as independent procedures; and
• Other surgical procedures that do not involve the teeth or their supporting structures.

30% coinsurance of our Plan allowance

Not covered:

• Oral implants and transplants
• Procedures that involve the teeth or their supporting structures (such as the periodontal membrane, gingiva, and alveolar bone)
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service.

These solid organ transplants are subject to medical necessity and experimental/investigational review by the Plan. See Other services under You need prior Plan approval for certain services on page 19.

• Cornea
• Heart
• Heart/lung
• Intestinal transplants
  • Isolated small intestine
  • Small intestine with the liver
  • Small intestine with multiple organs, such as the liver, stomach, and pancreas
• Kidney
• Kidney-pancreas
• Liver
• Lung: single/bilateral/lobar
• Pancreas
• Autologous pancreas islet cell transplant (as an adjunct to total or near total pancreatectomy) only for patients with chronic pancreatitis

These tandem blood or marrow stem cell transplants for covered transplants are subject to medical necessity review by the Plan. Refer to Other services in Section 3 for prior authorization procedures.

• Autologous tandem transplants for
  • AL Amyloidosis
  • Multiple myeloma (de novo and treated)
  • Recurrent germ cell tumors (including testicular cancer)

Blood or marrow stem cell transplants

The Plan extends coverage for the diagnoses as indicated below.

• Allogeneic transplants for
  • Acute lymphocytic or non-lymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Acute myeloid leukemia
  • Advanced Myeloproliferative Disorders (MPDs)
  • Amyloidosis
  • Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL)
  • Hemoglobinopathy
  • Infantile malignant osteopetrosis
  • Kostmann’s syndrome
  • Leukocyte adhesion deficiencies
  • Marrow failure and related disorders (i.e., Fanconi’s, PNH, Pure Red Cell Aplasia)
  • Mucolipidosis (e.g., Gaucher’s disease, metachromatic leukodystrophy, adrenoleukodystrophy)
  • Mucopolysaccharidosis (e.g., Hunter’s syndrome, Hurler’s syndrome, Sanfillippo’s syndrome, Maroteaux-Lamy syndrome variants)
  • Myelodysplasia/Myelodysplastic syndromes
  • Paroxysmal Nocturnal Hemoglobinuria
  • Phagocytic/Hemophagocytic deficiency diseases (e.g., Wiskott-Aldrich syndrome)
  • Severe combined immunodeficiency
  • Severe or very severe aplastic anemia
  • Sickle cell anemia
• Autologous transplants for
  • Acute lymphocytic or nonlymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Amyloidosis
  • Breast Cancer
  • Epithelial Ovarian Cancer
  • Ewing’s sarcoma
  • Multiple myeloma
  • Medulloblastoma
  • Testicular, Mediastinal, Retroperitoneal, and ovarian germ cell tumors

Mini-transplants performed in a clinical trial setting (non-myeloablative, reduced intensity conditioning or RIC) for members with a diagnosis listed below are subject to medical necessity review by the Plan. 

Refer to Other services in Section 3 for prior authorization procedures:

• Allogeneic transplants for
  • Acute lymphocytic or non-lymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Acute myeloid leukemia
  • Advanced Myeloproliferative Disorders (MPDs)
  • Amyloidosis
  • Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL)
  • Hemoglobinopathy
  • Marrow failure and related disorders (i.e., Fanconi’s, PNH, Pure Red Cell Aplasia)
  • Myelodysplasia/Myelodysplastic syndromes
  • Paroxysmal Nocturnal Hemoglobinuria
  • Severe combined immunodeficiency
  • Severe or very severe aplastic anemia
• Autologous transplants for
  • Acute lymphocytic or nonlymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Amyloidosis
  • Neuroblastoma

These blood or marrow stem cell transplants are covered only in a National Cancer Institute or National Institutes of health approved clinical trial or a Plan-designated center of excellence if approved by the Plan’s medical director in accordance with the Plan’s protocols. 

If you are a participant in a clinical trial, the Plan will provide benefits for related routine care that is medically necessary (such as doctor visits, lab tests, x-rays and scans, and hospitalization related to treating the patient’s condition) if it is not provided by the clinical trial.  Section 9 has additional information on costs related to clinical trials.  We encourage you to contact the Plan to discuss specific services if you participate in a clinical trial.

• Allogeneic transplants for
  • Advanced Hodgkin’s lymphoma
  • Advanced non-Hodgkin’s lymphoma
  • Chronic inflammatory demyelination polyneuropathy (CIDP)
  • Sickle Cell anemia
• Mini-transplants (non-myeloablative allogeneic, reduced intensity conditioning or RIC) for
  • Acute lymphocytic or non-lymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma
  • Advanced non-Hodgkin’s lymphoma
  • Breast cancer
  • Chronic lymphocytic leukemia
  • Chronic myelogenous leukemia
  • Colon cancer
  • Chronic lymphocytic lymphoma/small lymphocytic lymphoma (CLL/SLL)
  • Early stage (indolent or non-advanced) small cell lymphocytic lymphoma
  • Multiple myeloma
  • Myeloproliferative disorders (MSDs)
  • Myelodysplasia/Myelodysplastic Syndromes
  • Non-small cell lung cancer
  • Ovarian cancer
  • Prostate cancer
  • Renal cell carcinoma
  • Sarcomas
  • Sickle cell anemia
• Autologous transplants for
  • Advanced Childhood kidney cancers
  • Advanced Ewing sarcoma
  • Aggressive non-Hodgkin lymphomas
  • Breast Cancer
  • Childhood rhabdomyosarcoma
  • Chronic myelogenous leukemia
  • Chronic lymphocytic lymphoma/small lymphocytic lymphoma (CLL/SLL)
  • Early stage (indolent or non-advanced) small cell lymphocytic lymphoma
  • Epithelial Ovarian Cancer
  • Mantle Cell (Non-Hodgkin lymphoma)

National Transplant Program (NTP)

Note: We cover related medical and hospital expenses of the donor when we cover the recipient.  We cover donor testing for the actual solid organ donor or up to four bone marrow/stem cell transplant donors in addition to the testing of family members.

30% coinsurance of our Plan allowance

Not covered:

• Donor screening tests and donor search expenses, except as shown above
• Implants of artificial organs
• Transplants not listed as covered 
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service.

Professional services provided in –

• Hospital (inpatient)
• Hospital outpatient department
• Skilled nursing facility
• Ambulatory surgical center
• Office

30% coinsurance of our Plan allowance

Room and board, such as

• Ward, semiprivate, or intensive care accommodations
• General nursing care
• Meals and special diets

30% coinsurance of our Plan allowance

Other hospital services and supplies, such as:

• Operating, recovery, maternity, and other treatment rooms
• Prescribed drugs and medications
• Diagnostic laboratory tests and X-rays
• Administration of blood and blood products
• Blood or blood plasma, if not donated or replaced
• Presurgical testing
• Dressings, splints, casts, and sterile tray services
• Medical supplies and equipment, including oxygen
• Anesthetics, including nurse anesthetist services
• Take-home items
• Medical supplies, appliances, medical equipment, and any covered items billed by a hospital for use at home
• Hospitalization and anesthesia for dental procedures as determined medically necessary by a Plan physician for members under age five, severely disabled or with a medical condition requiring hospitalization for dental procedures.

30% coinsurance of our Plan allowance

Not covered:

• Custodial care
• Non-covered facilities, such as nursing homes, schools
• Personal comfort items, such as telephone, television, barber services, guest meals and beds
• Private nursing care
• The cost of securing the services of blood donors
• Professional dental services
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

• Operating, recovery, and other treatment rooms
• Prescribed drugs and medications
• Diagnostic laboratory tests, X-rays , and pathology services
• Administration of blood, blood plasma, and other biologicals
• Blood and blood plasma, if not donated or replaced
• Pre-surgical testing
• Dressings, casts, and sterile tray services
• Medical supplies, including oxygen
• Anesthetics and anesthesia service

Note: We cover hospital services and supplies related to dental procedures when necessitated by a non-dental physical impairment. We do not cover the dental procedures.

30% coinsurance of our Plan allowance

Not covered:

• Blood and blood derivatives not replaced by the member
• Professional dental services and procedures
• Care and services from non-Plan providers unless precertification by the Plan prior to receiving the service

Extended care benefit/Skilled nursing facility :

The Plan provides a comprehensive range of benefits up to 100 days per calendar year when full time skilled nursing care is necessary and confinement in a skilled nursing facility is medically appropriate as determined by a Plan doctor and approved by the Plan. All necessary services are covered including:

• Bed, board and general nursing care
• Drugs, biologicals, supplies, and equipment ordinarily provided or arranged by the skilled nursing facility when prescribed by a Plan doctor.

30% coinsurance of our Plan allowance

Not covered:

• Custodial care
• Rest cures
• Domiciliary or convalescent care
• Personal comfort items such as telephone, and television
• Blood and blood derivatives not replaced by the member
• Care and services from non-Plan providers unless precertification by the Plan prior to receiving services

A coordinated program of home and inpatient care under the direction of a Plan doctor for the patient who is in the terminal stages of illness with a life expectancy of six months or less that includes:

• Palliative Care
• Supportive physical, psychological, and psychosocial services

Note: Palliative care is treatment to control pain, relieve other symptoms and focus on the special needs of the patient.

30% coinsurance of our Plan allowance

30% coinsurance of our Plan allowance

Not covered:

• Independent nursing
• Homemaker services   
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

Emergency care at a doctor’s office

$15 copayment per primary care physician office visit (No deductible)

$50 copayment per specialist office visit (No deductible)

Emergency care at an urgent care center

$50 copayment per visit (No deductible)

Emergency care as an outpatient or inpatient at a hospital, including doctors services

30% coinsurance of our Plan allowance

Emergency care at a doctor’s office

$15 copayment per primary care physician office visit (No deductible)

$50 copayment per specialist office visit (No deductible)

Emergency care at an urgent care center

$50 copayment per visit (No deductible)

Emergency care as an outpatient or inpatient at a hospital, including doctors services

30% coinsurance of our Plan allowance

Not covered:

• Elective care or non-emergency care and follow-up care recommended by non-Plan providers that has not been approved by the Plan or provided by Plan providers
• Emergency care provided outside the service area if the need for care could have been foreseen before leaving the service area
• Medical and hospital costs resulting from a normal full-term delivery of a baby outside the service area

Professional ambulance service when medically appropriate

Note: See Section5(c) for non-emergency service.

When part of a treatment plan we approve, we cover professional services by licensed professional mental health and substance misuse disorder treatment practitioners when acting within the scope of their license, such as psychiatrists, psychologists, clinical social workers, licensed professional counselors, or marriage and family therapists.

Diagnosis and treatment of psychiatric conditions, mental illness, or mental disorders.  Services include:

• Diagnostic evaluation
• Crisis intervention and stabilization for acute episodes (includes Ambulance transport)
• Medication evaluation and management  (pharmacotherapy)
• Psychological and neuropsychological testing necessary to determine the appropriate psychiatric treatment
• Treatment and counseling (including individual or group therapy visits)
• Diagnosis and treatment of substance use disorders, including detoxification, treatment and counseling
• Professional charges for intensive outpatient treatment in a provider’s office or other professional setting
• Electroconvulsive therapy

$15 copayment per office visit copay (No deductible)

30% coinsurance of our Plan allowance

• Outpatient diagnostic tests provided and billed by a licensed mental health and substance use disorder treatment practitioner
• Outpatient diagnostic tests provided and billed by a laboratory, hospital or other covered facility
• Inpatient diagnostic tests provided and billed by a hospital or other covered facility
• MRI, CT Scans and PET Scans

30% coinsurance of our Plan allowance

Inpatient services or residential treatment provided and billed by a hospital or other covered facility

• Room and board, such as semiprivate or intensive accommodations, general nursing care, meals and special diets, and other hospital services

30% coinsurance of our Plan allowance per admission

Outpatient services provided and billed by a hospital or other covered facility

• Services in approved treatment programs, such as partial hospitalization, full-day hospitalization, or facility-based intensive outpatient treatment

30% coinsurance of our Plan allowance

• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the services.

We cover the following medications and supplies prescribed by a Plan physician and obtained from a Plan pharmacy or through our mail order program:

Drugs and medications (including those administered during a non-covered admission or in a non-covered facility) that by Federal law of the United States require a physician's prescription for their purchase, except those listed as Not covered.

• Rescue and maintenance inhalers
• Insulin
• Drugs for sexual dysfunction 
• Drugs to treat gender dysphoria;  Medical treatment of gender dysphoria might include: 
  • Feminizing hormone therapy for male-to-female gender dysphoria
    • Estradiol oral, patch
    • Anti-androgen medication, such as:
      • Spironolactone
      • GnRH analogs (leuprorelin), requires precertification
  • Virilizing hormone therapy for female-to-male gender dysphoria
    • Testosterone gel, injection, requires precertification
• Intravenous fluids and medication for home use
• Infertility medications to increase production and release of as many eggs as possible may be covered with a three-cycle annual limit. Common infertility drugs used are:
  • Clomiphene citrate
  • hCG (human Chorionic Gonadotropin)
  • FSH (follicle-stimulating hormone)
  • Menotropins

Note: IVF drugs and infertility drugs do not count toward your Deductible or Maximum Out-of-Pocket Amount.

Retail Pharmacy:

$5 copayment per Tier 1 Drug

$45 copayment per Tier 2 Drug

50% coinsurance per Tier 3 Drug

Mail Order (90 day supply of Maintenance Drugs):

$10 copayment per Tier 1 Drug

$90 copayment per Tier 2 Drug

50% coinsurance per Tier 3 Drug

Specialty Drugs are only available through Proprium Pharmacy (limited to a 31 day supply):

50% coinsurance per Tier 4 Specialty Drug

Diabetic supplies limited to:

• Disposable needles and syringes for the administration of covered medications
• Continuous Glucose Monitor (CGM) 

Applicable copayment or coinsurance

• Test strips, lancet devices and lancets
• Blood glucose monitors and control solution

Nothing (No deductible)

Contraceptive drugs and devices as listed in the Health Resources and Services Administration site https://www.hrsa.gov/womens-guidelines. Contraceptive coverage is available at no cost to FEHB members. The contraceptive benefit includes at least one option in each of the HRSA-supported categories of contraception (as well as the screening, education, counseling, and follow-up care). Any contraceptive that is not already available without cost sharing on the formulary can be accessed through the contraceptive exceptions process described below.  

