MyCare from Preferred Care
Affordable premiums along with freedom and flexibility

MyCare from Preferred Care is an innovative plan that offers the options and tools that you need!

As a MyCare member, you’ll have everything that you need to manage your health – all in one health plan. MyCare offers you:

• low premiums that make health coverage more affordable;
• no referrals to see a doctor or a specialist;
• freedom to take charge of your health care expenses like never before;
• flexible coverage to meet your health needs; and
• information and Web tools to help you make health care decisions.

MyCare continues Preferred Care’s tradition of offering you new and innovative ways to live well. MyCare gives you what you need to manage your health care!

MyCare Basics

•  Preventive care is covered in full. You don’t need to meet your annual deductible in order to receive coverage for these services. Preventive services that are covered in full when received in-network include:

•  well-child visits (through age 18);
• adult routine physical exams;
• adult immunizations;
• routine gynecological exams;
• mammography screening;
• prostate cancer screening;
• routine hearing and eye exams.

• You need to meet an annual deductible (a set dollar amount that you need to pay toward your health care costs before your health plan begins paying for your care).
• After you have met your annual deductible, your health care costs are covered under a Preferred Provider Organization (PPO). A PPO is a national network of hospitals, doctors, and health care professionals. They work with Preferred Care to give you care at lower rates. With a PPO:

• you will pay a coinsurance. This is different from a copay. A copay is a fixed dollar amount. For example, $20 for a doctor’s office visit. Coinsurance is based on what your provider charges. You pay a percentage of that fee. Your health plan pays the rest;
• you will also pay a coinsurance for prescription drugs. The percentage you pay will be based on the cost tier the drug is in.
• the amount you pay for care is based on whether care was received from an in-network health care provider or an out-of-network provider. It is always more cost effective to use in-network providers.

• MyCare from Preferred Care also has an annual out-of-pocket maximum cost. This amount is the most you will personally pay for health care in a calendar year. Your annual deductible counts towards your out-of-pocket maximum cost.
• Any future health care costs are covered at 100% for the balance of the plan year after you reach your annual out-of-pocket maximum.

And with MyCare, you:

• can visit any doctor across the nation without a referral – in-network or out-of-network;
• have greater flexibility to choose how you spend your health care dollars

Web-based tools

With Preferred Care easyLinksm, you will have a wealth of knowledge right at your fingertips. Once you register for easyLink, managing your health care is simple. With easyLink you will be able to:

• track annual deductible and out-of-pocket costs;
• review doctor and hospital comparisons;
• compare costs for procedures and facilities;
• find a list of qualified medical expenses;
• create a personal user profile based on your current health status;
• estimate health care costs based on your profile;
• take an online health risk assessment survey;
• research health topics, treatment options & questions to ask your doctor;
• take advantage of a team of nationwide qualified “online coaches” who are experts in exercise, nutrition, and life management issues; and
• create personal diet and exercise plans to meet your needs and goals.

HealthDollarssm

As a Preferred Care member, you are eligible to receive $50 in HealthDollars to use toward any health, wellness, or fitness program nationwide. Pay toward your local gym membership. Take a smoking cessation or CPR class. You can even use your HealthDollars toward a massage to help you manage stress. The choice is yours! 

Need more information? Talk with us.

Our representatives are available to help you weekdays from 7 a.m. to 8 p.m.,
Eastern Time.

Tel: 585.325.3113
800.950.3224

TTY: 585.325.2629
800.252.2452

Disclaimer:
This summary of benefits is only an overview of plan provisions. While every effort has been made to ensure that this summary accurately reflects the provisions of each plan, it is the plan contract that governs the operations of individual plans and payment of all benefits. Please check with your company's plan administrator for a more detailed plan description.

Last updated: March 13, 2008