One Plan. Two options. Same customer service with a
personal touch.
A health plan your way.
More options. More flexibility.
The Network Plus "Plus" benefit gives members access to a greater number of contracted providers. Members may switch back-and-forth between the traditional, premier providers in the Exclusive Provider Organization (EPO) network from Kern Legacy Share Select or use a Plus-level provider--all at the member's choice. Members pay a higher 20% coinsurance (after deductible) per Plus service used, with no change in biweekly premiums. EPO services remain low, or no, cost to the member.
Kern Legacy Network Plus uses the County's local, independently-owned Kern Health Care Network, previously used for the County of Kern Point of Service (POS) Plan (prior to 2016). With a few exceptions, Network Plus members have access to a similar list of local providers as Kern Legacy Classic Choice, either on the EPO-level network or on the expanded Plus-level network.
Reduce Your Premium Payments... Not Your Choices.
Member premium costs are lower for Kern Legacy Network Plus, which could save you up to thousands of dollars annually. Should you need to access services and you choose to use a Plus-level provider, you can use those savings to pay your deductible and coinsurance. You may still see an annual savings, depending on use.
| Sample Cost of Having a Baby |
Member Cost EPO (Kern Medical) |
Member Cost* Plus-level Hospital |
|
| Hospital charges (mother) |
$2,700 |
$0 |
$540 |
| Hospital Charges (baby) |
$900 |
$0 | $180 |
| Anesthesia |
$900 |
$0 | $180 |
| Laboratory Tests |
$500 |
$0 | $100 |
| Radiology | $200 |
$0 | $40 |
| Total Services Cost |
$5,200 |
$0 | $1,040 |
| Maximum Premium Savings** |
|
($3,522) | ($2,482) |
*Plus-level member costs depend on the actual cost of services and depend on contracted network rates. Out-of-pocket for Plus services are always 20% coinsurance after deductible of $250/individual and $500/family.
**Savings compares "family" premium with PPO Dental and VSP Vision for Kern Legacy Network Plus and
Kern Legacy Classic Choice (formerly called the POS Plan). Actual savings depends on use.
Check to See if Your Provider is in the "Plus" Network
Contact Kern Legacy Member Services for more information:
661-868-3280 (option 1, then option 5)
KLHP@kernlegacyhp.com
www.kernlegacyhp.com
1115 Truxtun Ave, First Floor
Bakersfield, CA 93301
The benefits and service you love. Plus.