City of Quincy Custom Report of 2021 Carryover Deductible
Report: Deductible/ Coinsurance / Max OOP CARRYOVER REPORT
Report Date: December 31, 2021
Service Date Start: May 1, 2021
Service Date End: December 31, 2021
As a reminder, any Out of Pocket amounts incurred from May 1, 2021 to December 31, 2021 under the prior BCBS City of Quincy self-funded plan are carried forward by the NEW ADMINISTRATOR (COALITION HEALTH) to the NEW FULLY INSURED HEALTH PLAN THAT STARTED ON JANUARY 1, 2022.
That new plan combines a High Deductible at BCBS with a DEDUCTIBLE ERASER BENEFIT.
Bottom Line, services incurred between May 1, 2021 and April 30, 2022 are CREDITED TO A SINGLE COMBINED MAX OUT OF POCKET PER PERSON/FAMILY SHOWN BELOW.
"IN NETWORK" SERVICES ARE CAPPED AS FOLLOWS:
$1,000 Maximum Deductible Per Person
$2,000 Maximum Out of Pocket Per Person
$4,000 Maximum Out of Pocket Per Family
"OUT OF NETWORK" SERVICES ARE CAPPED AS FOLLOWS:
$3,000 Maximum Deductible Per Person
$5,000 Maximum Out of Pocket Per Person
$9,000 Maximum Out of Pocket Per Family
BCBS DOES NOT KNOW that you have a
1. Deductible Carry Over from 2021 or
2. A Secondary Deductible Eraser Plan.
Only Our Help Desk TRACKS YOUR COMBINED CUMMULATIVE BENEFIT
Direct all questions to Help@CoalitionHealth.com
Coalition Health Has Created a Custom Dynamic Report that Tracks Your Deductible/ Coinsurance / Max OOP CARRYOVER From your BCBS 2021 Claims.
To Access This Report Anytime Simply Click Here
and Validate Your Identity