• Over-the-counter and prescription drugs approved by the FDA to prevent unintended pregnancy.
• If you need assistance requesting a medical exception for a non-formulary contraceptive, please contact Sentara Health Plans at 1-800-229-5522. The prescribing physician must complete the Contraceptive Medical Exception Request and fax to 1-800-750-9692.  We will review your exception request and provide a determination within 24 hours of receipt of exception request. If you have difficulty accessing contraceptive coverage or other reproductive healthcare you can contact contraception@opm.gov. 
• Reimbursement for covered over-the-counter contraceptives can be submitted in accordance with Section 7.

Note: For additional Family Planning benefits see Section 5(a).

Note: Over-the-counter and appropriate prescription drugs approved by the FDA to treat tobacco dependence are covered under the Tobacco Cessation Educational Classes and Programs in Section 5(a).

Note:  The above over-the-counter drugs and devices approved by the FDA require a written prescription by an approved plan provider.  Some restrictions apply.

Nothing (No deductible)

Opioid rescue agents such as naloxone are covered under this Plan with no cost sharing when obtained from a network pharmacy in any over-the-counter or prescription form available such as nasal sprays and intramuscular injections.

For more information consult the FDA guidance at https://www.fda.gov/consumers/consumer-updates/access-naloxone-can-save-life-during-opioid-overdose

Or call SAMHSA’s National Helpline 1-800-662-HELP (4357) or go to https://www.findtreatment.samhsa.gov/

Nothing (No deductible)

Not covered:

• Drugs and supplies for cosmetic purposes
• Drugs to enhance athletic performance
• Drugs obtained at a non-Plan pharmacy; except for out-of-area emergencies
• Nonprescription medications
• Vitamins, nutrients and food supplements even if a physician prescribes or administers them (except Vitamin D, as stated above)
• Over-the-counter medications, except as noted above
• Medical supplies such as dressings and antiseptics
• Immunization agents, biological sera, blood or blood products

All charges

The following are covered:
• Preventive Medications with a USPSTF A and B recommendations.  These may include some over-the-counter vitamins, nicotine replacement medications, and low dose aspirin for certain patients. For current recommendations go to
www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations 

Nothing: when prescribed by a healthcare professional and filled by a network pharmacy.

Not covered:

• Drugs and supplies for cosmetic purposes
• Drugs to enhance athletic performance
• Drugs obtained at a non-Plan pharmacy; except for out-of-area emergencies
• Vitamins, nutrients and food supplements even if a physician prescribes or administers them (except Vitamin D, as stated above)
• Over-the-counter medications, except as noted above
• Medical supplies such as dressings and antiseptics
• Immunization agents, biological sera, blood or blood products

All charges

We cover restorative services and supplies necessary to promptly repair (but not replace) sound natural teeth.  The need for these services must result from an accidental injury.

30% coinsurance of our Plan allowance

We have no other dental benefits.

Under the flexible benefits option, we determine the most effective way to provide services.

• We may identify medically appropriate alternatives to regular contract benefits as a less costly alternative. If we identify a less costly alternative, we will ask you to sign an alternative benefits agreement that will include all of the following terms in addition to other terms as necessary. Until you sign and return the agreement, regular contract benefits will continue.
• Alternative benefits will be made available for a limited time period and are subject to our ongoing review. You must cooperate with the review process.
• By approving an alternative benefit, we do not guarantee you will get it in the future.
• The decision to offer an alternative benefit is solely ours, and except as expressly provided in the agreement, we may withdraw it at any time and resume regular contract benefits.
• If you sign the agreement, we will provide the agreed-upon alternative benefits for the stated time period (unless circumstances change). You may request an extension of the time period, but regular contract benefits will resume if we do not approve your request.
• Our decision to offer or withdraw alternative benefits is not subject to OPM review under the disputed claims process. However, if at the time we make a decision regarding alternative benefits, we also decide that regular contract benefits are not payable, then you may dispute our regular contract benefits decision under the OPM disputed claim process (see Section 8).

For any of your health concerns, 24 hours a day, 7 days a week, you may call and talk with a registered nurse who will discuss treatment options and answer your health questions. When you call the Nurse Triage Program have your Plan ID card handy, and describe your medical situation in as much detail as possible. Please remember that the Nurse Triage Program professional cannot diagnose medical conditions or write prescriptions. You can call the 24 Hours Nurse Triage Program at 757-552-7250 or 800-394-2237.

TDD number: 757-552-7120 or 800-225-7784

By participating in Partners in Pregnancy, you will have access to experienced pregnancy and childbirth nurses, clinical case managers, licensed social workers, and service coordinators to help you:

• maintain healthy habits throughout your pregnancy
• develop a healthy nutrition and activity plan
• maximize your benefits and resources
• understand healthy tips mailed directly to your home
• locate important community resources, classes, and services
• coordinate prenatal care and appropriate risk screening
• coordinate reimbursement of blood pressure cuff when classified as a high-risk pregnancy

To register, call toll-free 1-866-239-0618, select option #2.  For more information, visit sentaraheaIthplans.com/mylifemyplan or email pregnancypartner@sentara.com

If you are classified as a high-risk pregnancy, a Plan Care Manager will assist with a treatment plan prescribed by your OB/GYN physician.

Through a partnership with WebMD, we offer our members flexible programs, expert guidance, and inspiration to take charge of their own health—whether they are continuing healthy behaviors, or making a change to improve their health. It all begins when the member completes a Personal Health Assessment—and creates the foundation for their Health Record and coaching program. Our health-coaching partner, WebMD, offers a comprehensive online activities tool, known as the Digital Health Assistant (DHA). The DHA delivers a personalized, interactive, and motivational experience to help members take action and sustain healthy behaviors in a fun way.

• Omada - Omada® is a digital, lifestyle-change program focused on reducing the risk of obesity-related chronic disease. If you are  at risk for type 2 diabetes or heart disease, there is no cost for you to join.  Find out if you are eligible:  www.omadahealth.com/sentarahealthplans
• WebMD offers personal health assessments with customized reports and recommended tips to help you lose weight. To access, sign in by visiting
  http://www.sentarahealthplans.com/members/ Sign in and select Wellness Tools from the menu on the left side of the screen.

These self-paced programs are designed to help you achieve your specific health goals and can be accessed 24/7 by visiting
sentarahealthplans.com/members/health-and-wellness/prevention-and-wellness/wellbeing-programs. Specific programs that may help with weight management include:

• Eating for Life - get the knowledge and skills you need for good nutrition
• MoveAbout - learn about different types of physical activity and how to keep moving throughout the day
• Yoga and Meditation - improve your flexibility, strength, and cardiovascular health through stretching and strengthening exercises

The Plan covers preventive care services, such as periodic health evaluations (e.g., routine physicals), screening services (e.g., routine mammograms), well-child care, routine child and adult immunizations, and preventive prescription drugs, such as tobacco cessation medications. These services are covered at 100% if you use a network provider. The services are described in Section 5, Preventive Care. You do not have to meet the deductible before using these services. This does not reduce your HRA nor do you need to use your HSA for in-network preventive care.

After you have paid the Plan’s deductible ($2,000 for Self Only enrollment, $4,000 for Self Plus One enrollment and $4,000 for Self and Family enrollment), we pay benefits under Traditional medical coverage described in Section 5. The Plan typically pays 80% for in-network care.

Covered services include:

• Medical services and supplies provided by physicians and other healthcare professionals
• Surgical and anesthesia services provided by physicians and other healthcare professionals
• Hospital services; other facility or ambulance services
• Emergency services/accidents
• Mental health and substance use benefits
• Prescription drug benefits
• Special features

Health Savings Accounts or Health Reimbursement Arrangements provide a means to help you pay out-of-pocket expenses (see page 65 for more details).

By law, HSAs are available to members who are not enrolled in Medicare, cannot be claimed as a dependent on someone else’s tax return, have not received VA (except for service-connected disability) and/or Indian Health Services (IHS) benefits within the last three months, or do not have other health insurance coverage other than another High Deductible Health Plan. In 2025, for each month you are eligible for a HSA premium pass through, we will contribute to your HSA $83.33 per month for a Self Only enrollment or $166.66 per month for a Self Plus One or a Self and Family enrollment. In addition to our monthly contribution, you have the option to make additional tax-free contributions to your HSA, so long as total contributions do not exceed the limit established by law, which is $4,300 for Self Only enrollment and $8,550 for Self Plus One or Self and Family enrollment for 2025. The IRS allows you to contribute up to $1,000 in catch-up contributions for 2025, if you are age 55 or older. See maximum contribution information on page 66. You can use funds in your HSA to help pay your health plan deductible. You own your HSA, so the funds can go with you if you change plans or employment.

Federal tax tip: There are tax advantages to fully funding your HSA as quickly as possible. Your HSA contribution payments are fully deductible on your Federal tax return. By fully funding your HSA early in the year, you have the flexibility of paying qualified medical expenses from tax-free HSA dollars or after-tax out-of-pocket dollars. If you don’t deplete your HSA and you allow the contributions and the tax-free interest to accumulate, your HSA grows more quickly for future expenses.

HSA features include:

• Your HSA is administered by Health Equity.
• You may establish pre-tax HSA deductions from your paycheck to fund your HSA up to IRS limits using the same method that you use to establish other deductions (i.e., Employee Express, MyPay, etc.)
• Your HSA earns tax-free interest or any investment gains through a choice of voluntary investment options.
• You can make tax-free withdrawals for qualified medical expenses for you, your spouse and dependents. (See IRS publication 502 for a complete list of eligible expenses.) A link to this publication can also be found at
  www.sentarahealthplans.com/federal.
• Your unused HSA funds and interest accumulate from year to year.
• It’s portable – the HSA is owned by you and is yours to keep, even when you leave Federal employment or retire.
• When you need it, funds up to the actual HSA balance are available.

 Important consideration if you want to participate in a Healthcare Flexible Spending Account (HCFSA): If you are enrolled in this HDHP with a Health Savings Account (HSA), and start or become covered by a Healthcare Flexible Spending Account (HCFSA) (such as FSAFEDS offers – see Section 11), this HDHP cannot continue to contribute to your HSA. Similarly, you cannot contribute to an HSA if your spouse enrolls in an HCFSA. Instead, when you inform us of your coverage in an HCFSA, we will establish an HRA for you.

If you are not eligible for a HSA, for example you are enrolled in Medicare, Tricare or have another health plan, we will administer and provide an HRA instead. You must notify us that you are ineligible for an HSA. If we determine that you are ineligible for an HSA, we will notify you by letter and provide an HRA for you.

In 2025, we will give you an HRA credit of $1,000 per year for a Self Only enrollment, $2,000 for a Self Plus One enrollment and $2,000 per year for a Self and Family enrollment. These amounts will be credited on a monthly basis and prorated if you join the health plan or become ineligible for an HSA within the plan year. Your HRA will be used to help pay for covered services that apply towards your health plan deductible.

HRA features include:

• For our HDHP option, the HRA is administered by Health Equity.
• HRA credit (prorated from your effective date to the end of the plan year) is available on a monthly basis.
• Tax-free credit can be used to pay for qualified medical or prescription expenses within your deductible for you and any individuals covered by this HDHP.
• Unused credits will not carryover from year to year.
• HRA credit does not earn interest.
• HRA credit is forfeited if you leave the FEHB Program or switch health insurance plans.
• An HRA does not affect your ability to participate in an FSAFEDS Healthcare Flexible Spending Account (HCFSA). However, you must meet FSAFEDS eligibility requirements.

When you use network providers, your annual maximum for out-of-pocket expenses (deductibles, coinsurance and copayments) for covered services is limited to $6,000 for Self Only, $12,000 for Self Plus One or $12,000 for Self and Family enrollment. However, certain expenses do not count toward your out-of-pocket maximum and you must continue to pay these expenses once you reach your out-of-pocket maximum (such as expenses in excess of the Plan’s allowable amount or benefit maximum). Refer to Section 4 Your Catastrophic Protection Out-of-Pocket Maximum and HDHP Section 5 Traditional Medical Coverage Subject to the Deductible for more details.

HDHP Section 5(i) describes the health education resources and account management tools available to you to help you manage your healthcare and your healthcare dollars.

The Plan will establish an HSA for you with Health Equity (an administrator, trustee or custodian as defined by Federal tax code and approved by IRS).

Health Equity
15 West Scenic Pointe Dr., Suite 100
Draper, UT 84020
866-346-5800
www.healthequity.com

Health Equity is the HRA fiduciary for this Plan.

Health Equity
15 West Scenic Pointe Dr., Suite 100
Draper, UT 84020
866-346-5800
www.healthequity.com

There is no HSA set-up fee.

The administrative fee is covered in the premium while the member is covered under the HDHP.

Members will be subject to the administrative fee if they are enrolled but no longer eligible for contributions into the HSA and/or are enrolled in the HSA.

None

You must:

• Enroll in this High Deductible Health Plan (HDHP).
• Not currently receiving VA benefits or services unless they are due to a service-connected disability.
• Have no other health insurance coverage (does not apply to another HDHP plan, specific injury, accident, disability, dental, vision, or long term care coverage).
• Not be enrolled in Medicare.
• Not be enrolled in Tricare.
• Not be claimed as a dependent on someone else’s tax return.
• Not have received Indian Health Service (IHS) benefits in the last three months.
• Complete and return all banking paperwork.

You must enroll in this HDHP.

If you enroll in a HDHP during open season or in the month of January, your HRA will be funded on a monthly basis after premium has been received. If you enroll outside of Open Season or other than the month of January, the funding of your HRA will be prorated based on each full month in which you are enrolled in a HDHP.

If you are eligible for HSA contributions, a portion of your monthly health plan premium is deposited to your HSA each month.  Premium pass through contributions are based on the effective date of your enrollment in the HDHP.

Note: If your effective date in the HDHP is after the 1st of the month, the earliest your HSA will be established is the 1st of the following month.

In addition, you may establish pre-tax HSA deductions from your paycheck to fund your HSA up to IRS limits using the same method that you use to establish other deductions (i.e., Employee Express, MyPay, etc.).
You may contribute to your HSA by submitting a contribution coupon or setting up an electronic funds transfer from your checking or savings account up to the maximum allowed. The deadline for HSA contributions is April 15 following the year for which contributions are made. When making contributions for a previous tax year, use the Tax Year Designation Change for Contributions to HSA form. You can obtain additional HSA forms by logging into our website at www.sentarahealthplans.com.

Eligibility for the annual credit will be determined on the first day of the month and will be prorated for length of enrollment. HRA contributions, a portion of your monthly health plan premium is deposited to your HRA each month.

For 2025, a monthly premium pass through of $83.33 will be made by the HDHP directly into your HSA each month.

