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EMPLOYEE BENEFITSGUIDEPrepared By Sentinel | sentinelra.comHigh Point Pediatrics2023 - 2024This guide provides an overview of the health and welfare benefits provided to you by High Point Pediatrics. The goal of this benefits package is to help you and your eligible dependents enjoy increased well-being and financial security.

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits GuideAs an employee of High Point Pediatrics, enjoying your work and making valuable contributions to business are equally vital. The health, satisfaction and security of you and your family are important, not only to your well-being, but ultimately, in terms of achieving the goals of our organization.For the 2023 – 2024 plan year, High Point Pediatrics has worked hard to offer a competitive total rewards package that includes valuable and competitive benefit plans. These programs reflect our commitment to keeping our staff healthy and secure. We understand that your situation is unique, and High Point Pediatrics is offering an overall benefits package that can be shaped and molded by you to fit your needs.This benefits booklet is a summary description of your benefit plans. If there is a discrepancy between these summaries and the written legal plan documents, the plan documents shall prevail. This booklet and plan summaries do not constitute a contract of employment.We hope this benefits booklet, along with our additional communication and decision-making tools, will help you make the best health care choices for you and your family.2023 - 2024High Point PediatricsINTRODUCTIONEligibility & EnrollmentBenefits BeginDate of hire (Medical)First of the month following 90 days (Dental)First day following 90 days of employment (Vision)Benefits EndLast day of employment (Medical)End of the month following termination (Dental & Vision)Dependents Your legal spouse (same or opposite sex)and/or your dependent child(ren) up to the age of 26As a full-time employee working 30+ hours/week you are eligible for benefits. You can enroll or make changes during our annual enrollment period or if you experience a qualifying life event during the year. Qualifying Life Events include changes in marital status, employment status, birth or adoption of a child, death of a dependent, entitlement to Medicaid or Medicare, loss of other coverage or eligibility of dependents.

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024High Point PediatricsPlan Comparison with Your CostIn-Network Silver 300o Plan Gold 2000 PlanBenefit Period Plan Year: 3/1 – 2/28 Plan Year: 3/1 – 2/28Deductibles (Individual / Family) $3,000 / $6,000 $2,000 / $4,000Preventive Care No Charge; Covered at 100% No Charge; Covered at 100%Primary Care Visit $55 Copay $30 CopaySpecialist Visit $110 Copay $60 CopayOutpatient Procedure 30% after Deductible 20% after DeductibleInpatient Visit 30% after Deductible 20% after DeductibleEmergency Room $1,500 Copay $600 CopayUrgent Care $110 Copay $60 CopayTelehealth via Teladoc $10 Copay $10 CopayPharmacy – Cost per 30 Day SupplyTiers 1 - 6$100 Rx Deductible($15/$35/$45/$90/25%/50%)*No Rx Deductible($4/$15/$35/$50/25%/50%)**Out-of-Pocket Max $8,700 / $17,400 $6,250 / $12,500MEDICALThe chart below is an overview of the In-Network benefits. Out-of-Network benefits are available. Please review your Blue Cross Blue Shield of North Carolina (BCBSNC) plan documents for additional details.*For each 30-day supply of a Tier 5 Drug, you will pay a minimum of $90 in coinsurance, but no more than $200. For Tier 6 Drug, you will pay a minimum of $200 in coinsurance, but no more than $300. **For each 30-day supply of a Tier 5 Drug, you will pay a minimum of $50 in coinsurance, but not more than $100. For Tier 6 Drug, you will pay a minimum of $50 in coinsurance, but not more than $200

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024High Point PediatricsWellness and Health ManagementUnderstanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms and immunizations. Through the plans offered by High Point Pediatrics, all covered individuals and family members are eligible to receive routine wellness services like these, at no cost; all copays, coinsurance, and deductibles are waived.Which Preventive Care Services Are Covered?The US Preventive Services Task Force maintains a regular list of recommended services that all Affordable Care Act (i.e., Health Care Reform) compliant insurance plans should cover at 100% for in-network providers. Below is a list of common services that are included in the plans offered this year:• Routine physical exam• Well baby and childcare• Well women visits• Immunizations• Routine bone density test• Routine breast exam• Routine gynecological exam• Screening for Gestational diabetes• Obesity screening and counseling• Routine digital rectal exam• Routine colonoscopy• Routine colorectal cancer screening• Routine prostate test• Routine lab procedures• Routine mammograms• Routine pap smear• Smoking cessation• Health education/counseling services• Health counseling for STDs and HIV • Testing for HPV and HIV• Screening/counseling for domestic violencePREVENTIVE CAREPricing Per Pay Period Silver 300o Plan Gold 2000 PlanEmployee $0.00 $50.81Employee + Spouse $0.00 $101.62Employee + Child(ren) $0.00 $94.00Family $0.00 $157.51Your Cost

