Benefit Explainer enhanced with more information

We’ve added some new information to Benefit Explainer. Here are highlights.

You’ll find these changes under the QuickView tab in the Benefit Package Report, or BPR:

• There could be up to nine tiers that show in- and out- of-network copays and other cost-shares.
• We added a hyperlink in the Summary that automatically expands with details about deductibles, coinsurance and other out-of-pocket costs.
• In the QV Summary area, the heading General has been changed to Topic and the heading None has been changed to Value.
• Topic — displays which topic the copay has been assigned to
• Value — displays the copay name and value amount
• Stop loss has been changed to Coinsurance Maximum under Summary

These changes were made to the BPR:

• Under Maximums, when you click on Dollar Value Summary, you’ll see additional or expanded choices.
• The benefit tiers are more detailed, showing in- and out-of-network copays and coinsurance.
• The Value column now shows current deductibles and coinsurance, as well as detailed amounts.
• The link in the Maximum Name area is new. A pop-up window will show more details about deductibles and other out-of-pocket costs.
• The heading Benefit Tier limitation replaced the heading Network Status limitation. The information remains the same.
• Under Copayments, you now see the specific copay for the specialty type. For example, “primary care physician copayment $25; urgent care copayment $50.”

To view a BPR screen shot showing the more detailed in- and out-of-network copay and coinsurance information, click here.