For 2025, a monthly premium pass through of $83.33 will be made by the HDHP directly into your HRA each month.

For 2025, a monthly premium pass through of $166.66 will be made by the HDHP directly into your HSA each month.

For 2025, a monthly premium pass through of $166.66 will be made by the HDHP directly into your HRA each month.

For 2025, a monthly premium pass through of $166.66 will be made by the HDHP directly into your HSA each month.

For 2025, a monthly premium pass through of $166.66 will be made by the HDHP directly into your HRA each month.

The maximum that can be contributed to your HSA is an annual combination of the HDHP premium pass through and enrollee contribution funds, which when combined, do not exceed the annual statutory dollar maximum, which is $4,300 for Self Only coverage, $8,550 for Self Plus One coverage and $8,550 for Self and Family coverage for 2025.  If you are age 55 or older, the IRS permits you to make additional “catch-up” contributions to your HSA. The allowable catch-up contribution is $1,000. Contributions must stop once an individual is enrolled in Medicare. Additional details are available on the U.S. Department of Treasury website at  www.treasury.gov/resource-center/faqs/Taxes/ Pages/Health-Savings-Accounts.aspx

If you enroll during Open Season, you are eligible to fund your account up to the maximum contribution limit set by the IRS.
Note: Annual premium pass through contributions will be forfeited if you do not open an HSA by 12/31 of that plan year.

You are eligible to fund your account up to the maximum contribution limit set by the IRS, even if you have partial year coverage as long as you maintain your HDHP enrollment for 12 months following the last month of the year of your first year of eligibility. To determine the amount you may contribute, take the IRS limit and subtract the amount the Plan will contribute to your account for the year.

If you do not meet the 12 month requirement, the maximum contribution amount is reduced by 1/12 for any month you were ineligible to contribute to an HSA. If you exceed the maximum contribution amount, a portion of your tax reduction is lost and a 10% penalty is imposed. There is an exception for death or disability.

You may rollover funds you have in other HSAs to this HDHP HSA (rollover funds do not affect your annual maximum contribution under this HDHP).

You are able to make a one-time, tax-free, irrevocable, trustee-to-trustee rollover from your IRA to your HSA. The amount that may be rolled over from an IRA to an HSA is limited to the amount of your maximum annual HSA contribution limit for the year in which the rollover is made. Any amount you rollover from an IRA will count towards your annual HSA contribution limit so you will need to make sure that the amount you transfer from your IRA combined with your other HSA contributions for the year do not exceed the annual HSA contribution limit.

HSAs earn tax-free interest (does not affect your annual maximum contribution).

Additional contribution discussed on page 70.

HRA credits will be made monthly and are subject to proration based on the effective date of enrollment. The HRA does not earn interest. You cannot contribute to the HRA.

You may make a voluntary annual maximum contribution of $4,300.

Note: Additional deposits by the Plan into your HSA can impact the amount you can contribute for the year. Please review IRS guidelines or discuss with your accountant.

You cannot contribute to the HRA.

You may make a voluntary annual maximum contribution of $8,550.

Note: Additional deposits by the Plan into your HSA can impact the amount you can contribute for the year. Please review IRS guidelines or discuss with your accountant.

You cannot contribute to the HRA.

You may make a voluntary annual maximum contribution of $8,550.

Note: Additional deposits by the Plan into your HSA can impact the amount you can contribute for the year. Please review IRS guidelines or discuss with your accountant.

You cannot contribute to the HRA.

You can access your HSA by the following methods:

• Debit Card – The Health Equity HSA Visa debit card must be activated in order to have access to HSA Funds, customer service and online information.
• The online employee portal.  From the portal, you will be linked to the Health Equity.  If there is money available in your HSS, claims may be paid to a provider from the HSA as claims are submitted to Sentara Health Plans.
• Direct Deposit for HSA Reimbursement - Reimbursements can now be sent electronically to personal checking or savings accounts. You can access this feature from the employee portal.

For covered medical expenses under the deductible of your HDHP, claims will be paid automatically by your HRA when claims are submitted to Sentara Health Plans, if there is money available in your HRA.

You may also be reimbursed from the HRA for prescriptions covered within the deductible period, if there is money available in your HRA.

You can pay the out-of-pocket expenses for yourself, your spouse or your dependents (even if they are not covered by the HDHP) from the funds available in your HSA.

Note: Plan contributions are typically deposited around the middle of each month.

See IRS Publication 502 for a complete list of eligible medical expenses.

You can pay the out-of-pocket expenses for qualified medical expenses for individuals covered under the HDHP.

Non-reimbursed qualified medical expenses are allowable if they occur after the effective date of your enrollment in this Plan.
See Availability of funds below for information on when funds are available in the HRA.

See IRS Publications 502 and 969 for information on eligible medical expenses.  Over-the-counter drugs and Medicare premiums are also reimbursable.  Most other types of medical insurance premiums are not reimbursable.

If you are under age 65, withdrawal of funds for non-medical expenses will create a 20% income tax penalty in addition to any other income taxes you may owe on the withdrawn funds.

When you turn age 65, distributions can be used for any reason without being subject to the 20% penalty, however they will be subject to ordinary income tax.

Not applicable – distributions will not be made for anything other than qualified medical and prescription expenses within the deductible.

Funds are not available for withdrawal until all the following steps are completed:

• Your enrollment in this HDHP is effective (effective date is determined by your agency in accord with the event permitting the enrollment change).
• The HDHP receives record of your enrollment and initially establishes your HSA account with the fiduciary by providing information it must furnish and by contributing the minimum amount required to establish an HSA.
• The fiduciary sends you HSA paperwork for you to complete and the fiduciary receives the completed paperwork back from you.

• Your enrollment in this HDHP is effective (effective date is determined by your agency in accord with the event permitting the enrollment change).
• A monthly amount will be deposited into your HRA, based on your enrollment tier.

FEHB enrollee

Sentara Health Plans

You can take this account with you when you change plans, separate or retire.

If you do not enroll in another HDHP, you can no longer contribute to your HSA.

If you retire and remain in this HDHP, you may continue to use and accumulate credits in your HRA.

If you terminate employment or change health plans, only eligible expenses incurred while covered under the HDHP will be eligible for reimbursement subject to timely filing requirements. Unused funds are forfeited.

Yes, accumulates without a maximum cap.

No.

All contributions are aggregated and cannot exceed the maximum contribution amount set by the IRS. You may contribute your own money to your account through payroll deductions, or through Electronic Fund Transfer deposits that are withdrawn from your personal bank accounts, or you may make lump sum contributions at any time, in any amount not to exceed an annual maximum limit. If you contribute, you can claim the total amount you contributed for the year as a tax deduction when you file your income taxes. Your own HSA contributions are either tax-deductible or pre-tax (if made by payroll deduction). You receive tax advantages in any case. To determine the amount you may contribute, subtract the amount the Plan will contribute to your account for the year from the maximum contribution amount set by the IRS. You have until April 15 of the following year to make HSA contributions for the current year.

If you newly enroll in a HDHP during Open Season and your effective date is after January 1st or you otherwise have partial year coverage, you are eligible to fund your account up to the maximum contribution limit set by the IRS as long as you maintain your HDHP enrollment for 12 months following the last month of the year of your first year of eligibility. If you do not meet this requirement, a portion of your tax reduction is lost and a 10% penalty is imposed. There is an exception for death or disability.

If you are age 55 or older, the IRS permits you to make additional contributions to your HSA. The allowable additional contribution is $1,000. Contributions must stop once an individual is enrolled in Medicare. Additional details are available on the IRS website at www.irs.gov or request a copy of IRS Publication 969 by calling 1-800-829-3676. 

Participation in voluntary investment options are entirely optional and Health Equity will not be acting in the capacity of a registered investment advisor for the HSA.

Account holders who exceed the minimum required balance of $2,000 in their HSA cash account, will have a number of different investment options to choose from that will be offered by different organizations that have been selected by Health Equity in these investment options may fluctuate up or down and will not be insured by the FDIC or other government agencies.

Health Equity will make available HSA investment options to account holders who exceed the minimum required balance of $2,000 in their HSA cash account. (Investment options are subject to change).

If you have not named a beneficiary and you are married, your HSA becomes your spouse’s; otherwise, your HSA becomes part of your taxable estate.

You can pay for “qualified medical expenses,” as defined by IRS Code 213(d).  These expenses include, but are not limited to, medical plan deductibles, diagnostic services covered by your plan, long-term care premiums, health insurance premiums if you are receiving Federal unemployment compensation, over-the-counter drugs, LASIK surgery, and some nursing services.

When you enroll in Medicare, you can use the account to pay Medicare premiums or to purchase health insurance other than a Medigap policy. You may not, however, continue to make contributions to your HSA once you are enrolled in Medicare.

For a detailed information of IRS-allowable expenses, request a copy of IRS Publications 502 and 969 by calling 800-829-3676, or visit the IRS website at www.irs.gov and click on “Forms and Publications.”

Note: Although over-the-counter drugs are not listed in the publication, they are reimbursable from your HSA. Also, insurance premiums are reimbursable under limited circumstances.

You may withdraw money from your HSA for items other than qualified health expenses, but it will be subject to income tax and if you are under 65 years old, an additional 20% penalty tax on the amount withdrawn.

You can view account activity such as the “premium pass through,” withdrawals, and interest earned on your account, as well as account balances online, when logging into your member portal at www.sentarahealthplans.com. You can also request a paper monthly activity statement at an additional charge - $1.00 per month.

There is no minimum withdrawal or distribution amount.

If you don't qualify for an HSA when you enroll in this HDHP, or later become ineligible for an HSA, we will establish an HRA for you. If you are enrolled in Medicare, you are ineligible for an HSA and we will establish an HRA for you. You must tell us if you are or become ineligible to contribute to an HSA.

Please review the chart beginning on page 65 which details the differences between an HRA and HSA. The major differences are:

• you cannot make contributions to an HRA
• funds are forfeited if you leave the HDHP
• an HRA does not earn interest
• HRAs can only pay for qualified medical and prescription expenses which apply to your deductible for individuals covered by the HDHP.  FEHB law does not permit qualified medical expenses to include services, drugs or supplies related to abortions, except when the life of the mother would be endangered if the fetus were carried to term, or when the pregnancy is the result of an act of rape or incest.

Routine physical every year.

The following preventive services are covered at the time interval recommended at each of the links below:

• U.S. Preventive Services Task Force (USPSTF) A and B recommended screenings such as cancer, osteoporosis, depression, diabetes, high blood pressure, total blood cholesterol, HIV, and colorectal cancer screening. For a complete list of screenings go to the website at https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations
• Individual counseling on prevention and reducing health risks
• Preventive care benefits for women such as Pap smears, gonorrhea prophylactic medication to protect newborns, annual counseling for sexually transmitted infections, contraceptive methods, and screening for interpersonal and domestic violence. For a complete list of preventive care benefits for women please go to the Health and Human Services (HHS) website at https://www.hrsa.gov/womens-guidelines
• To build you personalized list of preventive services go to https://health.gov/myhealthfinder
• Adult immunizations endorsed by the Centers for Disease Control and Prevention (CDC): based on the Advisory Committee on Immunization Practices (ACIP) schedule.  For a complete list of endorsed immunizations go to the Centers for Disease Control (CDC) website at https://www.cdc.gov/vaccines/schedules 
• Routine exams limited to:
  • One routine eye exam every 12 months
  • One routine hearing exam every 12 months.

Note: Any procedure, injection, diagnostic service, laboratory, or x-ray service done in conjunction with a routine examination and is not included in the preventive recommended listing of services will be subject to the applicable member copayments, coinsurance, and deductible.

Nothing

Obesity counseling, screening, and referral for those persons at or above the USPSTF obesity prevention risk factor level, to intensive nutrition and behavioral weight-loss therapy, counseling, or family centered programs under the USPSTF A and B recommendations are covered as part of prevention and treatment of obesity as follows:

• Intensive nutrition and behavioral weight-loss counseling therapy
• Family centered programs when medically identified to support obesity prevention and management by an in-network provider
• When anti-obesity medication is prescribed as indicated by the FDA obesity medication treatment guidelines. See Section 5(f) for cost share requirements for anti-obesity medications.
• When Bariatric or Metabolic surgical treatment or intervention is indicated for severe obesity. See Section 5(b) for surgery requirements and cost share.

Note:  See Section 5(h). Wellness and Other Special Features for more details on weight management programs.

Nothing (No deductible)

Not covered:

• Physical exams required for obtaining or continuing employment or insurance, attending schools or camp, or travel.
• Immunizations, boosters, and medications for travel or work-related exposure.
• Care and services from non-Plan providers unless pre-authorized by the Plan prior to receiving this service.

All charges

• Well-child visits, examinations, and immunizations other preventive recommended services as described in the Bright Future Guidelines provided by the American Academy of Pediatrics. For a complete list of the American Academy of Pediatrics Bright Futures Guidelines go to https://brightfutures.aap.org

• Immunizations such as DTaP, Polio, Measles, Mumps, and Rubella (MMR), and Varicella. For a complete list of immunizations go to the Centers for Disease Control (CDC) website at https://www.cdc.gov/vaccines/schedules/index.html

• You can also find a complete list of preventive care services recommended under the U.S. Preventive Services Task Force (USPSTF) online at https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations

Note: Any procedure, injection, diagnostic service, laboratory, or X-ray service done in conjunction with a routine examination and is not included in the preventive recommended listing of services will be subject to the applicable member copayments, coinsurance, and deductible.

Nothing

Obesity counseling, screening, and referral for those persons at or above the USPSTF obesity prevention risk factor level, to intensive nutrition and behavioral weight-loss therapy, counseling, or family centered programs under the USPSTF A and B recommendations are covered as part of prevention and treatment of obesity as follows:

• Intensive nutrition and behavioral weight-loss counseling therapy
• Family centered programs when medically identified to support obesity prevention and management by an in-network provider
• When anti-obesity medication is prescribed as indicated by the FDA obesity medication treatment guidelines. See Section 5(f) for cost share requirements for anti-obesity medications.
• When Bariatric or Metabolic surgical treatment or intervention is indicated for severe obesity. See Section 5(b) for surgery requirements and cost share.

Note: See Section 5(h). Wellness and Other Special Features for more details on weight management programs.

Nothing (No deductible)

Not covered:

• Physical exams required for obtaining or continuing employment or insurance, attending schools or camp, or travel.
• Immunizations, boosters, and medications for travel.
• Care and services from non-Plan providers unless pre-authorized by the Plan prior to receiving this service.

