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Medical Overview

Choose from two medical plan options: HSA or PPO.

Tenneco offers two options for medical coverage to help you and your family with medical expenses: the HSA Medical Plan, which comes with a Health Savings Account (HSA), and the PPO Medical Plan. You choose the plan that best fits your and your family’s health care needs and budget.

Both medical plans cover the same services—from preventive care and office visits to prescription drugs, hospital services and telemedicine. The difference is in how you and the plan share costs for those services.

While both plans cover in-network and out-of-network care, you’ll pay more if you go out-of-network. For the highest benefits, use in-network providers. The chart below gives a high-level look at how your medical options compare when it comes to in-network care. For more details, including out-of-network benefits, see the HSA Medical Plan or PPO Medical Plan.

If you’re enrolled in either Tenneco medical plan, you and your eligible dependents also have 24/7 access to board-certified physicians from the comfort of your home, office or wherever you are, through Teladoc.

Medical Options at a Glance
In-Network Benefits

  HSA Plan PPO Plan
HSA-Eligible? Yes No
HSA Funding $250 seed + match up to $500 Not applicable
Annual Deductible (Single/Family) $1,600 / $3,200 $750 / $1,500
Annual Out-of-Pocket Maximum (Single/Family) $3,750 / $7,500 $4,250 / $8,500
Office Visits You pay 20% after deductible You pay $30 Primary Care Physician / $60 Specialist
Inpatient/Outpatient Care You pay 20% after deductible You pay 20% after deductible
Emergency Room You pay 20% after deductible Plan pays 100% after you pay $150 copay
Prescription Drugs Medical deductible applies Medical deductible does not apply

BLUE SELECT NETWORKS

The HSA Medical Plan and PPO Medical Plan offer (in certain geographical areas) high-performance provider Blue Select Networks with high-quality, cost-efficient care. While most current providers participate in the Blue Select Network, provider affiliations vary and are subject to change. Credence BCBS will notify you directly and issue a new medical ID Card if your geographic location becomes part of the Blue Select Network. It is always recommended to check if your provider is in network, which can easily be done via credenceblue.com or 877-733-4375.

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