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The Research Foundation provides nine medical plans from which eligible employees may choose, depending upon their county and state of residence.

Preferred Provider Organization PPO Plans make arrangements with physicians, hospitals and other caregivers to provide services at a discounted payment. Accepted Health Plans Mission Hospital is a preferred provider for most major insurance plans for both inpatient and outpatient services.

Preferred Provider Organizations Preferred Provider Organization PPO Plans make arrangements with physicians, hospitals and other caregivers to provide services hmmo a discounted payment. These plans generally cover only medically necessary services.

Medical Plan Group #’s:

Please make a selection from the links below to learn more about that type of health insurance plan: Please contact your health plan to determine if Mission Hospital is a participating provider.

Additionally, the following medical groups are affiliated with the St.

An employee participating in the medical snield of his or her choice will be responsible for an employee contribution, which is assessed each semi-monthly pay period. Government Sponsored Plans Government sponsored plans are usually available to active duty members of the military, qualified family members, non-Medicare netvxlue retirees and their family members and survivors of uniformed services.

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It is important to understand that the MA plan is an HMO, and therefore the same processes described under the HMO must be adhered to in order to receive benefit coverage.

Coverage goes into effect on the first day of the month following start date, depending upon timely submission of completed forms to Research Foundation Human Resources. The following is a list of Government Sponsored plans direcyory by Mission Hospital: For further information, please contact netva,ue Research Foundation Human Resources department.

The arrangement is similar to a PPO; however, enrollees must receive their health services from only the designated exclusive providers in order for any portion of the care to be covered by the insurance carrier.

Mission Hospital accepts all indemnity insurance plans.

Accepted Health Plans | Mission Hospital

Indemnity Plans are traditional insurance programs where a patient may seek services from any provider of their choice, and the person is responsible for a deductible and co- insurance. To enroll in a MA plan, a person must sign over his or her Medicare benefits to the selected MA plan.

Managed care plans are a cost-effective use of health care resources that improve health care access and assure quality of care. To be able to receive services at Mission Hospital your Primary Care Physician must be part dirfctory one of the physician groups listed below.

Please note that Dental and Vision insurance are not included in the Research Foundation’s post-retirement medical benefit offering. Physician groups at Mission Hospital are: To ensure that you may receive services at Mission Hospital, you must make sure that both the physician group and the health plan are contracted with Mission Hospital. ble

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Joseph Heritage health care and members can receive care through any of the St. To be able to receive services at Mission Hospital, your PCP must be part of one of the physician groups listed below. Joseph Dirfctory Health Hospitals, including Mission Hospital as designated by your primary care physician: When selecting contracted providers, there is not a restriction to remain within a specific physician group. Employees hired on netvalu after July 1, are eligible to receive post-retirement medical benefits for themselves and their eligible dependents at the time of their retirement if they are 1 60 years or older; and 2 have accrued ten years of benefited service.

The PCP generally will coordinate the patient’s entire healthcare. Mission Hospital is a preferred provider for most major insurance plans for both inpatient and outpatient services.

diretory

Medical Benefits | Research Foundation | San Jose State University

Government sponsored plans are usually available to active duty members of the military, qualified family members, non-Medicare eligible retirees and their family members and survivors of uniformed services. Under a PPO, when a patient receives services from a contracted provider, the cost will be less than if a non-contracted provider renders the services.

Please use the form below to enroll in a medical insurance plan: MMCD contracts for health care services through established networks of organized systems of care, which emphasize primary and preventive care. Directory by Department Directory by Name.