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RESURRECTION HEALTH CARE PHYSICIANS’ HEALTH INSURANCE INITIATIVE Presented by: Steve Guarino

PBT Health Insurance Program. RESURRECTION HEALTH CARE PHYSICIANS’ HEALTH INSURANCE INITIATIVE Presented by: Steve Guarino. Physicians’ Benefits Trust presents a group health plan offering specifically created for Resurrection Health Care physicians, their employees and their families.

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RESURRECTION HEALTH CARE PHYSICIANS’ HEALTH INSURANCE INITIATIVE Presented by: Steve Guarino

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  1. PBT Health Insurance Program RESURRECTION HEALTH CARE PHYSICIANS’ HEALTH INSURANCE INITIATIVE Presented by: Steve Guarino

  2. Physicians’ Benefits Trust presents a group health plan offering specifically created for Resurrection Health Care physicians, their employees and their families. PBT Health Insurance Program • The PBT Advantage: • Designed by physicians to meet the health plan needs of medical professionals. • The Program continues to be managed by physicians. • A wholly owned subsidiary of ISMIE Mutual Insurance Company. • The plans are completely portable for physicians and their families. If a physician leaves the Resurrection Health Care affiliation, coverage is guaranteed under a standard PBT health plan. • Dependant coverage up to age 25. (Older if they are students.)

  3. PBT Health Insurance Program The PBT Advantage Cont.: • Continuation of PBT coverage if retirement occurs before age 65. • Eligibility to transfer to PBT Medicare supplement plans post 65 without pre-existing condition limitations. • No pre-certification or second-opinion requirements (except for Organ Transplant). • Group bill specific to each physician or physician group. • Free and unrestricted choice of doctors and hospitals with higher benefit levels for care received at Resurrection Health Care facilities. • PBT Dedicated Customer Service teams to ensure accurate and quick responses and claims handling.

  4. PBT Health Insurance Program • RHC Physicians’ Initiative / PBT Health Plan Offering: • PBT has designed the following 3-tiered health benefit plans specifically for RHC affiliated physicians and their employees. Consideration has been given for when members seek care at RHC facilities and a higher benefit (1st tier) is paid for those services. (Plan designs and rate details are attached.) • Preferred Provider Options: • Plan A: 80/60/50 • Deductible Options - $300, $500, $1000, $2000 or $3000 • Plan B: 90/80/50 • Deductible Options - $300, $500, $1000, $2000 or $3000 • Plan C: 100/90/50 • Deductible Options - $2500 or $5000

  5. PBT Health Insurance Program • RHC Physicians’ Initiative / PBT Health Plan Offering Cont.: • HSA Qualifying High Deductible Plan: • 100/80/60 Plan • Individual/Family Deductible Options - $1800/$3600 or $2900/$5600 • All plans include $10,000 of Term Life Coverage and co-pay Caremark prescription plan. • Dental coverage with $25 or $50 deductibles can also be made available.

  6. PBT Health Insurance Program Program General Guidelines and Eligibility Requirements: • Employer groups can offer up to three different RHC plans and three deductibles. • The plan is only open to physicians affiliated with Resurrection Health Care, their employees and their families. • Each group enrolling must have at least one physician insured in the plan. • Quotes will be provided for the entire group. However, not all group employees need to participate and can elect to decline coverage on the application form. • PBT has contracted with a large preferred provider network to provide second tier facility services and in-network physician services.

  7. PBT Health Insurance Program Preferred Provider Options Plan Designs

  8. PBT Health Insurance Program

  9. PBT Health Insurance Program

  10. PBT Health Insurance Program

  11. PBT Health Insurance Program HSA Qualified High Deductible Plans Plan Design

  12. PBT Health Insurance Program

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