All charges

The deductible applies to almost all benefits in this Section. In the You pay column, we say “No deductible” when it does not apply. When you receive covered services from network providers, you are responsible for paying the allowable charges until you meet the deductible.

100% of allowable charges until you meet the deductible of $2,000 per person, $4,000 per Self Plus One enrollment or $4,000 per Self and Family enrollment.

After you meet the deductible, we pay the allowable charge (less your coinsurance or copayment) until you meet the annual catastrophic out-of-pocket maximum.

After you meet the deductible, you pay the indicated coinsurance or copayments for covered services. You may choose to pay the coinsurance and copayments from your HSA or HRA, or you can pay for them out-of-pocket.

Professional services of physicians

• In physician’s office
• In an urgent care center
• During a hospital stay
• In a skilled nursing facility
• Office medical consultations
• Second surgical opinion
• Advance care planning

20% coinsurance of our Plan allowance 

• MDLIVE Virtual Office Visit

How to get started?

• Sign in to www.sentarahealthplans.com and select Access MDLIVE, or call 866-648-3638.
• Have your Sentara Health Plans member ID number available to register. Please note that you’ll need to create an account for each covered member of your family over the age of two.
• When you want to see a doctor, you can go online to request immediate access to a provider on-call via phone or schedule a time at your convenience. You can also get connected by calling 866-648-3638.

$10 copayment

Tests, such as:

• Blood tests
• Urinalysis
• Non-routine pap test
• Pathology
• X-rays
• Non-routine mammogram
• CT Scans/MRI
• Ultrasound
• Electrocardiogram and EEG

20% coinsurance of our Plan allowance

Complete maternity (obstetrical) care, such as:

• Screening for gestational diabetes 
• Breastfeeding and lactation support, supplies and counseling for each birth
• Screening and counseling for prenatal and postpartum depression

Nothing (No deductible)

• Prenatal and Postpartum care
• Delivery

20% coinsurance of our Plan allowance

Note: Here are some things to keep in mind:

• As part of your coverage, you have access to in-network certified nurse midwives, home nurse visits and board-certified lactation specialists during the prenatal and post-partum period.
• You do not need to precertify your vaginal delivery; see page 18 for other circumstances, such as extended stays for you or your baby.
• You may remain in the hospital up to 48 hours after a vaginal delivery and 96 hours after a cesarean delivery. We will extend your inpatient stay if medically necessary.
• We cover routine nursery care of the newborn child during the covered portion of the mother’s maternity stay. We will cover other care of an infant who requires non-routine treatment only if we cover the infant under a Self Plus One or a Self and Family enrollment. 
• We pay hospitalization and surgeon services for non-maternity care the same as for illness and injury.
• Hospital services are covered under Section 5(c) and Surgical benefits Section 5(b).

Note: When a newborn requires definitive treatment during or after the mother’s hospital stay, the newborn is considered a patient in their own right. If the newborn is eligible for coverage, regular medical or surgical benefits apply rather than maternity benefits.  In addition, circumcision is covered at the same rate as for regular medical or surgical benefits.

20% coinsurance of our Plan allowance

Not covered:

• Routine care and services for pregnancy outside the Plan’s service area
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

Contraceptive counseling on an annual basis

Nothing (No deductible)

A range of voluntary family planning services, without cost sharing, that includes at least one form of contraception in each of the categories on the HRSA list. This list includes:

• Voluntary female sterilization
• Surgically implanted contraceptives
• Injectable contraceptive drugs (such as Depo Provera)
• Intrauterine devices (IUDs)
• Diaphragms

Note: See additional Family Planning and Prescription drug coverage Section 5(f).

Note: Your plan offers some type of voluntary female sterilization surgery coverage at no cost to members. The contraceptive benefit includes at least one option in each of the HRSA-supported categories of contraception (as well as the screening, education, counseling, and follow-up care). Any type of voluntary female sterilization surgery that is not already available without cost sharing can be accessed through the contraceptive exceptions process described below.

If you need assistance requesting a medical exception for a non-formulary contraceptive, please contact Sentara Health Plans at 1-800-229-5522. The prescribing physician must complete the Contraceptive Medical Exception Request and fax to 1-800-750-9692. We will review your exception request and provide a determination within 24 hours of receipt of exception request.  If you have difficulty accessing contraceptive coverage or other reproductive healthcare, you can contact contraception@opm.gov.

Nothing (No deductible)

Voluntary male sterilization

20% coinsurance of our Plan allowance

Not covered:

• Reversal of voluntary surgical sterilization
• Genetic testing and counseling that is determined to be not medically necessary
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

Infertility is defined as failure to achieve pregnancy within 12 months of unprotected intercourse or therapeutic donor insemination in an individual younger than 35 years or, for an individual 35 years and older, within 6 months. Infertility may also be established through an evaluation based on medical history and diagnostic testing.

Diagnosis and treatment of infertility:

• Artificial insemination-Limited to 3 per year
  • Intravaginal insemination (IVI)
  • Intracervical insemination (ICI)
  • Intrauterine insemination (IUI)
• Assisted Reproductive Technology (ART)-Limited to 3 year
  • In vitro fertilization (IVF) 
  • Zygote intrafallopian transfer (ZIFT)
• Endometrial biopsies-Limited to 1 per year 
• Semen analysis - Limited to 2 per year
• Hysterosalpingography -Limited to 2 per year
• Sims-Huhner test (smear) - Limited to 2 per year
• Diagnostic laparoscopy -Limited to 1 per year
• Fertility Drugs (See Section5(f))

Note: IVF drugs and infertility drugs do not count toward your Deductible or Maximum Out-of-Pocket Amount.

Note: Precertification is required. See Section 3.

20% coinsurance of our Plan allowance

Cryopreservation for egg or sperm for persons facing the possibility of iatrogenic infertility, including infertility associated with medical and surgical gender transition treatment.

• Includes short-term storage coverage while the member is undergoing therapy (up to 12 months)
  • Benefits are not available for long-term storage costs (greater than one year)
  • Benefits are further limited to one cycle of fertility preservation for Iatrogenic Infertility per covered person during the entire period of time member is enrolled for coverage under the policy (i.e. 1 attempt at harvesting gametes).

20% coinsurance of our Plan allowance

Not Covered:

• reversal of voluntary sterilization, and infertility service required because of such reversal
• donor egg, and any other programs not listed as a covered service
• reproductive material storage
• any treatment related to sexual organ function, dysfunction, or inadequacies, including but not limited to impotency

All charges

• Testing and treatment
• Allergy injections
• Allergy serum

20% coinsurance of our Plan allowance

Not covered:

• Provocative food testing and sublingual allergy desensitization
• Food allergy ingestion testing
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

• Chemotherapy and radiation therapy

Note: High dose chemotherapy in association with autologous bone marrow transplants is limited to those transplants listed under Organ/Tissue Transplants on page 87.

• Respiratory and inhalation therapy
• Cardiac rehabilitation following qualifying event/condition is provided for up to 90 consecutive days from the start of rehabilitation.
• Dialysis – hemodialysis and peritoneal dialysis
• Intravenous (IV)/Infusion Therapy – Home IV and antibiotic therapy
• Growth hormone therapy (GHT)

Note: Growth hormone is covered under the prescription drug benefit.

Note: We only cover GHT when we precertify the treatment. We will ask you to submit information that establishes that the GHT is medically necessary. Ask us to precertify GHT before you begin treatment. We will only cover GHT services and related services and supplies that we determine are medically necessary. See Other Services under You Need Prior Plan Approval for Certain Services on page 19.

20% coinsurance of our Plan allowance

Applied Behavior Analysis (ABA) - Members with autism spectrum disorder

Covered Services include “diagnosis” and “treatment” of Autism Spectrum Disorder.

“Autism Spectrum Disorder” means any pervasive developmental disorder, including (i) autistic disorder, (ii) Asperger's Syndrome, (iii) Rett syndrome, (iv) childhood disintegrative disorder, or (v) Pervasive Developmental Disorder – Not Otherwise Specified, as defined in the most recent edition of The Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association.

“Diagnosis of autism spectrum disorder” means medically necessary assessments, evaluations, or tests to diagnose whether an individual has an autism spectrum disorder.

“Treatment for autism spectrum disorder” shall be identified in a treatment plan and included the following care prescribed or ordered for an individual diagnosed with autism spectrum disorder by a licensed physician or a licensed psychologist who determines the care to be medically necessary: (i) behavioral health treatment, (ii) pharmacy care, (iii) psychiatric care, (iv) psychological care, (v) therapeutic care, and (vi) applied behavioral analysis when provided or supervised by a board certified behavioral analyst licensed by the Board of Medicine. No limit on visits.

“Applied behavioral analysis” means the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior. 

20% coinsurance of our Plan allowance

Early Intervention Services are covered for children from birth to age three for medically necessary services limited to:

• speech, language, occupational and physical therapy
• assistive technology services and devices

Note: Covered services are provided to enhance functional ability without effecting a cure. Department of Mental Health, Mental Retardation, and Substance Abuse Services must certify dependents as eligible for services under Part H of the Individuals with Disabilities Act.

Note: Precertifcation is required.

20% coinsurance of our Plan allowance

• Qualified physical therapists
• Occupational therapists

Coverage will include 30 rehabilitative combined physical therapy and occupational therapy visits per year and 30 habilitative combined physical therapy and occupational therapy visits per year.  

Note: For mental health conditions or substance use disorders visit limits will not apply.

Note: Precertification is required. We only cover therapy when a physician:

• orders the care;
• identifies the specific professional skills the patient requires and the medical necessity for skilled services; and
• indicates the length of time the services are needed.

20% coinsurance of our Plan allowance

Not covered:

• Long-term rehabilitative therapy
• Therapies available in a school program or available through state and local funding, including sign language therapies
• Recreation therapies, including art, dance, or music therapies
• Sleep therapies
• Exercise programs, or equine therapies
• Driver evaluations as part of occupational therapy
• Driver training
• Functional capacity testing needed to return to work
• Any service or supply, unless provided in accordance with a specific treatment plan pre-authorized by the Plan
• Therapy which is primarily educational in nature, special education, or sign language
• Work-hardening programs
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

Up to 30 rehabilitative speech therapy visits per year, and up to 30 habilitative speech therapy visits per year.

Note: Precertification is required.

Note: For mental health conditions or substance use disorders visit limits will not apply.

20% coinsurance of our Plan allowance

• For treatment related to illness or injury, including evaluation and diagnostic hearing tests performed by an M.D., D.O., or audiologist
• Implanted hearing-related devices, such as bone anchored hearing aids (BAHA) and cochlear implants

Note: See Section 5(a), Orthopedic and Prosthetic Devices, for benefits for the devices.

20% coinsurance of our Plan allowance

"Hearing Aid" means any wearable, non-disposable instrument or device designed or offered to aid or compensate for impaired human hearing and any parts, attachments, or accessories, including earmolds, but excluding batteries and cords. Hearing aids are not to be considered durable medical equipment.

• Coverage includes hearing aids and related services for children 18 years of age or younger. Coverage is limited to the cost of one hearing aid per hearing-impaired ear every 24 months, up to $1,500 per hearing aid. Members may choose a higher-priced hearing aid and pay the difference.
• "Related Services" includes earmolds, initial batteries, and other necessary equipment, maintenance, and adaptation training.
• Coverage is limited to services and equipment recommended by an otolaryngologist (ENT) and provided or dispensed by an otolaryngologist (ENT), licensed audiologist, or licensed hearing aid specialist.

Note: Pre-certification is required.

Note: For routine hearing screening performed during a child’s preventive care visit, see Section 5(a) Preventive care, children.

Nothing

Preventive vision care and services are administered by Vision Service Plan (VSP).  The following services are covered once every 12 months: 

• Annual eye refraction including care history, visual acuity test for glasses and written lens prescription.
• Screening tests for diseases or abnormalities, including glaucoma and cataracts.

Note: You should select a Vision Service Provider and call him or her directly to schedule an appointment.  If you need help or a current list of participating providers, call Sentara Health Plans at 757-552-7550 or 800-206-1060, or visit www.sentarahealthplans.com.  You may receive an eye exam from a non-Plan provider and receive a $30 reimbursement.

Nothing (No deductible)

• One pair of eyeglasses or contact lenses (up to $200 allowance) to correct an impairment directly caused by accidental ocular injury or intraocular surgery (such as for cataracts). Please note that New technology, intraocular lens are excluded from coverage.

20% coinsurance of our Plan allowance

• Eye exam to determine the need for vision correction for children up to age 22 (see Preventive care, children)

Nothing (No deductible)

Not covered:

• Eyeglasses or contact lenses
• Eye exercises and orthoptics
• Radial keratotomy and other refractive surgery
• Any eye examination, or any corrective eyeware required by an employer as a condition as employment
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

Routine foot care when you are under active treatment for a metabolic    or peripheral vascular disease, such as diabetes.

20% coinsurance of our Plan allowance

Not covered:

• Cutting, trimming or removal of corns, calluses, or the free edge of toenails, and similar routine treatment of conditions of the foot,    except as stated above
• Treatment of weak, strained or flat feet or bunions or spurs; and of any instability, imbalance or subluxation of the foot (unless the treatment is by open cutting surgery)
• Foot orthotics of any kind including customized or non-customized shoes, boots, and inserts, except as medically necessary and approved by the Plan for members with diabetes
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service
  

All charges

• Artificial limbs and eyes
• Prosthetic sleeve or sock
• Externally worn breast prostheses and surgical bras, including necessary replacements following a mastectomy
• Corrective orthopedic appliances for non-dental treatment of temporomandibular joint (TMJ) pain dysfunction syndrome
• Implanted hearing-related devices, such as bone anchored hearing aids (BAHA) and cochlear implants
• Internal prosthetic devices, such as artificial joints, pacemakers, and surgically implanted breast implant following mastectomy.
• Lenses following cataract removal
• Repair and replacement

Note: For information on the professional charges for the surgery to insert an implant, see Section 5(b) Surgical Procedures. For information on the hospital and/or ambulatory surgery center benefits, see Section 5(c) Services Provided by a Hospital or Other Facility, and Ambulance Services.

20% coinsurance of our Plan allowance

Not covered:

• Orthopedic and corrective shoes, arch supports, foot orthotics, heel pads and heel cups
• Lumbosacral supports
• Corsets, trusses, elastic stockings, support hose, and other supportive devices
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service
  

All charges

We cover rental or purchase of durable medical equipment, at our option, including repair and adjustment. Covered items include:

• Oxygen
• Dialysis equipment
• Hospital beds
• Standard non-motorized wheelchairs
• Crutches
• Walkers
• Colostomy, iliostomy, and tracheostomy supplies
• Suction and urinary catheters
• Formula and enteral nutrition products that are prescribed for a inherited metabolic disorder

Note: When your Plan physician prescribes this equipment we will arrange with a health care provider to rent or sell you Durable Medical Equipment at discounted rates.

