Northern California Physician “Benefits Overview”
Health Benefits: Medical Coverage

TPMG provides health care coverage for you, your spouse/domestic partner, and dependent children through two Plans:

Kaiser Foundation Health Plan:

	Premiums are corporate paid
	Coverage begins on date of hire
	Provides comprehensive health care coverage for services provided at Kaiser Permanente Medical Centers. No office visit co-payment required
	Kaiser coverage includes:
	Comprehensive inpatient and outpatient health care services Adult and child well care Eye examinations and certain optical benefits Prescription drugs ($5.00/co-payment per prescription required)

Supplemental Medical Plan (administered by CBCA Administrators):
	Premiums are corporate paid
	Provides medical coverage for some health care services not covered by Kaiser
	Provides mental health services for physicians and eligible dependents in addition to, or instead of, those provided by your Kaiser coverage
	Prescriptions for mental health drugs written by non-Kaiser physicians will be reimbursed at the co-payment rate of $5 per prescription, and without the requirement to first meet the annual individual $100 deductible
	Plan covers eligible charges within certain limitations after required deductibles and co-payments are satisfied. See Summary Plan Description for further information
	$1 million lifetime maximum per person
	Claims for services received must be submitted for reimbursement within 12 months of the date services were incurred