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Thank you for watching this presentation about your health insurance benefits through Missouri Consolidated Health Care Plan.
Hello, my name is Tiffany.
From this Web site, you can review benefit and premium information, and link to the health care plans. Today I'll explain the benefits of the Mercy HMO plan. To review your prescription drug benefits through Express Scripts, INC please watch the pharmacy plan video.
The Mercy HMO is available only to members living in the Southwest and South Central regions of the state. Since this plan is an HMO, there are no non-network benefits except in the case of Emergency or Urgent Care. Links to view participating providers are available on this website.
Preventive services are covered at 100%.
The office visit copayment is $25 for your primary care physician (PCP) and $35 for specialists. You need a referral from your PCP to see a network specialist. The inpatient hospital copayment is $300 per admission. Outpatient surgery has a $100 copayment. The urgent care copayment is $35 and the copayment for an emergency room visit is $100. These copayments apply for both network and non-network providers.
If you are admitted to the hospital from the emergency room, then the ER copayment is waived and the inpatient copayment applies.
For more detailed benefit information, please refer to this website. Don't forget that the pharmacy benefits are explained in a separate video. If you have any questions, please feel free to contact MCHCP at 800-487-0771.
Thank you for watching this presentation about the Mercy HMO Plan.