20% coinsurance of our Plan allowance

Diabetic supplies and equipment for insulin dependent, gestational, and non-insulin dependent diabetics.

Coverage includes benefits for FDA-approved equipment and supplies for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and non-insulin-using diabetes if prescribed by a healthcare professional legally authorized to prescribe such items.

• Pump infusion sets and supplies, outpatient self-management training and education, and nutritional therapy are covered under the Plan’s medical benefits.
• External insulin pump
• Insulin, needles, and syringes as well as testing supplies (test strips, lancets, lancet devices, blood glucose monitors, control solution, continuous glucose monitors, sensors and supplies) are covered under the Plan’s pharmacy benefits, see Section 5(f).

Note: Precertification is required for insulin pumps and pump infusion sets and supplies, see Durable Medical Equipment.

Members can pick up supplies at any network pharmacy. LifeScan products will be the preferred brand. However, the Plan reserves the right to change or add additional preferred brands. Members that request other brand name supplies will pay the applicable cost share depending on the tier. For members who may not be using a LifeScan meter currently, there are two ways to obtain a free LifeScan meter:

1. Order online at www.OneTouch.orderpoints.com and input the Sentara Health Plans order code 741OPT016;
2. Call the toll-free number: 855-776-4464 and provide the order code 741OPT016

20% coinsurance of our Plan allowance

Not covered:

• Motorized wheelchairs or scooters
• Exercise equipment
• Air conditioners, purifiers, humidifiers, and dehumidifiers
• Whirlpool baths
• Convenience items, including but not limited to hypoallergenic bed linens, water purification devices, and adaptive feeding devices
• Telephones
• Changes made to vehicles, residences, or places of business including, but not limited to, handrails, ramps, elevators, and stair glides
• Repair or replacement of equipment damaged through neglect or loss
• More than one item of equipment for the same purpose
• Disposable medical supplies, including but not limited to medical dressings, disposable diapers
• Durable medical equipment primarily for comfort and well-being of the member
• Care and services from non-plan providers unless precertified by the Plan prior to receiving the service

All charges

• Home healthcare ordered by a Plan physician and provided by a registered nurse (R.N.), licensed practical nurse (L.P.N.), licensed vocational nurse (L.V.N.), or home health aide
• Services include oxygen therapy, intravenous therapy and medications
• Part-time or intermittent nursing care
• Part-time or intermittent home health aide services
• Surgical dressings and medical appliances
• Physical, occupational, or speech therapy

20% coinsurance of our Plan allowance

Not covered:

• Nursing care requested by, or for the convenience of, the patient or the patient’s family;
• Home care primarily for personal assistance that does not include a medical component and is not diagnostic, therapeutic, or rehabilitative;
• Services primarily for hygiene, feeding, exercising, moving the patient, homemaking, companionship or giving oral medication;
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service.

All charges

No benefit

All charges

No benefit

All charges

Coverage is provided for:

• Diabetes self management

Note: Members should call 1-800-SENTARA for information on classes.

Nothing (No deductible)

• Counseling and education for birth control options

Nothing (No deductible)

• Tobacco Cessation programs, including individual/group/telephone counseling, and for over-the-counter (OTC) and prescription drugs approved by the FDA to treat tobacco dependence (see Prescription Drugs).

Nothing (No deductible)

A comprehensive range of services, such as:

• Operative procedures
• Treatment of fractures, including casting
• Normal pre- and post-operative care by the surgeon
• Correction of amblyopia and strabismus
• Endoscopy procedures
• Biopsy procedures
• Removal of tumors and cysts
• Correction of congenital anomalies (see Reconstructive Surgery)
• Surgical treatment of obesity (bariatric surgery) -- a condition in which an individual has a BMI of 30 kg/m2 or higher; eligible members must be age 18 or over.
• Insertion of internal prosthetic devices. See 5(a) – Orthopedic and Prosthetic Devices for device coverage information
• Treatment of burns

Note: For female surgical family planning procedures see Family Planning Section 5(a)

Note: For male surgical family planning procedures see Family Planning Section 5(a)

Note: Generally, we pay for internal prostheses (devices) according to where the procedure is done. For example, we pay Hospital benefits for a pacemaker and Surgery benefits for insertion of the pacemaker.

20% coinsurance of our Plan allowance

Not covered:

• Reversal of voluntary sterilization
• Routine treatment of conditions of the foot; see Foot care
• Surgery primarily for cosmetic purposes
• Any surgical services, other than emergent, which have not been pre-authorized by the Plan.
• Any surgical services determined not medically necessary by the Plan.
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service
  

All charges

• Surgery to correct a functional defect
• Surgery to correct a condition caused by injury or illness if:
  • the condition produced a major effect on the member’s appearance; and
  • the condition can reasonably be expected to be corrected by such surgery
• Surgery to correct a condition that existed at or from birth and is a significant deviation from the common form or norm. Examples of congenital anomalies are: protruding ear deformities; cleft lip; cleft palate; birth marks; and webbed fingers and toes.
• All stages of breast reconstruction surgery following a mastectomy, such as:
  • surgery to produce a symmetrical appearance of breasts;
  • treatment of any physical complications, such as lymphedemas;
  • breast prostheses and surgical bras and replacements (see Prosthetic devices)

Note: If you need a mastectomy, you may choose to have the procedure performed on an inpatient basis and remain in the hospital up to 48 hours after the procedure.

20% coinsurance of our Plan allowance

Gender Affirming Surgery

The following genital surgeries may be considered for male to female: 

• Orchiectomy - removal of testicles
• Penectomy - removal of penis
• Vaginoplasty - creation of vagina
• Clitoroplasty - creation of clitoris
• Labiaplasty - creation of labia
• Mammaplasty - breast augmentation
• Prostatectomy -removal of prostate
• Urethroplasty - creation of urethra

The following genital surgeries may be considered for female to male:

• Breast reconstruction (e.g., mastectomy) - removal of breast
• Nipple reconstruction (only if a mastectomy has been done)
• Hysterectomy - removal of uterus
• Salpingo-oophorectomy - removal of fallopian tubes and ovaries
• Vaginectomy - removal of vagina
• Vulvectomy - removal of vulva
• Metoidioplasty - creation of micro-penis, using clitoris
• Phalloplasty - creation of penis, with or without urethra
• Urethroplasty - creation of urethra within the penis
• Scrotoplasty - creation of scrotum
• Testicular prostheses - implantation of artificial testes

20% coinsurance of our Plan allowance

Not covered:

• Cosmetic surgery – any surgical procedure (or any portion of a procedure) performed primarily to improve physical appearance through change in bodily form, except repair of accidental injury
• Blepharoplasty, brow reduction, brow lift
• Chin augmentation (reshaping or enhancing the size of the chin)
• Chin, nose, cheek implants
• Any surgical services, other than emergent, which have not been precertified by the Plan.
• Any surgical services determined not medically necessary by the Plan.
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service.

All charges

Oral surgical procedures, limited to:

• Reduction of fractures of the jaws or facial bones;
• Surgical correction of cleft lip, cleft palate or severe functional malocclusion;
• Removal of stones from salivary ducts;
• Excision of leukoplakia or malignancies;
• Excision of cysts and incision of abscesses when done as independent procedures; and
• Other surgical procedures that do not involve the teeth or their supporting structures.

20% coinsurance of our Plan allowance

Not covered:

• Oral implants and transplants
• Procedures that involve the teeth or their supporting structures (such as the periodontal membrane, gingiva, and alveolar bone)
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service
  

All charges

These solid organ transplants are subject to medical necessity and experimental/investigational review by the Plan. See Other Services under You Need Prior Plan Approval for Certain Services on page 19.

• Cornea
• Heart
• Heart/lung
• Intestinal transplants
  • Isolated small intestine
  • Small intestine with the liver
  • Small intestine with multiple organs, such as the liver, stomach, and pancreas
• Kidney
• Kidney-pancreas
• Liver
• Lung: single/bilateral/lobar
• Pancreas
• Autologous pancreas islet cell transplant (as an adjunct to total or near total pancreatectomy) only for patients with chronic pancreatitis

These tandem blood or marrow stem cell transplants for covered transplants are subject to medical necessity review by the Plan. Refer to Other Services in Section 3 for prior authorization procedures.

• Autologous tandem transplants for
  • AL Amyloidosis
  • Multiple myeloma (de novo and treated)
  • Recurrent germ cell tumors (including testicular cancer)

Blood or marrow stem cell transplants

The Plan extends coverage for the diagnoses as indicated below.

• Allogeneic transplants for
  • Acute lymphocytic or non-lymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Acute myeloid leukemia
  • Advanced Myeloproliferative Disorders (MPDs)
  • Amyloidosis
  • Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL)
  • Hemoglobinopathy
  • Infantile malignant osteopetrosis
  • Kostmann’s syndrome
  • Leukocyte adhesion deficiencies
  • Marrow failure and related disorders (i.e., Fanconi’s, PNH, Pure Red Cell Aplasia)
  • Mucolipidosis (e.g., Gaucher’s disease, metachromatic leukodystrophy, adrenoleukodystrophy)
  • Mucopolysaccharidosis (e.g., Hunter’s syndrome, Hurler’s syndrome, Sanfillippo’s syndrome, Maroteaux-Lamy syndrome variants)
  • Myelodysplasia/Myelodysplastic syndromes
  • Paroxysmal Nocturnal Hemoglobinuria
  • Phagocytic/Hemophagocytic deficiency diseases (e.g., Wiskott-Aldrich syndrome)
  • Severe combined immunodeficiency
  • Severe or very severe aplastic anemia
  • Sickle cell anemia
• Autologous transplants for
  • Acute lymphocytic or nonlymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Amyloidosis
  • Breast Cancer
  • Epithelial Ovarian Cancer
  • Ewing’s sarcoma
  • Multiple myeloma
  • Medulloblastoma
  • Testicular, Mediastinal, Retroperitoneal, and ovarian germ cell tumors

Mini-transplants performed in a clinical trial setting (non-myeloablative, reduced intensity conditioning or RIC) for members with a diagnosis listed below are subject to medical necessity review by the Plan.

Refer to Other Services in Section 3 for precertification procedures:

• Allogeneic transplants for
  • Acute lymphocytic or non-lymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Acute myeloid leukemia
  • Advanced Myeloproliferative Disorders (MPDs)
  • Amyloidosis
  • Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL)
  • Hemoglobinopathy
  • Marrow failure and related disorders (i.e., Fanconi’s, PNH, Pure Red Cell Aplasia)
  • Myelodysplasia/Myelodysplastic syndromes
  • Paroxysmal Nocturnal Hemoglobinuria
  • Severe combined immunodeficiency
  • Severe or very severe aplastic anemia 
• Autologous transplants for
  • Acute lymphocytic or nonlymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma with recurrence (relapsed)
  • Advanced non-Hodgkin’s lymphoma with recurrence (relapsed)
  • Amyloidosis
  • Neuroblastoma

These blood or marrow stem cell transplants are covered only in a National Cancer Institute or National Institutes of health approved clinical trial or a Plan-designated center of excellence if approved by the Plan’s medical director in accordance with the Plan’s protocols.

If you are a participant in a clinical trial, the Plan will provide benefits for related routine care that is medically necessary (such as doctor visits, lab tests, X-rays and scans, and hospitalization related to treating the patient’s condition) if it is not provided by the clinical trial. Section 9 has additional information on costs related to clinical trials. We encourage you to contact the Plan to discuss specific services if you participate in a clinical trial.

• Allogeneic transplants for
  • Advanced Hodgkin’s lymphoma
  • Advanced non-Hodgkin’s lymphoma
  • Chronic inflammatory demyelination polyneuropathy (CIDP)
  • Sickle Cell anemia
• Mini-transplants (non-myeloablative allogeneic, reduced intensity conditioning or RIC) for
  • Acute lymphocytic or non-lymphocytic (i.e., myelogenous) leukemia
  • Advanced Hodgkin’s lymphoma
  • Advanced non-Hodgkin’s lymphoma
  • Breast cancer
  • Chronic lymphocytic leukemia
  • Chronic myelogenous leukemia
  • Colon cancer
  • Chronic lymphocytic lymphoma/small lymphocytic lymphoma (CLL/SLL)
  • Early stage (indolent or non-advanced) small cell lymphocytic lymphoma
  • Multiple myeloma
  • Myeloproliferative disorders (MSDs)
  • Myelodysplasia/Myelodysplastic Syndromes
  • Non-small cell lung cancer
  • Ovarian cancer
  • Prostate cancer
  • Renal cell carcinoma
  • Sarcomas
  • Sickle cell anemia
• Autologous transplants for
  • Advanced Childhood kidney cancers
  • Advanced Ewing sarcoma
  • Aggressive non-Hodgkin lymphomas
  • Breast Cancer
  • Childhood rhabdomyosarcoma
  • Chronic myelogenous leukemia
  • Chronic lymphocytic lymphoma/small lymphocytic lymphoma (CLL/SLL)
  • Early stage (indolent or non-advanced) small cell lymphocytic lymphoma
  • Epithelial Ovarian Cancer
  • Mantle Cell (Non-Hodgkin lymphoma)

National Transplant Program (NTP)

Note: We cover related medical and hospital expenses of the donor when we cover the recipient. We cover donor testing for the actual solid organ donor or up to four bone marrow/stem cell transplant donors in addition to the testing of family members.

20% coinsurance of our Plan allowance

Not covered:

• Donor screening tests and donor search expenses, except as shown above
• Implants of artificial organs
• Transplants not listed as covered
• Care and services from non-Plan providers unless precertified

All charges

Professional services provided in –

• Hospital (inpatient)
• Hospital outpatient department
• Skilled nursing facility
• Ambulatory surgical center
• Office

20% coinsurance of our Plan allowance

Room and board, such as:

• Ward, semiprivate, or intensive care accommodations
• General nursing care
• Meals and special diets

Note: If you want a private room when it is not medically necessary, you pay the additional charge above the semiprivate room rate.

20% coinsurance of our Plan allowance

Other hospital services and supplies, such as:

• Operating, recovery, maternity, and other treatment rooms
• Prescribed drugs and medications
• Diagnostic laboratory tests and x-rays
• Administration of blood and blood products
• Blood or blood plasma, if not donated or replaced
• Presurgical testing
• Dressings, splints, casts, and sterile tray services
• Medical supplies and equipment, including oxygen
• Anesthetics, including nurse anesthetist services
• Take-home items
• Medical supplies, appliances, medical equipment, and any covered items billed by a hospital for use at home
• Hospitalization and anesthesia for dental procedures as determined medically necessary by a Plan physician for members under age five, severely disabled or with a medical condition requiring hospitalization for dental procedures.

