MEMBERSHIP

Employers frequently provide group health benefits in their employee benefits package, and it is usually less expensive than buying health insurance separately because employers typically cover more than half of the premiums. Kare KONEC offers specialized healthcare coverage and benefits through employer-sponsored organizations to support your healthcare journey.

Furthermore, we are committed to market-based solutions for individuals and families, including low-cost health, dental, and vision coverage. In addition, you may be eligible for subsidies to help you save money on health coverage. We improve healthcare quality while making coverage more affordable and accessible to all. Working together, we are guiding Greater Health into the twenty-first century.

Your member ID card

What you need to know about using your card

When you sign up for our Health Benefit Plan, Our Member Service Department will send a member identification (ID) card to you and your covered family members. Your member ID card (or health plan ID card) is proof that you have health benefits with us. Keep your member’s ID card handy when you:

• Go to the doctor
• Go to the hospital
• Have lab work done
• Get a prescription filled (if your plan has drug coverage)

Examples of information found on member ID cards

Here are some examples of Kare KONEC Health Plan ID cards. Your member ID card may vary depending on your specific health coverage.

Members with insurance through your employer

Your member ID number and group number allow healthcare providers to verify your coverage and file claims for health care services. These numbers also help Kare KONEC represenatives answer questions about your benefits and claims.

Here are some examples of Kare KONEC member ID cards. Your member ID card may vary depending on your specific health plan and coverage

• Member ID number: A unique member ID number that links to your specific health benefits and coverage.
• Group number: This number is unique to your company and is the same for all employees who participate in the insurance plan.
• Member/dependents: Your name (if you’re the policyholder) and other family members covered under your health benefits.
• PCP: Primary Care Provider. The Exclusive Provider Organization (EPO) requires members to choose a primary care provider (PCP). If required, your PCP will be listed on your member ID card. A PCP is your main point of contact for most health issues or concerns. It can be a licensed physician, nurse practitioner, clinical nurse specialist or physician assistant.
• Copay: If your plan has copays, the copay for certain services may be listed on your member ID card. Your co-pay is the fixed amount you pay for certain covered health care services. It is usually paid when you receive the service.
• Your network: Before selecting a primary care provider (PCP), check that they are in your plan network. You can call the service number on your member ID card, or sign in to your member account and search the provider directory.
• Referrals required: If this appears on your card, check your benefit plan documents to see which services may require a referral (or recommendation) from your PCP for medical care beyond what your PCP can provide.

The back of your card includes contact information for providers to submit claims. It also includes our website and health plan phone number, where you can check benefits, view claims, find a doctor, ask questions and more.