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UND ER S TAND I NG
YOUR
MEDICAL
PLAN
Medical Questions? Need to Locate a Provider?
Contact Continental Benefits (Group # CB360) at
855-347-2638 or
continentalbenefits.comor
HealthAdvocate Benefits Gateway at 866-799-2731
Medical Insurance – Continental
Benefits
Ciner offers
three
medical plan options administered by
Continental and utilizing the Aetna Signature
Administrators PPO network. One plan is a Health
Reimbursement Account (Blue Plan), one is a High
Deductible Health Plan (Green Plan) and one is a
Traditional PPO (White Plan).
Features of all medical options:
Preventive health care services from a network
provider are covered at 100% and are not subject to
a deductible.
For each covered person, the deductible is limited to
the plan “Individual” deductible. If you elect to
cover yourself and at least one more family
member, your total deductible expenses for all
family members will not exceed the “Family”
deductible. Any combination of covered family
members can meet the family deductible.
Any licensed provider can provide services;
however, you will receive a much greater benefit by
going to a network provider with a negotiated
relationship with Aetna.
Prescriptions for certain generic Preventive
medications are covered in- network at 100% and
not subject to the plan deductible.
If you complete a Biometric Screening and an
online Member Health Risk Assessment (entering
all biometric screening results), you are eligible for
a premium discount of $20 per month. The discount
is not to exceed $240 annually.
Features of the Blue Plan:
All non-preventive eligible pharmacy expenses are
covered at varying cost shares (varies by
prescription tier or category) up to a maximum
amount per prescription when filled by an
in-network provider.
All non-preventive health care expenses are subject
to the calendar year deductible before the insurance
company pays any portion of the expense. Once you
meet the deductible, you pay only a percentage of
the covered expense (your coinsurance) and no
more than the out-of-pocket maximum. If you reach
the out-of-pocket limit, the insurance company
covers 100% of any covered expense for you and/or
your family members for the remainder of the plan
year.
Contributions Ciner makes (including those you earn
through participation in the HealthAdvocate wellness
program) towards your Health Reimbursement
Account can be used towards your deductible and the
out-of-pocket maximum, which includes the plan
deductible. All covered pharmacy expenses count
towards your out-of-pocket limit as well.
Features of the Green Plan:
All non-preventive eligible pharmacy expenses are
covered at 90% after you’ve met your annual
deductible and when prescriptions are filled by an
in-network provider.
All non-preventive health care expenses are subject to
the calendar year deductible before the insurance
company pays any portion of the expense. Once you
meet the deductible, you pay only a percentage of the
covered expense (your coinsurance) and no more than
the out-of-pocket maximum. If you reach the out-of-
pocket limit, the insurance company covers 100% of
any covered expense for you and/or your family
members for the remainder of the plan year.
Contributions you and/or Ciner make (including those
you earn through participation in the HealthAdvocate
wellness program) towards your Health Savings
Account can be used towards your deductible and the
out-of-pocket maximum, which includes the plan
deductible. All covered pharmacy expenses count
towards your deductible and out-of-pocket limits as
well.
Features of the White Plan:
All non-preventive eligible pharmacy expenses are
covered at varying copays (varies by prescription tier
or category) when prescriptions are filled by an
in-network provider.
All copays, deductible and coinsurance expenses
apply to the out-of-pocket maximum.
To find Aetna medical providers, visit:
ASAlookup.AetnaSignatureAdministrators.com
Click
Medical
Enter your search criteria
(Provider Type, Zip code, etc.)
Select
Advanced Search
as needed
Click Search
Or call HealthAdvocate at 866-799-2731
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