20% coinsurance of our Plan allowance

Not covered:

• Custodial care
• Non-covered facilities, such as nursing homes, schools
• Personal comfort items, such as telephone, television, barber services, guest meals and beds
• Private nursing care
• The cost of securing the services of blood donors
• Professional dental services
• Care and services from non-Plan providers unless precertified by the Plan prior to receiving the service

All charges

Operating, recovery, and other treatment rooms

• Prescribed drugs and medications
• Diagnostic laboratory tests, X-rays, and pathology services
• Administration of blood, blood plasma, and other biologicals
• Blood and blood plasma, if not donated or replaced
• Pre-surgical testing
• Dressings, casts, and sterile tray services
• Medical supplies, including oxygen
• Anesthetics and anesthesia service

Note: We cover hospital services and supplies related to dental procedures when necessitated by a non-dental physical impairment. We do not cover the dental procedures.

20% coinsurance of our Plan allowance

Not covered:

• Blood and blood derivatives not replaced by the member
• Professional dental services and procedures
• Care and services from non-Plan providers unless pre-authorized by the Plan prior to receiving the service

All charges

Extended care benefit/Skilled nursing care facility:

The Plan provides a comprehensive range of benefits up to 100 days per calendar year when full time skilled nursing care is necessary and confinement in a skilled nursing facility is medically appropriate as determined by a Plan doctor and approved by the Plan. All necessary services are covered including:

• Bed, board and general nursing care
• Drugs, biologicals, supplies, and equipment ordinarily provided or arranged by the skilled nursing facility when prescribed by a Plan doctor.

20% coinsurance of our Plan allowance

Not covered:

• Custodial care
• Rest cures
• Domiciliary or convalescent care
• Personal comfort items such as telephone, and television
• Blood and blood derivatives not replaced by the member
• Care and services from non-Plan providers unless pre-authorized by the Plan prior to receiving services
  

All charges

A coordinated program of home and inpatient care under the direction of a Plan doctor for the patient who is in the terminal stages of illness with a life expectancy of six months or less that includes:

• Palliative Care
• Supportive physical, psychological, and psychosocial services

Note: Palliative care is treatment to control pain, relieve other symptoms and focus on the special needs of the patient.

20% coinsurance of our Plan allowance

Not covered:

• Independent nursing
• Homemaker services
• Care and services from non-Plan providers unless pre-authorized by the Plan prior to receiving the service

All charges

Local professional ambulance service when medically appropriate

20% coinsurance of our Plan allowance

• Emergency care at a doctor’s office
• Emergency care at an urgent care center
• Emergency care as an outpatient in a hospital, including doctors’ services

20% coinsurance of our Plan allowance

• Emergency care at a doctor’s office
• Emergency care at an urgent care center
• Emergency care as an outpatient in a hospital, including doctors’ services

20% coinsurance of our Plan allowance

Professional ambulance service when medically appropriate

Note:  See Section 5(c) for non-emergency service.

20% coinsurance of our Plan allowance

We cover professional services by licensed professional mental health and substance use disorder treatment practitioners when acting within the scope of their license, such as psychiatrists, psychologists, clinical social workers, licensed professional counselors, or marriage and family therapists.

Your cost-sharing responsibilities are no greater than for other illnesses or conditions.

Diagnosis and treatment of psychiatric conditions, mental illness, or mental disorders. Services include:

• Diagnostic evaluation
• Crisis intervention and stabilization for acute episodes (includes Ambulance transport)
• Medication evaluation and management (pharmacotherapy)
• Psychological and neuropsychological testing necessary to determine the appropriate psychiatric treatment
• Treatment and counseling (including individual or group therapy visits)
• Diagnosis and treatment of substance abuse disorder, including detoxification, treatment and counseling
• Professional charges for intensive outpatient treatment in a provider’s office or other professional setting
• Electroconvulsive therapy

20% coinsurance of our Plan allowance

• Outpatient diagnostic tests provided and billed by a licensed mental health and substance use disorder treatment practitioner
• Outpatient diagnostic tests provided and billed by a laboratory, hospital or other covered facility
• Inpatient diagnostic tests provided and billed by a hospital or other covered facility
• MRI, CAT Scans and PET Scans

20% coinsurance of our Plan allowance

Inpatient services or residential treatment provided and billed by a hospital or other covered facility

• Room and board, such as semiprivate or intensive accommodations, general nursing care, meals and special diets, and other hospital services

20% coinsurance of our Plan allowance

Outpatient services provided and billed by a hospital or other covered facility

• Services such as partial hospitalization, half-way house, full-day hospitalization, or facility-based intensive outpatient treatment

20% coinsurance of our Plan allowance

Not covered:

• Care and services from non-Plan providers unless pre-authorized by the Plan prior to receiving the services.

All charges

We cover the following medications and supplies prescribed by a Plan physician and obtained from a Plan pharmacy or through our mail order program:

• Drugs and medications (including those administered during a non-covered admission or in a non-covered facility) that by Federal law of the United States require a physician's prescription for their purchase, except those listed as Not covered.
• Rescue and maintenance inhalers
• Insulin
• Drugs for sexual dysfunction (limited to four pills per month)
• Drugs to treat gender dysphoria.  Medical treatment of gender dysphoria might include: 
  • Feminizing hormone therapy for male-to-female gender dysphoria
    • Estradiol oral, patch
    • Anti-androgen medication, such as:
      • Spironolactone
      • GnRH analogs (leuprorelin), requires precertification
  • Virilizing hormone therapy for female-to-male gender dysphoria
    • Testosterone gel, injection, requires precertification
• Intravenous fluids and medication for home use
• Infertility medications to increase production and release of as many eggs as possible may be covered with a three-cycle annual limit. Common infertility drugs used are:
  • Clomiphene citrate
  • hCG (human Chorionic Gonadotropin)
  • FSH (follicle-stimulating hormone)
  • Menotropins

Note: IVF drugs and infertility drugs do not count toward your Deductible or Maximum Out-of-Pocket Amount.

Retail Pharmacy:

$15 copayment per Tier 1 Drug

$50 copayment per Tier 2 Drug

20% coinsurance not to exceed $85 copayment per Tier 3 Drug

Mail Order (90 day supply of Maintenance Drugs):

$30 copayment per Tier 1 Drug

$100 copayment per Tier 2 Drug

20% coinsurance not to exceed $170 copayment per Tier 3 Drug

Specialty Drugs are only available through Proprium Pharmacy (limited to a 31 day supply):

20% coinsurance per Tier 4 Specialty Drug

Diabetic supplies limited to:

• Disposable needles and syringes for the administration of covered medications
• Continuous Glucose Monitors (CGM)

Note: Some diabetic supplies are covered by our medical benefit (see Section 5(a) Durable Medical Equipment, page 82.)

20% coinsurance of our Plan allowance

Contraceptive drugs and devices as listed in the Health Resources and Services Administration site https://www.hrsa.gov/womens-guidelines. Contraceptive coverage is available at no cost to FEHB members. The contraceptive benefit includes at least one option in each of the HRSA-supported categories of contraception (as well as the screening, education, counseling, and follow-up care). Any contraceptive that is not already available without cost sharing on the formulary can be accessed through the contraceptive exceptions process described below.

• Over-the-counter and prescription drugs approved by the FDA to prevent unintended pregnancy
• If you need assistance requesting a medical exception for a non-formulary contraceptive, please contact Sentara Health Plans at 1-800-229-5522. The prescribing physician must complete the Contraceptive Medical Exception Request and fax to 1-800-750-9692. We will review your exception request and provide a determination within 24 hours of receipt of exception request. If you have difficulty accessing contraceptive coverage or other reproductive healthcare you can contact contraception@opm.gov.
• Reimbursement for covered over-the-counter contraceptives can be submitted in accordance with Section 7.

Note: Injectable contraceptive drugs are covered under Family Planning Section 5(a).

Note: Over-the-counter and appropriate prescription drugs approved by the FDA to treat tobacco dependence are covered under the Tobacco Cessation Educational Classes and Programs in Section 5(a)

Note: The above over-the-counter drugs and devices approved by the FDA require a written prescription by an approved plan provider. Some restrictions apply.

Nothing (No deductible)

Opioid rescue agents such as naloxone are covered under this Plan with no cost sharing when obtained from a network pharmacy in any over-the-counter or prescription form available such as nasal sprays and intramuscular injections.

For more information consult the FDA guidance at https://www.fda.gov/consumers/consumer-updates/access-naloxone-can-save-life-during-opioid-overdose

Or call SAMHSA’s National Helpline 1-800-662-HELP (4357) or go to https://www.findtreatment.samhsa.gov/

Nothing (No deductible)

Not covered:

• Drugs and supplies for cosmetic purposes
• Drugs to enhance athletic performance
• Drugs obtained at a non-Plan pharmacy; except for out-of-area emergencies
• Nonprescription medications
• Vitamins, nutrients and food supplements even if a physician prescribes or administers them (except Vitamin D, as stated above)
• Over-the-counter medications, except as noted above
• Medical supplies such as dressings and antiseptics
• Immunization agents, biological sera, blood or blood products

All charges

The following are covered:

• Preventive Medications with USPSTF A and B recommendations These may include some over-the-counter vitamins, nicotine replacement medications, and low dose aspirin for certain patients. For current recommendations go to www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations

Nothing: when prescribed by a healthcare professional and filled by a network pharmacy.

Not covered:

• Drugs and supplies for cosmetic purposes
• Drugs to enhance athletic performance
• Drugs obtained at a non-Plan pharmacy; except for out-of-area emergencies
• Vitamins, nutrients and food supplements even if a physician prescribes or administers them (except Vitamin D, as stated above)
• Over-the-counter medications, except as noted above
• Medical supplies such as dressings and antiseptics
• Immunization agents, biological sera, blood or blood products

All charges

We cover restorative services and supplies necessary to promptly repair (but not replace) sound natural teeth. The need for these services must result from an accidental injury.

20% coinsurance of Plan allowance

We have no other dental benefits

All charges

Under the flexible benefits option, we determine the most effective way to provide services.

• We may identify medically appropriate alternatives to regular contract benefits as a less costly alternative. If we identify a less costly alternative, we will ask you to sign an alternative benefits agreement that will include all of the following terms in addition to other terms as necessary. Until you sign and return the agreement, regular contract benefits will continue.
• Alternative benefits will be made available for a limited time period and are subject to our ongoing review. You must cooperate with the review process.
• By approving an alternative benefit, we do not guarantee you will get it in the future.
• The decision to offer an alternative benefit is solely ours, and except as expressly provided in the agreement, we may withdraw it at any time and resume regular contract benefits.
• If you sign the agreement, we will provide the agreed-upon alternative benefits for the stated time period (unless circumstances change). You may request an extension of the time period, but regular contract benefits will resume if we do not approve your request.
• Our decision to offer or withdraw alternative benefits is not subject to OPM review under the disputed claims process.  However, if at the time we make a decision regarding alternative benefits, we also decide that regular contract benefits are not payable, then you may dispute our regular contract benefits decision under the OPM disputed claim process (see Section 8).

For any of your health concerns, 24 hours a day, 7 days a week, you may call and talk with a registered nurse who will discuss treatment options and answer your health questions. When you call the Nurse Triage Program have your Plan ID card handy, and describe your medical situation in as much detail as possible. Please remember that the Nurse Triage Program professional cannot diagnose medical conditions or write prescriptions. You can call the 24 Hours Nurse Triage Program at 757-552-7250 or 800-394-2237.

By participating in Partners in Pregnancy, you will have access to experienced pregnancy and childbirth nurses, clinical case managers, licensed social workers, and service coordinators to help you:

• maintain healthy habits throughout your pregnancy
• develop a healthy nutrition and activity plan
• maximize your benefits and resources
• understand healthy tips mailed directly to your home
• locate important community resources, classes, and services
• coordinate prenatal care and appropriate risk screening
• coordinate reimbursement of blood pressure cuff when classified as a high-risk pregnancy.

To register, call toll-free 1-866-239-0618, select option #2.  For more information, visit sentaraheaIthplans.com/mylifemyplan or email pregnancypartner@sentara.com

If you are classified as a high-risk pregnancy, a Plan Care Manager will assist with a treatment plan prescribed by your OB/GYN physician. 

Through a partnership with WebMD, we offer our members flexible programs, expert guidance, and inspiration to take charge of their own health—whether they are continuing healthy behaviors, or making a change to improve their health.  It all begins when the member completes a Personal Health Assessment—and creates the foundation for their Health Record and coaching program.  Our health-coaching partner, WebMD, offers a comprehensive online activities tool, known as the Digital Health Assistant (DHA).  The DHA delivers a personalized, interactive, and motivational experience to help members take action and sustain healthy behaviors in a fun way.

Omada Health - Omada® is a digital, lifestyle-change program focused on reducing the risk of obesity-related chronic disease.  If you are a Sentara Health Plans member and at risk for type 2 diabetes or heart disease, there is no cost for you to join. Find out if you’re eligible:  http://www.omadahealth.com/sentarahealthplans

WebMD offers personal health assessments with customized reports and recommended tips to help you lose weight. To access, sign in by visiting http://www.sentarahealthplans.com/members/  Sign in and select Wellness Tools from the menu on the left side of the screen.

These self-paced programs are designed to help you achieve your specific health goals and can be accessed 24/7 by visiting  sentarahealthplans.com/members/health-and-wellness/prevention-and-wellness/wellbeing-programs. Specific programs that may help with weight management include:

Eating for Life - get the knowledge and skills you need for good nutrition

MoveAbout - learn about different types of physical activity and how to keep moving throughout the day

Yoga and Meditation - improve your flexibility, strength, and cardiovascular health through stretching and strengthening exercises

We publish an e-newsletter to keep you informed on a variety of issues related to your good health. Visit our website at www.sentarahealthplans.com/members/updates/ for the latest edition, or to view past newsletters.

Visit our on our website at www.sentarahealthplans.com/members for information on:

• General health topics
• Links to healthcare news
• Cancer and other specific diseases
• Drugs/medication interactions
• Kids’ health
• Patient safety information
• Several helpful website links

For each HSA and HRA account holder, we maintain a complete claims payment history online through your member portal at www.sentarahealthplans.com/members

Your balance will also be shown on your explanation of benefits (EOB) form.

