MAPMG Physician Benefits Elaine Levin, Sr. Director, Physician and - - PowerPoint PPT Presentation
MAPMG Physician Benefits Elaine Levin, Sr. Director, Physician and Employee Benefits This presentation (audio and print) is a summary of MAPMGs benefits for full-time physicians. Some benefits are prorated for physicians working part time. It
Elaine Levin, Sr. Director, Physician and Employee Benefits
This presentation (audio and print) is a summary of MAPMG’s benefits for full-time physicians. Some benefits are prorated for physicians working part time. It is not a guarantee of benefits. Complete plan provisions may be found in the applicable Summary Plan Description or Policy available on UltiPro Self Service or by contacting MAPMG Benefits.
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3 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
4 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
5 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
Office Visits Prescriptions Out of Area- Emergency
Specialists
kp.org when cards arrive
benefits at KP optical centers
supply at centers
Walgreens, Walmart
Member Services
reimbursement upon return
100% MAPMG paid; coverage effective date of hire. Eligible dependents: spouse/domestic partner*; children through age 25 *tax implications if covering a domestic partner Supporting documentation required to enroll eligible family members
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– Does not replace KFHP coverage – Does not permit you to choose treatment outside of KP
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– Only available if enrolled in KP HMO – You and your enrolled dependents – $20 copay per visit
8 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
9 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
100% MAPMG paid; coverage effective date of hire. Eligible dependents: spouse/domestic partner; children through age 25 * tax implications if covering a DP Benefit Delta Dental PPO dentists Non-Delta Dental PPO dentists Diagnostic and Preventative
Exams, cleanings, x rays
100% 100% Basic Services
Fillings, root canals
80% 80% Major Services
Crowns, bridges, implants,
50% 50% Deductibles: $50 per person / $150 per family each calendar year
Waived for preventive and orthodontics
Maximum Benefit: $1,500 per person each cal. year / $2,000 lifetime orthodontics (<age 19) Supporting documentation required to enroll eligible family members
10 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
pay for non - reimbursable medical, dental, vision or Rx expenses
pay for day care
year
pay for mass transit and/or parking for your work commute
$2,700 annually per individual $5,000 annually per family $265/month transit $265/month parking
– School holidays, snow days, recovery for you or spouse from illness or injury,
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12 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
– Amounts over 3 x salary require Evidence of Insurability
– Spouse: up to $50,000 – Child(ren) : $10,000 (through age 19 or 25 if full time student)
– Premiums adjusted each January 1st based on age / amounts in force
13 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
14 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
D
*prorated for part time physicians
50%
to $20,000 – tax free
Max accrual: 8 weeks (320 hours) Maximum duration: 166 days Feature
Own Specialty Age 65 3 years; then Own Occupation (physician) COLA 3% year No Rate $1.50/ $100.00 $0.58/ $100.00
15 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
w3.unum.com/enroll/mapmg
(max age at enrollment – 80)
– Amount of benefit received depends on where care is received Nursing Home: 100% Assisted Living: 60% Total Home Care: 50%
– Plan fully paid for at greater of age 65 or 15 years
EOI Payment You Over $5,000 Payroll deduction Family Members All amounts Payroll deduction – spouse All others: direct bill
16 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
17 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
Inclusive of time taken for CME activities
(based on 40 hour M-F work week)
(based on 40 hour M-F work week)
for PEP and Board Cert]
18 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
CME Amount covered What is covered Website/System Contact $3,000 prorated based on start and termination dates
www.mymapmgbenefits.com
PEP System Or UltiPro Self Service MAPMG Benefits
MAPMG-Benefits@kp.org
(301) 816-7192 BLS/ACLS/PALS
mymapmgbenefits.com – PEP System
BOARD CERTIFICATION Amount covered What is covered Website/System Contact No maximum- total cost of required elements covered
www.mymapmgbenefits.com
PEP System (Board Certification Tab) MAPMG Benefits
MAPMG-Benefiits@kp.org
(301) 816-7192 LICENSES/HOSPITAL PRIVILEGES Amount covered What is covered Website/System Contact No maximum- total cost covered
www.mymapmgbenefits.com
License and Affiliation Expense Reimbursement System Professional Staff Office (PPQA)
PPQA-MAS@kp.org
(301) 816-5853 OTHER EXPENSES Amount covered What is covered Website/System Contact No maximum- total cost covered
https://onelinkfscm.kp.org/
OneLink IT Help Desk (888) 457-4872
This is a summary of Professional Reimbursements for Physicians. It is not a binding document. CME and Board Certification Reimbursements will be made in accordance with their respective policies located within the PEP system at www.mymapmgbenefits.com. All MAPMG Board Policies may be found on the Company Page at https:/www.mapmgsso.ultipro.com Rev 3/19
19 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
20 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
– $19,000 in 2019 plus additional $6,000 if age 50+ – Rollovers from previous employer plans accepted – contact Fidelity
– Target Date Funds (default) – Approximately 23 mutual funds of varying risk tolerance – BrokerageLink Option
21 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
22 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
$14,000 (into Fidelity)
$3,750 (paycheck- taxed)
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23 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
24 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.
Highest Average Compensation* x 2% x years of Credited Service up to 20 yrs plus Highest Average Compensation x 1% x years Credited Service over 20 years
HAC = highest average 3 years out of last 10 years worked, limited by IRS
* Up to IRS compensation limit ; 2019 IRS compensation limit = $280,000
25 Mid-Atlantic Permanente Medical Group, P.C. | For internal use only.