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Selections® Plan

Boeing Employee Benefits

    • Higher level of benefits available when your Personal Care Provider (PCP) coordinates your care
    • $10 copay for each outpatient professional visit to a network provider
    • Benefits for preventive care without copay or coinsurance
 

Coverage at a Glance

Deductible: $400 individual (extended network only)
Annual OOP Max: $2,000 individual; $4,000 family (extended network only)
Lifetime Max: $1,500,000 individual
Copay: $10 office visit; $50 emergency room
Coinsurance: 20% network; 20%;40% extended network
Network(s): Selections Network
   
Yes Preventive Care
Yes Hospital Services
Yes Emergency Room
Yes Mental Health
Yes Substance Abuse
Yes Alternative Care
Yes Prescription benefits
Yes Vision
Yes BlueCard®
 

Basic Features

Deductibles:
  • $400 individual
  • Extended network only
  • No family deductible
Annual OOP Max:
  • $2,000 individual
  • $4,000 family
  • Extended network only
  • Deductible does not apply
Lifetime Max:
  • $1,500,000 individual
Coinsurance:
  • 20% network
  • 20%; 40% extended network
Preventive Care:
  • 100% network. No copay required. Not subject to deductible.
  • Extended network care is not covered except for mammograms at 60% and dependent students outside the service area at 80%. Subject to deductible.
Office Visits:
  • 100% network after $10 copay. Not subject to deductible.
  • 60% extended network. Subject to deductible.
Diagnostic x-ray and
Laboratory Services:
  • 100% network. Not subject to deductible.
  • 60% extended network. Subject to deductible.
Hospital Services:
  • 100% network. Not subject to deductible.
  • 60% extended network. Subject to deductible.
Emergency Room:
  • 100% network and extended network after $50 copay
  • Deductible does not apply
  • Emergency room treatment is paid at the network level when the condition meets the definition of a medical emergency. Refer to the Guide to Benefits below for more information.
Mental Health:
  • Inpatient: 100% network (limited to 30 days per benefit year and not subject to deductible); 50% extended network (limited to 30 days per benefit year and subject to deductible)
  • Outpatient: 100% network after $10 copay (limited to 30 visits per benefit year and not subject to deductible); 50% extended network (limited to 30 visits per benefit year and subject to deductible)
  • To receive benefits for mental health treatment, you must contact the Boeing Helpline (ValueOptions) at 1 (800) 892-1411.
Substance Abuse:
  • Inpatient: 100% network (not subject to deductible); 50% extended network (subject to deductible)
  • Outpatient: 100% network after $10 copay (not subject to deductible); 50% extended network (subject to deductible)
  • To receive benefits for substance abuse treatment, you must contact the Boeing Helpline (ValueOptions) at 1 (800) 892-1411.
Alternative care:
  • 100% network after $10 copay. Not subject to deductible.
  • 60% extended network. Subject to deductible.
  • Limited to a combined total of 26 spinal and extremity manipulation visits per benefit year.
  • Limited 12 acupuncture visits per benefit year.  
  • Alternative care includes services received by acupuncturists, chiropractors, massage therapists, naturopaths, and nutritionists.
Prescriptions:
  • Generic: $5 retail copay; $10 mail-order copay
  • Brand-name formulary: $15 retail copay; $30 mail-order copay
  • Non-formulary: $30 retail copay; $60 mail-order copay
  • Not subject deductible
Vision:
  • 100% network after $10 copay. One exam per benefit year. Not subject to deductible.
  • Extended network exams are not covered
  • Two pairs of lenses and frames, or contact lenses every two benefit years

Benefit Summary

To view, save, or print a copy of the Benefit Summary, you will require Adobe® Acrobat® Reader. If you do not have Acrobat® Reader, you can download a free copy from Adobe®.

 

Guide to Benefits

To view, save, or print a copy of the Guide to Benefits booklet, you will require Adobe® Acrobat® Reader. If you do not have Acrobat® Reader, you can download a free copy from Adobe®.


If you would like a hard copy of the Guide to Benefits booklet mailed to you, use the secure Request Information form or contact Regence Boeing Customer Service at 1 (800) 422-7713.

This information is provided as confirmation of benefits available under the Selections Plan for Boeing employees, early retirees, and their families and should not be construed as a guarantee of coverage for any services. The final determination on all claims is made upon their submittal to the plan.

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