| Q: |
What is Regence Select? |
| A: |
Regence Select is a new health insurance plan
that allows employers to choose the combination
of benefits and networks that fit their needs and
budget. |
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|
| Q: |
How many benefit plans are available within
Regence Select? |
| A: |
Regence Select encompasses four distinct product
categories, for a total of 35 primary plan designs:
- RegenceEssentials, complete coverage that
is simple and affordable
- RegencePreferred, preferred coverage with
maximum choice and variety
- RegenceClassic, premium coverage with choice
and security
- RegenceClassic Plus, premium coverage for
ultimate security
Groups also have the ability to customize their
benefits by adding optional benefits and/or riders
such as:
- Rx Drug Card
- Vision
- Additional Accidental Injury
- Dental
- Personal Choice Account Services
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| Q: |
Is the Integrated Behavioral Health Program
(IBHP) included in Regence Select? |
| A: |
Yes. The IBHP provider network will be included
in each network option and Reliant Behavioral Health
will continue to coordinate with Medical Services
to provide behavioral health management services. |
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|
| Q: |
Is the Employee Assistance Program (EAP)
automatically included? |
| A: |
Yes. An eight (8) visit EAP is a core component
of the Regence Select product portfolio. Visit
Value-Added
Programs for more information about the EAP.
|
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|
| Q: |
Who decides on standard and optional benefits
– the employee or employer? |
| A: |
Employers make the benefit selections and also
decide if they would like to make available the
dual product or dual network options to their employees. |
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|
| Q: |
Will employees have the ability to select
a provider network? |
| A: |
Yes, when an employer chooses the dual network
option. |
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|
| Q: |
Which provider networks are available
within Regence Select? |
| A: |
An employer group can choose among:
- TraditionalCare
- AccessCare
- RegionalCare
- ValueCare
|
| Q: |
Is out-of-area coverage available within
Regence Select? |
| A: |
All products contain national out-of-area coverage
through the BlueCard PPO network of providers. |
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|
| Q: |
How will wellness and preventive care
be paid? |
| A: |
Claims for wellness and preventive services
in Regence Select will be paid the same as illness,
subject to the benefit design chosen by the employer. |
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|
| Q: |
How will immunizations be covered? |
| A: |
Immunizations will be covered at 100%. Should
a provider charge for an office visit, it may be
subject to a copayment or deductible and coinsurance. |
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|
| Q: |
What are the maternity benefits? |
| A: |
Maternity is an optional benefit for groups
with less than 10 enrolled employees. Groups of
10 or more enrolled employees will have maternity
included within the benefits.
When maternity coverage is provided, maternity
and conditions due to pregnancy for the enrolled
female employee or enrolled female spouse will
be paid according to the coinsurance amount for
physician and hospital services, subject to the
deductible. Involuntary complications of pregnancy
will be considered as any other illness. Routine
inpatient nursery room charges are payable following
birth for enrolled newborns, subject to the enrolled
child's deductible and coinsurance. Maternity,
including involuntary complications of pregnancy
are not provided for dependent children. |
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|
| Q: |
Is there a difference between primary
and specialty definitions and copayment
levels? |
| A: |
Yes. Primary care physicians practice in the
areas of family and general practice,
internal medicine, pediatrics, and OB/Gyn. Specialty
physicians specialize in areas of
medicine other than the primary physicians.
There are separate specialist co-payment on plans
that include the physician office copayments.
This amount is $15 more than the physician office
visit co-pay. |
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|
| Q: |
What is the minimum group size for dual? |
| A: |
Regence Select single product, dual product, or
dual network options are available to groups of
2 or more. |
| |
|
| Q: |
Does the employer have to offer a dual
product or dual network plan? |
| A: |
No. An employer may choose to offer a single plan
with a single network. |
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|
| Q: |
What are the employer contribution requirements
for Regence Select? |
| A: |
There are no employer contribution requirements
for Regence Select. |