You will receive an EOB after every claim.

If you have an HSA:

• You will receive a statement outlining your account balance and activity for the month.  You may choose to receive a printed statement to be mailed to you, at an additional cost.
• You may also access your account on-line through your member portal at www.sentarahealthplans.com/members

If you have an HRA:

• Your HRA balance will be available online through member portal at www.sentarahealthplans.com/members

As a member of this HDHP, you must use a Plan provider.  Directories are available online at www.sentarahealthplans.com/find-doctors-drugs-and-facilities.

Pricing information for medical care is available through your Treatment Cost Calculator in your member portal at www.sentarahealthplans.com.

Pricing information for prescription drugs is available at www.sentarahealthplans.com   Select Sentara FEHB HDHP from the drop-down box.

You can also link to online pharmacy through your member portal at www.sentarahealthplans.com.

Educational materials on the topics of HSAs, HRAs and HDHPs are available at https://www2.healthequity.com/ed/optimahealth/.

In most cases, providers and facilities file claims for you. Providers must file on the form CMS-1500, Health Insurance Claim Form. Your facility will file on the UB-04 form. For claims questions and assistance, contact us at 757-552-7550 or 800-206-1060, or at our Web site at www.sentarahealthplans.com.

When you must file a claim – such as for services you receive outside the Plan’s service area – submit it on the CMS-1500 or a claim form that includes the information shown below. Bills and receipts should be itemized and show:

• Covered member’s name, date of birth, address, phone number and ID number
• Name and address of the provider or facility that provided the service or supply
• Dates you received the services or supplies
• Diagnosis
• Type of each service or supply
• The charge for each service or supply
• A copy of the explanation of benefits, payments, or denial from any primary payor – such as the Medicare Summary Notice (MSN)
• Receipts, if you paid for your services

Note: Canceled checks, cash register receipts, or balance due statements are not acceptable substitutes for itemized bills. 

Submit your claims to:       

Claims
P.O. Box 5028
Troy, MI 48007-5028

For Vision Service Plan non-Plan provider or out-of-network provider claims, please send your health plan name, your name, member ID number, current address, telephone number and your itemized statement. Claims must be submitted within six months of the time services are received.

Submit your claims to:     

Vision Service Plan
Attn: Claims Services
PO Box 385018
Birmingham, AL 35238-5018

Send us all of the documents for your claim as soon as possible. You must submit the claim by December 31 of the following year after you received the service, unless timely filing was prevented by administrative operations of Government or legal incapacity, provided the claim was submitted as soon as reasonably possible.

We will notify you of our decision within 30 days after we receive your post-service claim.  If matters beyond our control require an extension of time, we may take up to an additional 15 days for review and we will notify you before the expiration of the original 30-day period.  Our notice will include the circumstances underlying the request for the extension and the date when a decision is expected.

If we need an extension because we have not received necessary information from you, our notice will describe the specific information required and we will allow you up to 60 days from the receipt of the notice to provide the information.

If you do not agree with our initial decision, you may ask us to review it by following the disputed claims process detailed in Section 8 of this brochure.

You may designate an authorized representative to act on your behalf for filing a claim or to appeal claims decisions to us.  For urgent care claims, we will permit a healthcare professional with knowledge of your medical condition to act as your authorized representative without your express consent.  For the purposes of this section, we are also referring to your authorized representative when we refer to you.

If you live in a county where at least 10% of the population is literate only in a non-English language (as determined by the Secretary of Health and Human Services), we will provide language assistance in that non-English language. You can request a copy of your Explanation of Benefits (EOB) statement, related correspondence, oral language services (such as telephone customer assistance), and help with filing claims and appeals (including external reviews) in the applicable non-English language. The English versions of your EOBs and related correspondence will include information in the non-English language about how to access language services in that non-English language. Any notice of an adverse benefit determination or correspondence from us confirming an adverse benefit determination will include information sufficient to identify the claim involved (including the date of service, the healthcare provider, and the claim amount, if applicable), and a statement describing the availability, upon request, of the diagnosis and procedure codes.

Ask us in writing to reconsider our initial decision. You must:

a) Write to us within 6 months from the date of our decision; and

b) Send your request to us at: Sentara Health Plans Appeals Department, PO Box 66189, Virginia Beach, VA 23466; and

c) Include a statement about why you believe our initial decision was wrong, based on specific benefit provisions in this brochure; and

d) Include copies of documents that support your claim, such as physicians' letters, operative reports, bills, medical records, and explanation of benefits (EOB) forms.

e) Include your e-mail address (optional for member), if you would like to receive our decision via email.  Please note that by giving us your email, we may be able to provide our decision more quickly.

 We will provide you, free of charge and in a timely manner, with any new or additional evidence considered, relied upon, or generated by us or at our direction in connection with your claim and any new rationale for our claim decision.  We will provide you with this information sufficiently in advance of the date that we are required to provide you with our reconsideration decision to allow you a reasonable opportunity to respond to us before that date.  However, our failure to provide you with new evidence or rationale in sufficient time to allow you to timely respond shall not invalidate our decision on reconsideration.  You may respond to that new evidence or rationale at the OPM review stage described in step 4.

In the case of a post-service claim, we have 30 days from the date we receive your request to:

a)  Pay the claim or  

b)  Write to you and maintain our denial or.

c)  Ask you or your provider for more information

You or your provider must send the information so that we receive it within 60 days of our request.  We will then decide within 30 more days.

If we do not receive the information within 60 days we will decide within 30 days of the date the information was due.  We will base our decision on the information we already have.  We will write to you with our decision.

 If you do not agree with our decision, you may ask OPM to review it.

You must write to OPM within:

• 90 days after the date of our letter upholding our initial decision; or
• 120 days after you first wrote to us -- if we did not answer that request in some way within 30 days; or
• 120 days after we asked for additional information.

Write to OPM at: United States Office of Personnel Management, Healthcare and Insurance, Federal Employees Insurance Operations, FEHB 2, 1900 E Street, NW, Washington, DC 20415-3620.

Send OPM the following information:

• A statement about why you believe our decision was wrong, based on specific benefit provisions in this brochure;
• Copies of documents that support your claim, such as physicians' letters, operative reports, bills, medical records, and explanation of benefits (EOB) forms;
• Copies of all letters you sent to us about the claim;
• Copies of all letters we sent to you about the claim; and
• Your daytime phone number and the best time to call.
• Your email address, if you would like to receive OPM’s decision via email.  Please note that by providing your email address, you may receive OPM’s decision more quickly.

Note:  If you want OPM to review more than one claim, you must clearly identify which documents apply to which claim.

Note:  You are the only person who has a right to file a disputed claim with OPM.  Parties acting as your representative, such as medical providers, must include a copy of your specific written consent with the review request.  However, for urgent care claims, a health care professional with knowledge of your medical condition may act as your authorized representative without your express consent.

Note:  The above deadlines may be extended if you show that you were unable to meet the deadline because of reasons beyond your control.

OPM will review your disputed claim request and will use the information it collects from you and us to decide whether our decision is correct.  OPM will send you a final decision or notify you of the status of OPM’s review within 60 days.  There are no other administrative appeals.

If you do not agree with OPM’s decision, your only recourse is to sue.  If you decide to sue, you must file the suit against OPM in Federal court by December 31 of the third year after the year in which you received the disputed services, drugs, or supplies or from the year in which you were denied precertification or prior approval.  This is the only deadline that may not be extended.

OPM may disclose the information it collects during the review process to support their disputed claim decision.  This information will become part of the court record.

You may not file a lawsuit until you have completed the disputed claims process.  Further, Federal law governs your lawsuit, benefits, and payment of benefits.  The Federal court will base its review on the record that was before OPM when OPM decided to uphold or overturn our decision.  You may recover only the amount of benefits in dispute.

Note: If you have a serious or life-threatening condition (one that may cause permanent loss of bodily functions or death if not treated as soon as possible), and you did not indicate that your claim was a claim for urgent care, then call us at 757-552-7550 or 800-206-1060.  We will expedite our review (if we have not yet responded to your claim); or we will inform OPM so they can quickly review your claim on appeal.  You may call OPM’s FEHB 2 at 202-606-3818 between 8 a.m. and 5 p.m. Eastern Time.

Please remember that we do not make decisions about plan eligibility issues. For example, we do not determine whether you or a family member is covered under this Plan. You must raise eligibility issues with your Agency personnel/payroll office if you are an employee, your retirement system if you are an annuitant or the Office of Workers' Compensation Programs if you are receiving Workers' Compensation benefits.

You must tell us if you or a covered family member has coverage under any other health plan or has automobile insurance that pays healthcare expenses without regard to fault. This is called “double coverage.”

When you have double coverage, one plan normally pays its benefits in full as the primary payor and the other plan pays a reduced benefit as the secondary payor. We, like other insurers, determine which coverage is primary according to the National Association of Insurance Commissioners’ (NAIC) guidelines.   For more information on NAIC rules regarding the coordinating of benefits, visit our website at www.sentarahealthplans.com/federal.

When we are the primary payor, we will pay the benefits described in this brochure.

When we are the secondary payor, we will determine our allowance. After the primary plan processes the benefit, we will pay what is left of our allowance, up to our regular benefit. We will not pay more than our allowance.

TRICARE is the healthcare program for eligible dependents of military persons, and retirees of the military.  TRICARE includes the CHAMPUS program.  CHAMPVA provides health coverage to disabled Veterans and their eligible dependents.  IF TRICARE or CHAMPVA and this Plan cover you, we pay first.  See your TRICARE or CHAMPVA Health Benefits Advisor if you have questions about these programs.

Suspended FEHB coverage to enroll in TRICARE or CHAMPVA: If you are an annuitant or former spouse, you can suspend your FEHB coverage to enroll in one of these programs, eliminating your FEHB premium.  (OPM does not contribute to any applicable plan premiums.)  For information on suspending your FEHB enrollment, contact your retirement office.  If you later want to re-enroll in the FEHB Program, generally you may do so only at the next Open Season unless you involuntarily lose coverage under TRICARE or CHAMPVA.

Every job-related injury or illness should be reported as soon as possible to your supervisor. Injury also means any illness or disease that is caused or aggravated by the employment as well as damage to medical braces, artificial limbs and other prosthetic devices. If you are a federal or postal employee, ask your supervisor to authorize medical treatment by use of form CA-16 before you obtain treatment. If your medical treatment is accepted by the Dept. of Labor Office of Workers’ Compensation (OWCP), the provider will be compensated by OWCP. If your treatment is determined not job-related, we will process your benefit according to the terms of this plan, including use of in-network providers. Take form CA-16 and form OWCP-1500/HCFA-1500 to your provider, or send it to your provider as soon as possible after treatment, to avoid complications about whether your treatment is covered by this plan or by OWCP.

We do not cover services that:

• You (or a covered family member) need because of a workplace-related illness or injury that the Office of Workers’ Compensation Programs (OWCP) or a similar federal or state agency determines they must provide; or
• OWCP or a similar agency pays for through a third-party injury settlement or other similar proceeding that is based on a claim you filed under OWCP or similar laws.

When you have this Plan and Medicaid, we pay first.

Our right to pursue and receive subrogation and reimbursement recoveries is a condition of, and a limitation on, the nature of benefits or benefit payments and on the provision of benefits under our coverage.

If you have received benefits or benefit payments as a result of an injury or illness and you or your representatives, heirs, administrators, successors, or assignees receive payment from any party that may be liable, a third party’s insurance policies, your own insurance policies, or a workers’ compensation program or policy, you must reimburse us out of that payment.  Our right of reimbursement extends to any payment received by settlement, judgment, or otherwise.

We are entitled to reimbursement to the extent of the benefits we have paid or provided in connection with your injury or illness.  However, we will cover the cost of treatment that exceeds the amount of the payment you received.

Reimbursement to us out of the payment shall take first priority (before any of the rights of any other parties are honored) and is not impacted by how the judgment, settlement, or other recovery is characterized, designated, or apportioned.  Our right of reimbursement is not subject to reduction based on attorney fees or costs under the “common fund” doctrine and is fully enforceable regardless of whether you are “made whole” or fully compensated for the full amount of damages claimed.

We may, at our option, choose to exercise our right of subrogation and pursue a recovery from any liable party as successor to your rights.

If you do pursue a claim or case related to your injury or illness, you must promptly notify us and cooperate with our reimbursement or subrogation efforts.

Some FEHB plans already cover some dental and vision services.  When you are covered by more than one vision/dental plan, coverage provided under your FEHB plan remains as your primary coverage.  FEDVIP coverage pays secondary to that coverage.  When you enroll in a dental and/or vision plan on BENEFEDS.gov or by phone at 877-888-3337 (TTY 877-889-5680), you will be asked to provide information on your FEHB plan so that your plans can coordinate benefits. Providing your FEHB information may reduce your out-of-pocket cost.

An approved clinical trial includes a phase I, phase II, phase III, or phase IV clinical trial that is conducted in relation to the prevention, detection, or treatment of cancer or other life-threatening disease or condition and is either Federally funded; conducted under an investigational new drug application reviewed by the Food and Drug Administration; or is a drug trial that is exempt from the requirement of an investigational new drug application. 

If you are a participant in a clinical trial, this health plan will provide related care as follows, if it is not provided by the clinical trial:

• Routine care costs – costs for routine services such as doctor visits, lab tests, x-rays and scans, and hospitalizations related to treating the patient’s condition, whether the patient is in a clinical trial or is receiving standard therapy.
• Extra care costs – costs related to taking part in a clinical trial such as additional tests that a patient may need as part of the trial, but not as part of the patient’s routine care.
• Research costs – costs related to conducting the clinical trial such as research physician and nurse time, analysis of results, and clinical tests performed only for research purposes.  These costs are generally covered by the clinical trials.  This plan does not cover these costs.

For more detailed information on “What is Medicare?” and “Should I Enroll in Medicare?” please contact Medicare at 1-800-MEDICARE (1-800-633-4227), (TTY 1-877-486-2048) or at www.medicare.gov.

The Original Medicare Plan (Original Medicare) is available everywhere in the United States. It is the way everyone used to get Medicare benefits and is the way most people get their Medicare Part A and Part B benefits now. You may go to any doctor, specialist, or hospital that accepts Medicare. The Original Medicare Plan pays its share and you pay your share. Some things are not covered under Original Medicare, such as prescription drugs (but coverage through private prescription drug plans will be available starting in 2006).

All physicians and other providers are required by law to file claims directly to Medicare for members with Medicare Part B, when Medicare is primary. This is true whether or not they accept Medicare.

