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New Employee Benefits Enrollment - Dow Corning

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MEDICAL<br />

Coverage is effective on your first day of work. See Benefit <strong>Enrollment</strong> Information page for details on<br />

how to enroll for benefit coverage.<br />

After two months from your start date, if you fail to enroll in a medical plan, you will automatically be<br />

enrolled in the default plan CDHP for <strong>Employee</strong> Only.<br />

Plan Highlights<br />

Under a Preferred Provider Organization (PPO) plan, you have a network of doctors that you can use. If<br />

you use a doctor in the network, the doctor accepts a discounted rate and you cannot be billed the<br />

difference. The amount is paid at the in-network rate. If you go out-of-network, the charges are paid at<br />

the out-of-network rate. You can be billed the difference between the doctor’s charge and the plan’s<br />

allowed amount.<br />

Two Blue Cross Blue Shield (BCBS) PPO health plans are available to all active employees.<br />

� PPO – this plan generally provides 90 percent coverage when services are received in-network<br />

and 70 percent coverage when services are received out-of-network.<br />

� Consumer Driven Health Plan (CDHP) – this plan generally provides 90 percent coverage<br />

when services are received in-network and 70 percent coverage when services are received outof-network.<br />

This plan is a high deductible plan that offers a Health Savings Account (HSA) to<br />

help save for health care expenses.<br />

For more information, call BCBS at 1-866-491-3083 or visit www.bcbs.com.<br />

Under a Health Maintenance Organization (HMO), you select a primary care physician (PCP) who will<br />

manage your care and refer you to a specialist in the network. Except in an emergency or if directly<br />

referred by the PCP, you will be responsible for 100 percent of the cost if you receive care outside of the<br />

network.<br />

Coverage through the following HMOs is also available:<br />

� HealthPlus – Mid-Michigan area including Bay City/Saginaw/Flint<br />

(visit www.healthplus.com for participating providers)<br />

� Anthem BCBS – Carrollton/Elizabethtown<br />

(visit www.anthem.com for participating providers)<br />

� United Healthcare – Greensboro<br />

(visit www.uhc.com for participating providers)<br />

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