Group Four
HMO High-Deductible Health Plan (Compatible with Health Savings Account)
This high-deductible health plan 
High-Deductible Health Plan (HDHP) – Plans that feature a set dollar amount that you must spend before the plan begins to cover your health expenses. These plans offer greater predictability, because once you have reached the deductible, your eligible health care expenses are covered for the remainder of the policy year (copayment and coinsurance may apply depending on the plan).
allows you to see any participating specialist without first obtaining a referral
Referral – Some health insurance companies require members to get a referral from their primary care physician before seeing a specialist. ConnectiCare SOLO does not require referrals. Members can see specialists without first obtaining a referral from their primary care physician.
from your PCP. You must meet a contract-year individual plan deductible
Plan Deductible - The total amount of medical expenses that you must pay during the contract year for certain benefits before ConnectiCare insurer will begin paying for those benefits. or contract-year family plan deductible
Plan Deductible - The total amount of medical expenses that you must pay during the contract year for certain benefits before ConnectiCare insurer will begin paying for those benefits. before the plan begins to provide benefits.
If you are attracted to the premium
Premium (or price) – The monthly fee that is paid to ConnectiCare to provide health coverage, including doctor visits, hospitalizations, medications and other covered benefits. The amount of your premium depends, in part, on the level of your coverage. For example, a health plan with a higher deductible tends to have a lower premium.
savings of a ConnectiCare SOLO High-Deductible Health Plan (HDHP)
High-Deductible Health Plan (HDHP) – Plans that feature a set dollar amount that you must spend before the plan begins to cover your health expenses. These plans offer greater predictability, because once you have reached the deductible, your eligible health care expenses are covered for the remainder of the policy year (copayment and coinsurance may apply depending on the plan).
, you may wish to combine it with a Health Savings AccountHealth Savings Account – This plan allows you to set aside money, tax-advantaged, to cover your medical expenses. The money can continue to accumulate and gather interest for use in future years. You can withdraw from the HSA at any point to pay qualified medical expenses.
(HSA). (Do not open the HSA until your application to a ConnectiCare
SOLO HDHP is approved.) HSAs offer tax advantages that make it
easier to set aside money for meeting the health plan deductible
Deductible - The amount of medical expenses that you must pay before an insurer will cover any expenses. The deductible amount and what applies to it, are determined by the specific health plan.
.
HMO HSA Compatible Plan
With the HMO HSA-Compatible
HSA-Compatible – A High-Deductible Health Plan (HDHP) that meets certain federal requirements to be combined with a Health Savings Account. In 2011, a HDHP must have a minimum deductible of $1,200 for individual coverage and $2,400 for family coverage. A HDHP must also have a maximum out-of-pocket expense per year, excluding the cost of premiums, of $5,950 for individual coverage and $11,900 for family coverage.
Plan, there is no member cost-share after the contract yearContract Year - The 12-month period that begins on the effective date of the policy and each 12-month period following the policy renewal date.
plan deductible
Plan Deductible - The total amount of medical expenses that you must pay during the contract year for certain benefits before ConnectiCare insurer will begin paying for those benefits..
Key Benefits:
- No member cost after plan deductible
Plan Deductible - The total amount of medical expenses that you must pay during the contract year for certain benefits before ConnectiCare insurer will begin paying for those benefits.
- The only plan that includes maternity coverage
- An HSA solution offers a tax-advantaged way for meeting the plan deductible
Plan Deductible - The total amount of medical expenses that you must pay during the contract year for certain benefits before ConnectiCare insurer will begin paying for those benefits.
(Note: The contract-year deductibles can be reached by any combination of covered health services or covered prescription drug services. The individual contract-year deductible only applies if you are the only policyholder and there are no other covered lives on the contract. If you have family coverage (two or more covered lives), then covered health services and covered prescription drugs will be applied to the family plan deductible until the total amount is met without regard to which family member uses the benefits.)
This plan is now compliant with the new Health Care ReformPatient Protection and Affordable Care Act (PPACA) - More commonly know as Health Care Reform, is now the law of the land. It is a federal statue that was signed into law on March 23, 2010. law, in which preventive care
Preventive Care – Measures taken to prevent illness or injury, rather than to treat it. Preventive care can include immunizations, screening tests, and examinations to test for specific conditions based on an individual's family history.
is not subject to member cost-share.