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits GuideEmployees and dependents enrolled in our medical have access to telemedicine through Teladoc. Telemedicine provides acute and behavioral care 24 hours a day via phone or video by board-certified doctors and behavioral health specialist. Telehealth is a good option for minor health problems when you can’t see your regular doctor. It is also a convenient choice when you want to speak to a counselor or therapist. Some providers will also offer telehealth appointments. Check with your provider on the availability and cost.How Does Telehealth Work?Your virtual visit will take place via phone, video call on a laptop, tablet or cellphone; or through an app. The provider will ask you the same questions you'd be asked at an in-person visit and may recommend treatment based on their findings.What Can’t Telehealth Be Used For?• Life-threatening or emergency situations • Situations in which diagnostic care (e.g., blood work, imaging or lab tests) are required• Situations of severe illness or complex conditionsHow Do I Access Telehealth?There are 3 ways to access Teladoc:• Download the Teladoc mobile app• Go to Teladoc.com and click “Log in/Register”• Call 1-800-835-2362Refer to your plan documentation for more information.TELEHEALTH2023 - 2024High Point PediatricsWhat Can Telehealth Be Used For?General, non-life-threatening doctor's visits or consultations for acute care, such as:• Allergies• Cough, cold and flu• Diarrhea, nausea and vomiting• Ear problems• Insect bites• Sinus problems• Urinary problems• And moreBehavioral health issues such as:• Addictions• Anxiety• Depression• Grief and loss• Relationship issues• And more

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024High Point PediatricsSummary of CoverageCoverage Provided by Kansas City Life In-NetworkBenefit Period Calendar Year: 1/1/ - 12/31Annual Deductibles(Individual / Family)No DeductiblePreventive Care No Charge; Covered at 100%Basic Procedures (extractions, fillings, etc.)Covered at 80%Major Procedures(crowns, dentures, etc.)Covered at 50%Benefit Period Maximum Benefit $1,000 per covered memberDENTALBelow is a high-level summary of our dental benefits. While Out-of-Network coverage is available, using an In-Network provider will result in less out of pocket expenses. In-Network dentist cannot balance bill you for the amount over the allowable charges. Please review your plan documents for additional details.Your CostLate entrant penalties may apply.Pricing Per Pay PeriodEmployee $19.85Employee + Spouse $39.26Employee + Child $44.99Employee + Family $70.09

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024High Point PediatricsSummary of CoverageCoverage provided by Companion Life In-NetworkRoutine Eye Exam* $10 CopayContact Lens Fitting* $10 CopayEyewear*Reimbursement for cost of eyewear up to $135 minus $10 CopayThis allowance can be applied to frames, spectacle lenses, contact lenses, special lens options, or any combinationVISIONOur vision coverage is provided by Companion Life . Please review your plan documents for additional details.Pricing Per Pay PeriodEmployee $3.47Employee + Spouse $7.24Employee + Child(ren) $6.92Employee + Family $10.36Your Cost*Once in a 12-month period define by last day of service

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2023 - 2024High Point PediatricsCarrier ResourcesBENEFIT CARRIER GROUP # PHONE NUMBER WEBSITEMedical Blue Cross Blue Shield of NC 14168844 888-206-4697www.bluecrossnc.comDental Kansas City Life 22508 800-874-5254https://www.kclgroupbenefits.com/EmployeesVision Companion Life 907-99-76119 877-676-5789 www.companionlife.comHow to access ID CardsBENEFIT HOW TO ACCESSMedicalPersonalized cards are issued and mailed to your home address;electronic copies can be accessed via www.bluecrossnc.comDentalGeneric ID cards can be accessed via the following link:https://www.kclgroupbenefits.com/Employees/RequestIDCardVisionPersonalized cards are issued and mailed to your home address;Electronic cards can be accessed via www.myonlinebenefit.com

EMPLOYEE BENEFITS GUIDEPrepared By Sentinel | sentinelra.com2023 - 2024High Point Pediatrics