Early Retiree Meritain Health PPO
The PPO plan allows both in-network and out-of-network services with a $400 individual/$800 family deductible for in-network services and a $800 individual/$1600 family deductible for out-of-network services. The family deductible may not be satisfied by any one family member. Once the deductible has been satisfied, in-network services are covered at 85% and out-of-network services at 65%. Once the maximum out-of-pocket is satisfied the plan pays 100% of eligible charges. In-network out-of-pocket maximums are $1,250 for an individual and $3000 for a family. Out-of-network out-of-pocket maximums are $2,500 for an individual and $5000 for a family. This plan also provides coverage nationwide. (An indemnity plan is available for employees traveling out of the country for an extended period of time.) The plan does not require participants to choose a primary care physician, but rather offers the flexibility of visiting both in-network and out-of-network physicians.
The local network for the PPO plan is Select Health Network. For a list of participating providers, please visit their web site at www.selecthealthnetwork.com . To request a printed copy of the directory from the Office of Human Resources email askhr@nd.edu or call 631-9396.
The national network for the PPO plan is Beechstreet, and a list of participating providers is available at www.beechstreet.com .
The mental health network for the PPO plan is New Avenues Behavioral Health Network. For a list of participating providers, please visit their web site at www.newavenuesonline.com . To request a printed copy of the directory from the Office of Human Resources email askhr@nd.edu or call 631-9396.
Claim information can be obtained through Meritain Health's web site at www.meritain.com
