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ELCA MEDICAL AND DENTAL BENEFITS PLAN

WEBRev. p108, 04.11.2022 ELCA MEDICAL AND DENTAL BENEFITS PLAN • ELCA-Primary Health Benefits • ELCA Medicare-Primary Health Benefits Traditional Benefits Program Summary Plan Description Effective January 1, 2022

Actived: 4 days ago

URL: https://media.porticocloud.net/pdf/100/100-40-ElcaHealthBenefitsPlanSummary-2022.pdf

2022 ELCA Benefit Notices

WEBELCA Health Plan: Nondiscrimination in health programs and activities — The provisions of the ELCA Health . Plan comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national

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Summary Plan Description

WEBContents Introduction…….. 4 Section 1 Overview .. 5

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DECISION GUIDE 2024 Annual Enrollment

WEB2 Selecting an ELCA-Primary health benefit option is an important financial decision your organization needs to make ahead of the Annual Enrollment deadline, which is Oct. 13 this year.

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2024 ELCA Benefit Notices

WEB800.352.2876. Portico Benefit Services is required to provide certain notices annually to members with coverage under the ELCA. Medical and Dental Benefits Plan (ELCA Health Plan). The information in this document pertains to benefits available. in 2024 and can help inform your enrollment decisions for 2024.

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Summary Plan Description

WEBThis Summary Plan Description includes the eligibility requirements, coverage details, and benefit conditions under the Survivor Benefits Plan. The ELCA Survivor Benefits Plan document is the official legal document of the Plan and an individual’s rights are governed by it. If this Summary Plan Description is found to be inconsistent with the

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Summary of Benefits and Coverage: What this Plan Covers

WEB1 of 6 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 0 1/01/2023 – 12/31/2023 Portico Benefit Services: ELCA-Primary Health Benefits Gold+ Option Coverage for: Member, Family | …

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2024 ELCA-PRIMARY HEALTH BENEFITS Finding the Help You …

WEBTime for a Checkup, Screening, or Vaccination? Medical Benefit Pays 100% of the cost for eligible preventive services delivered by an in-network provider, including vision examination, screenings, checkups,

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Health Benefit Resources Rlyer

WEBHEALTH BENEFIT RESOURCES. Page 3 of 3 41-4499 (4/2023) Text-Based Primary Care 98point6 ® delivers 24/7 primary care through a highly secure in-app

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HEALTH CARE BY TEXT ANYTIME, ANYWHERE

WEBPortico health plan members, you’ve got the convenience of virtual care at your fingertips through your ELCA-Primary health benefits: the 98point6 text-based mobile app.

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Summary of Benefits

WEB2024 -6- Summary of Benefits Note: A cost share range may display, depending on the service and where the service is provided. Some services require prior authorization. Covered Medical and Hospital Benefits - IN-NETWORK OUT-OF-NETWORK Outpatient X-rays 4% of thecs Radiation therapy 4% of thecs HEARING SERVICES

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ELCA MEDICAL AND DENTAL BENEFITS PLAN

WEBELCA MEDICAL AND DENTAL BENEFITS PLAN • ELCA-Primary Health Benefits • ELCA Medicare-Primary Health Benefits Traditional Benefits Program Summary Plan Description Effective January 1, 2023

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2021 Health Savings Account Worksheet

WEBStep 3 — What is the maximum amount that can be contributed to your HSA from all sources? • 2021 maximum annual contribution (defined by the IRS) $ _____

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Understanding ELCA Disability Benefits

WEB7 a.m. – 4 p.m. (Central) Monday – Friday. Eligibility. • The disabling condition must have occurred while the member was sponsored in the ELCA Disability Benefits Plan, and the first day absent due to this condition must occur while the member is sponsored. • The disabling condition must be documented by objective medical information

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Steps to Print Your Portico Health ID Card

WEB4 4You’ll be brought to the Quantum Health Care Coordinators landing page. At the top right corner of the landing page, find the green View ID Card button and click on it. 5 From the View ID Card pop-up screen, click on the Print button. 6 From the Print pop-up screen: a. Select or confirm the destination printer at the top of the list of settings to the right, as …

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