When you are enrolled in Original Medicare along with this Plan, you still need to follow the rules in this brochure for us to cover your care.

• Claims process when you have the Original Medicare Plan– You will probably not need to file a claim form when you have both our Plan and the Original Medicare Plan.

When we are the primary payor, we process the claim first.

When Original Medicare is the primary payor, Medicare processes your claim first. In most cases, your claim will be coordinated automatically and we will then provide secondary benefits for covered charges. You will not need to do anything. To find out if you need to do something to file your claim, call us at 757-552-7550 or 800-206-1060 or see our website at www.sentarahealthplans.com.

We waive some costs if the Original Medicare Plan is your primary payor – We will waive some out-of-pocket costs as follows:

• Medical services and supplies provided by physicians and other healthcare professionals.

Please review the following table as it illustrates your cost share if you are enrolled in Medicare Part B. If you purchase Medicare Part B, your provider is in our network and participates in Medicare, then we waive some costs because Medicare will be the primary payor.

Benefit Description: Deductible
Medical Cost Without Medicare: $750 per Member
Medical Cost with Medicare Part A and B: Medicare Part A: $1,260 per benefit period, Medicare Part B: $147

Benefit Description: Primary Care Physician
Medical Cost Without Medicare: $15 Copayment
Medical Cost with Medicare Part A and B: After Part A deductible, 20% coinsurance of Medicare allowed amount

Benefit Description: Specialist
Medical Cost Without Medicare: $50 Copayment
Medical Cost with Medicare Part A and B: After Part A deductible, 20% coinsurance of Medicare allowed amount

Benefit Description: Inpatient Hospital
Medical Cost Without Medicare: 30% Coinsurance of our Plan allowance
Medical Cost with Medicare Part A and B: $1,260 deductible for each benefit period, Days 1-60: $0 coinsurance for each benefit period, Days 61-90: $315 coinsurance per day of each benefit period, Days 91 and beyond: $630 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)

Benefit Description: Outpatient Hospital
Medical Cost Without Medicare: 30% Coinsurance of our Plan allowance
Medical Cost with Medicare Part A and B: After Part A deductible, 20% coinsurance of Medicare allowed amount

Benefit Description: Rx
Medical Cost Without Medicare: Tier 1 - $5, Tier 2 - $45, Tier 3 – 50% Coinsurance, Tier 4  - Specialty (30 day supply) – 50% Coinsurance
Medical Cost with Medicare Part A and B: Part D benefit varies by plan

Benefit Description: Rx – Mail Order (90 day supply)
Medical Cost Without Medicare: 2x retail copay (No mail order for Tier 4 drugs)
Medical Cost with Medicare Part A and B: Part D benefit varies by plan

If you are eligible for Medicare, you may choose to enroll in and get your Medicare benefits from a Medicare Advantage plan. These are private healthcare choices (like HMOs and regional PPOs) in some areas of the country. To learn more about Medicare Advantage plans, contact Medicare at 1-800-MEDICARE (800-633-4227) (TTY 877-486-2048) or at www.medicare.gov.

If you enroll in a Medicare Advantage plan, the following options are available to you:

This Plan and another plan’s Medicare Advantage plan:  You may enroll in another plan’s Medicare Advantage plan and also remain enrolled in our FEHB plan. We will still provide benefits when your Medicare Advantage plan is primary, even out of the Medicare Advantage plan’s network and/or service area (if you use our Plan providers).  However, we will not waive any of our copayments, coinsurance, or deductibles. If you enroll in a Medicare Advantage plan, tell us. We will need to know whether you are in the Original Medicare Plan or in a Medicare Advantage plan so we can correctly coordinate benefits with Medicare.

Suspended FEHB coverage to enroll in a Medicare Advantage plan:  If you are an annuitant or former spouse, you can suspend your FEHB coverage to enroll in a Medicare Advantage plan, eliminating your FEHB premium. (OPM does not contribute to your Medicare Advantage plan premium). For information on suspending your FEHB enrollment, contact your retirement or employing office. If you later want to re-enroll in the FEHB Program, generally you may do so only at the next Open Season unless you involuntarily lose coverage or move out of the Medicare Advantage plan’s service area.

When we are the primary payor, we process the claim first. If you enroll in Medicare Part D and we are the secondary payor, we will review claims for your prescription drug costs that are not covered by Medicare Part D and consider them for payment under the FEHB plan.

• You have FEHB coverage on your own or through your spouse who is also an active employee

• You have FEHB coverage through your spouse who is an annuitant

• It is within the first 30 months of eligibility for or entitlement to Medicare due to ESRD (30-month coordination period)

• It is beyond the 30-month coordination period and you or a family member are still entitled to Medicare due to ESRD

• This Plan was the primary payor before eligibility due to ESRD (for 30-month coordination period)

• Medicare was the primary payor before eligibility due to ESRD

• Medicare based on age and disability

• Medicare based on ESRD (for the 30-month coordination period)

• Medicare based on ESRD (after the 30-month coordination period)

An authorization by you (the enrollee or covered family member) that is approved by us (the Carrier), for us to issue payment of benefits directly to the provider.

• We reserve the right to pay you directly for all covered services. Benefits payable under the contract are not assignable by you to any person without express written approval from us, and in the absence of such approval, any assignment shall be void.
• Your specific written consent for a designated authorized representative to act on your behalf to request reconsideration of a claim decision (or, for an urgent care claim, for a representative to act on your behalf without designation) does not constitute an Assignment.

OPM’s contract with us, based on federal statute and regulation, gives you a right to seek judicial review of OPM's final action on the denial of a health benefits claim but it does not provide you with authority to assign your right to file such a lawsuit to any other person or entity.  Any agreement you enter into with another person or entity (such as a provider, or other individual or entity) authorizing that person or entity to bring a lawsuit against OPM, whether or not acting on your behalf, does not constitute an Assignment, is not a valid authorization under this contract, and is void.

The maximum amount that an insured person will have to pay for covered expenses under the plan, usually within the plan effective dates.

• The High Option catastrophic limit is $7,350 for Self Only, $14,700 for Self Plus One or $14,700 for Self and Family enrollment.
• The HDHP Option catastrophic limit is $6,000 for Self Only, $12,000 for Self Plus One or $12,000 for Self and Family enrollment.

An approved clinical trial includes a phase I, phase II, phase III, or phase IV clinical trial that is conducted in relation to the prevention, detection, or treatment of cancer or other life-threatening disease or condition and is either Federally funded; conducted under an investigational new drug application reviewed by the Food and Drug Administration; or is a drug trial that is exempt from the requirement of an investigational new drug application. 

If you are a participant in a clinical trial, this health plan will provide related care as follows, if it is not provided by the clinical trial:

• Routine care costs – costs for routine services such as doctor visits, lab tests, x-rays and scans, and hospitalizations related to treating the patient’s condition whether the patient is in a clinical trial or is receiving standard therapy
• Extra care costs – costs related to taking part in a clinical trial such as additional tests that a patient may need as part of the trial, but not as part of the patient’s routine care
• Research costs – costs related to conducting the clinical trial such as research physician and nurse time, analysis of results, and clinical tests performed only for research purposes are generally covered by the clinical trials.  This plan does not cover these costs.

Coinsurance is the percentage of our allowance that you must pay for your care. Coinsurance does not begin until you have met your calendar year deductible.
Example: In our HDHP Plan, you pay 20% of our allowance for durable medical equipment, after deductible.

A deductible is a fixed amount of covered expenses you must incur for certain covered services and supplies before we start paying benefits for those services.  The deductible for the High Option is $750 per person regardless of enrollment tier and will not exceed more than $1,500 combined per Self Plus One or $1,500 combined for Self Plus Family. 

A drug, device, or biological product is experimental or investigational if the drug, device, or biological product cannot be lawfully marketed without approval of the U.S. Food and Drug Administration (FDA); and approval for marketing has not been given at the time it is furnished. Note: Approval means all forms of acceptance by the FDA.

A medical treatment or procedure, or a drug, device, or biological product, is experimental or investigational if:

1. Reliable evidence shows that it is the subject of ongoing phase I, II, or III clinical trials or under study to determine its maximum tolerated dose, its toxicity, its safety, its efficacy, or its efficacy as compared with the standard means of treatment or diagnosis; or
2. Reliable evidence shows that the consensus of opinion among experts regarding the drug, device, or biological product or medical treatment or procedure, is that further studies or clinical trials are necessary to determine its maximum tolerated dose, its toxicity, its safety, its efficacy, or its efficacy as compared with the standard means of treatment or diagnosis.

Reliable evidence shall mean only:

• Published reports and articles in the authoritative medical and scientific literature;
• The written protocol or protocols used by the treating facility or the protocol(s) of another facility studying substantially the same drug, device, or biological product or medical treatment or procedure; or

• The written informed consent used by the treating facility or by another facility studying substantially the same drug, device, or biological product or medical treatment or procedure.

A plan or contract that provides coverage for health care services to eligible employees and their dependents.

Includes coverage for health care services and devices that help a person keep, learn, or improve skills and functioning for daily living.

A physician or other health care professional licensed, accredited, or certified to perform specified health services consistent with state law.

Services, treatment, or supplies provided by a hospital, skilled nursing facility, physician, or other provider required to identify or treat your illness or injury and that as determined by your primary care physician and the Plan are:

• Consistent with the symptoms, diagnosis and treatment of your condition, disease, injury, or ailment;
• In accordance with recognized standards of care for your condition
• Appropriate standards of good medical practice
• Not solely for your convenience, or the convenience of your primary care physician, Plan provider, hospital or other provider;
• The most appropriate supply or level of service, which can be safely provided to you. As an inpatient this means that your medical symptoms or condition requires that the diagnosis, treatment or service cannot be safely provided to you as an outpatient.

Plan allowance is the amount we use to determine our payment and your coinsurance for covered services. Plans determine their allowances in different ways. We determine our allowance as follows: We use a fee schedule which means our Plan providers accept a negotiated fee from us and you will only be responsible for your copayments or coinsurance.

You should also see Important Notice About Surprise Billing – Know Your Rights in Section 4 that describes your protections against surprise billing under the No Surprises Act.

Includes coverage for therapies to restore and in some cases, maintain capabilities lost due to disease, illness, injury, or in the case of speech therapy, loss additionally due to congenital anomaly or prior medical treatment.

An unexpected bill you receive for:

• emergency care – when you have little or no say in the facility or provider from whom you receive care, or for
• non-emergency services furnished by nonparticipating providers with respect to patient visits to participating health care facilities, or for
• air ambulance services furnished by nonparticipating providers of air ambulance services.

A physician or other health care professional licensed, accredited, or certified to perform specified health services consistent with state law.

A claim for medical care or treatment is an urgent care claim if waiting for the regular time limit for non-urgent care claims could have one of the following impacts:

• Waiting could seriously jeopardize your life or health;
• Waiting could seriously jeopardize your ability to regain maximum function; or
• In the opinion of a physician with knowledge of your medical condition, waiting would subject you to severe pain that cannot be adequately managed without the care or treatment that is the subject of the claim.

Urgent care claims usually involve pre-service claims and not post-service claims.  We will determine whether or not a claim is an urgent care claim by applying the judgment of a prudent layperson who possesses an average knowledge of health and medicine.

If you believe your claim qualifies as an urgent care claim, please contact our Customer Service Department at 757-552-7550 or 800-206-1060.  You may also prove that your claim is an urgent care claim by providing evidence that a physician with knowledge of your medical condition has determined that your claim involves urgent care.

Us and We refer to Sentara Health Plans.

An HRA combines a Fund with a deductible-based medical plan with coinsurance limits. The HRA Fund pays first. Once you exhaust your HRA Fund, Traditional medical coverage begins after you satisfy your deductible. Your HRA Fund counts toward your deductible.

A tax-advantaged medical savings account available to taxpayers enrolled in a high-deductible health plan (HDHP). The funds contributed to an account are not subject to federal income tax at the time of deposit.

The amount of money we contribute to your HSA or HRA on a monthly basis. In 2024, for each month you are eligible for an HSA premium pass through, we will contribute to your HSA or HRA $75.00 per month for Self Only, $150.00 for Self Plus One and $150.00 per month for Self and family. If you enroll after January 1, 2024, the amount contributed will be on a prorated basis.

$750 per person regardless of enrollment tier and will not exceed more than $1,500 combined per Self Plus One or $1,500 combined for Self Plus Family.

22

Office visit copayment:  $15 primary care; $50 specialist

28

30% coinsurance of Plan allowance, after deductible

50

30% coinsurance of Plan allowance, after deductible

$50 copayment per Urgent Care Center visit

54

30% coinsurance of Plan allowance, after deductible

54

Regular cost-sharing

56

Retail copayment/coinsurance per 31 day supply:

• $5 per Tier 1 Drug
• $45 per Tier 2 Drug
• 50% per Tier 3 Drug
• 50% per Specialty Drug - Specialty Drugs must be obtained through Proprium Pharmacy

59

Mail Order copayment/coinsurance for 90 day supply of Maintenance Drugs:

• $10 per Tier 1 Drug
• $90 per Tier 2 Drug
• 50% per Tier 3 Drug

59

No benefit

62

Covered at 100% per eyeglass exam once every 12 months

37

Nothing

63

$7,350 per person regardless of enrollment tier and will not exceed more than $14,700 combined per Self Plus One or $14,700 combined per Self Plus Family.

Some costs do not count toward this protection.

23

*Nothing

75

$2,000 per person, $4,000 per Self Plus One enrollment or $4,000 per Self and Family enrollment.

78

After satisfying the annual deductible, 20% coinsurance of our Plan allowance

79

After satisfying the annual deductible, 20% coinsurance of our Plan allowance

99

After satisfying the annual deductible, 20% coinsurance of our Plan allowance

103

After satisfying the annual deductible, 20% coinsurance of our Plan allowance

103

Regular cost-sharing

104

• $15 copayment per Tier 1 Drug
• $50 copayment per Tier 2 Drug
• 20% coinsurance not to exceed $85 copayment per Tier 3 Drug

104

• $30 copayment per Tier 1 Drug
• $100 copayment per Tier 2 Drug
• 20% coinsurance not to exceed $170 copayment retail per Tier 3 Drug

107

20% coinsurance per Tier 4 Specialty Drug

107

No benefit

107

Covered at 100% per eyeglass exam once every 12 months

86

Nothing

111

When you use network providers, your annual maximum for out-of-pocket expenses (deductibles, coinsurance and copayments) for covered services is limited to $6,000 for Self Only, $12,000 for Self Plus One or $12,000 for Self and Family enrollment. 

Some costs do not count toward this protection.

68