8 Health Medical Our medical plans are designed to give you the options you need to manage your health the way you want. You can choose from three medical plans administered by Personify Health (formerly HealthComp). If you live in California, Colorado, Oregon or Washington, you also have an HMO option through Kaiser if you live in a Kaiser Permanente service area. If you live in southern California, Denver, Dallas, Kansas City, Seattle or Spokane, you can choose the Centivo PCP Partnership Plan. If you live in San Diego County, the SIMNSA Baja CA Premier Access HMO may also be an option for you. All of the medical plans include medical and prescription drug coverage. The plans managed by Personify Health use a national provider network through Blue Shield. Need help choosing the best medical plan? Say hello to ALEX our online benefit counselor. Go to https://start.myalex.com/ensign. Medical Plans Value Copay Plan This plan exclusively covers you for in-network doctors and facilities and gives you access to Blue High Performance Network (HPN) providers in certain geographic locations based on your zip code. Blue HPN providers are selected based on delivery of quality, affordable care offering savings to Affiliate employees in exchange for a smaller provider network and the lowest paycheck deduction. Choice HSA Plan You can see both in-network and out-of-network doctors without a referral, but keep in mind staying in-network for care will almost always be cheaper. To help with your share of costs, the plan comes with a Health Savings Account (HSA) that you can contribute to. Premier EPO Plan This plan has a lower deductible and exclusively covers you for in-network doctors and facilities. Except in the case of an emergency, you’ll pay the full price for any out-ofnetwork care. Centivo PCP Partnership Plan (Southern CA, Denver, Dallas, Kansas City, Seattle and Spokane employees only) This plan exclusively covers you when you stay in the Centivo network. Except in emergencies, you’ll pay the full price for any care you receive from a non-Centivo doctor or facility. With this plan, you must choose a primary care doctor who will direct your care and provide referrals. Kaiser HMO with HSA (CA, CO, OR and WA employees only) You must live in a Kaiser Permanente service area in one of the following states: California, Colorado, Oregon or Washington. This plan exclusively covers you when you use Kaiser Permanente doctors and facilities. Except in the case of an emergency, you’ll pay the full price for any care you receive from a non-Kaiser doctor or facility. To help with your share of costs, this plan gives you the option to participate in a Health Savings Account (HSA). SIMNSA Baja CA Premier Access HMO (San Diego County employees only) You must live in San Diego County. This plan exclusively covers you when you access SIMNSA Premier Access HMO providers. The plan covers many health services at 100%. Some services require a small copayment. You are not required to choose a primary care physician to manage your care. Except in the case of an emergency, you’ll pay the full price for any care you receive from a non-SIMNSA doctor or facility.
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