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(Available to Washington State Residents Only)
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SUMMARY OF BENEFITS
WELCOME 3500
FOR INDIVIDUALS & FAMILIES
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WELCOME 3500 - Group Health Network
Coverage with the Welcome plans runs the
gamut. You can opt for more coverage if you
think you're going to use your health care
often, or you can choose a plan with a higher
deductible that offers simple catastrophic
coverage if you don’t think you’ll need it.
Thinking about how you use your health care
now will help you figure out which plan is
right for you. Click here to look up a provider.
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Benefits |
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Group Health Network |
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Annual Deductible |
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$3,500 per member or $10,500 per family
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Memeber Coinsurance |
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50% |
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Out-Of-Pocket Limit*
(Deductible does not apply.)
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$10,000 per member or $30,000 per family
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Benefits |
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After Deductible,
Member Pays |
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First 4 visits: You pay only your copayment for your primary or speciality care visits. Your deductible and coinsurance do not apply until after the 4th visit for services indicated by  |
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Office Visits
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$30 + 50% - Primary care
$50 + 50% - Speciality care |
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Preventive Care Visits
For children and adults; including physicals and immunizations, as established in Group Health's well-care schedule.
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Covered in full, deductible waived
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Manipulative Therapy
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$30/visit + 50%, up to 10 visits PCY** |
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Acupuncture
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$30/visit + 50%, up to 8 visits PCY |
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| Naturopathy |
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$30/visit + 50%, up to 3 visits PCY |
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Maternity Care
Outpatient non-routine prenatal and postpartum visits. Copay waived for routine care.
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Not covered |
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Lab/X-Ray Services
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Deductible waived on first $200 PCY, then deductible and 50% apply. |
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Hospital Visits - Inpatient
Hospital room and board; inpatient surgery; anesthesia, intensive and coronary care; laboratory tests; radiology services; drugs while in hospital. Includes mental health inpatient treatment.
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50% |
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Devices, Equipment & Supplies
(DME and prosthetics)
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50% |
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Prescription Drugs - Outpatient
Drugs and medicines that require prescription, including self-administered injectables, contraceptive drugs, devices, and supplies.
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Not covered |
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Emergency Care
Group Health or Group Health-designated facilities:
Non-Group Health or non-Group Health-designated facilities worldwide, including urgent care facilities.
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$100 + 50%
$100 + 50% |
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Vision Care
$200 hardware benefit per 12 month period. Hardware not subject to deductible or coinsurance.
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$30 + 50% for routine eye exam |
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* Member coinsurance applies. Deductible is not included in out-of-pocket limit.
** PCY = per calendar year
CARRYOVER: There is no 4th quarter deductible carryover.
Note: This is a summary of benefits. The contents are not to be accepted or construed as a substitute for the provisions of the master policy or agreement. Other terms and conditions apply. All plans cover on-the-job-injury-related health care costs for partners, proprietors, or corporate officers who are not covered by a workers' compensation act, subject to the plan's cost shares and benefit limitations.
Coverage provided by Group Health Options, Inc.
E-mail us for more information and a free quote or CALL TOLL FREE
1-800-875-4490 (in the U.S.)
or 1-253-854-0199 (outside the U.S.)
Fax: 1-253-896-9411
Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628,
Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
Copyright© 1998-2011, Maddock & Associates | Privacy Statement
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