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Medical Benefits > Medical Benefits

Section 2
Medical Benefits


Here's how the scene is set up:

ELIGIBLE PARTICIPANTS
REGULAR PLAN (PPO)
(Including Out-of-Area Benefits)
LOW OPTION PLAN
(COBRA and Extended Coverage only)
California
X

Illinois
X

New Jersey
X

New York
X

All Other Locations
X

COBRA*
X
X
Extended Coverage*
X
X


* COBRA and Extended Coverage participants may select from the same plan options as active participants, depending on where they live, but only they - not their dependents - are eligible for the Low Option Plan.


If you live in Southern California and enroll in the Regular Plan, you can get medical care at one of the local area health centers established especially for members of the entertainment industry. By using The Industry Health Network (TIHN), you could pay less out of pocket for care than you would by using other providers. (For details, see "How The Industry Health Network Works", and refer to the Summary Of Benefits.)

The various plans are designed to provide the medical care you need based on how you prefer to access care and how much you're willing to pay. For example, some plans cost you less out of pocket but provide fewer choices as to whom you may see for service. Other plans provide comprehensive benefits but require deductibles or have annual maximums. For more information and a comparison of benefits under these plans, refer to the descriptions on the following pages and in the Summary Of Benefits, which you'll find in the back pocket of this handbook.

The P.O.V*...

 

* Point of view of the camera

In the following pages, you'll be looking at a number of health plan options available to you. You'll find detailed descriptions about your:

  • Medical benefits;
  • Vision benefits;
  • Prescription drug benefits; and
  • Mental health and substance abuse benefits.
Major topics in the Medical Benefits Section:

Paying For Your Care
How The Regular Plan Works
How The Industry Health Network Works
How The Low Option Plan Works
How The Special Features Of The Regular Plan And Low Option Plan Work
How Your Prescription Drug, Mental Health And Substance Abuse, And Vision Benefits Work Under The Regular Plan And Low Option Plan



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