Summary Plan Documents provide details about benefit coverage and plan exclusions for the Greater Charlotte Market.
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed- amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
At times, a teammate may ask for an exception to a benefits plan or policy (a separate appeals process applies to Health Benefits1). Examples of appeals may include situations like enrollment outside of open enrollment or in absence of a qualifying life event such as out of country travel or a significant health condition. In certain situations, a process exists for filing a formal appeal. The process is as follows:
1The LiveWELL Health Plans have a separate appeal process through MedCost. Please see the LiveWELL Health Plans Summary Plan Description (SPD) for details on how to submit a request for appeal.
Refer to these resources for additional information: