Sedgwick County...working for you

Contact

  • Human Resources Director Eileen McNichol

    Eileen McNichol
    Director

    p. 316.660.7050
    f. 316.383.7288

    510 N. Main
    Wichita, KS 67203

Healthy Benefits Plans

Medical Plan

Preferred Health Systems/Coventry

Whether you use your medical coverage for planned, unexpected or catastrophic expenses, everyone needs some level of medical care protection. REMEMBER: Choose the plan that best fits your medical needs. Review the medical comparison chart below to help you understand the coverage levels and plan designs. The Preferred Health System website lists the participating doctors in the plan's network.

PPK PHS/Coventry makes every effort to answer all of your questions, but if you have additional questions about a health plan, have a service problem, or need provider information call:

(316) 609-2390 (Wichita) or 1-800-660-8114
email: phsimail@phsystems.com
Website: www.phsystems.com

You have the following medical plan choices:

  • PHS/Coventry POS Plan
  • Medical Opt-Out

Summary of Plan Cost

  PHS/Coventry
Plan Rates
(pharmacy included)

Single Per Pay Period
$10.68
2-Person Per Pay Period
$21.35
Family Per Pay Period
$30.96

Plan Deductible PCP Option Self-Referral Option
Individual
$1,000
2-Person
or Family
$2,000
Individual
$2,000
2-Person
or Family
$4,000
Coinsurance -
Member Responsibility (after deductible unless otherwise noted)
20% of
Allowed
Amounts
40% of
Allowed Amounts

Urgent vs. Emergent Care

Preferred Health Systems offers a telephone triage/medical advice line called Preferred Advice Line (PAL). The service helps members who are experiencing signs of illness or injury assess whether they need to go to the emergency room, visit their doctor, or begin self care at home. Members can call1-866-221-6515 to receive toll free access to medical advice from a registered nurse 24 hours a day, 7 days a week. To ensure coverage, call your family physician or PAL before seeking care for urgent conditions.

With Preferred Health Systems’ insurance, you are covered for emergency care when illness or injury strikes you or your covered family members. However, it is important to know the difference between an emergency medical condition and urgent care so that you can maximize your health care benefits.

Urgent Care

An urgent care situation is an unexpected illness or injury that needs prompt medical attention, but is not an immediate threat to your life. Examples include headaches, back or joint pain, flu symptoms or earaches. These are times when care is necessary but not critical. Medical conditions that are not an emergency should be treated in your family physician’s office or at a contracting urgent care center. Talk to your physician about what to do if you or a family member experiences a non-life threatening situation that needs prompt attention. They may be able to give you instructions over the phone. Physicians are available 24 hours a day to help you get the care you and your family need. Their office will instruct you on how to reach them. In most cases, non-emergent care is not covered when received in a hospital emergency room.

Emergent Care

If you have an emergency medical condition such as difficulty breathing, suspected heart attack, uncontrolled bleeding, unconsciousness or severe burns, try to use a contracting hospital emergency room (Wesley Medical Center or Via Christi) to maximize your benefits.

Dental Plan

Delta Dental of Kansas - Group 90192

Delta Dental is the leading and largest group dental coverage provider in the United States. You are free to go to any dentist of your choosing; however, there will be a difference in payment if the dentist is not a participating dentist with Delta Dental. This dental plan has no deductibles. It offers employees a preventative care service at 100 percent (two checkups and cleanings annually and one set of x-rays). To encourage employees to take responsibility for their health, a preventive care incentive is included.  Basic services, such as cavity fillings.  Basic services are covered up to 80 percent for employees who receive annual dental exams.  Basic services will be covered only at 50 percent for employees who do NOT receive annual exams.  Major services or orthodontia are covered at 50 percent. The maximum annual benefit per person is $1,000. Adult and dependent orthodontia expenses are covered up to a lifetime maximum of $1,500.

Delta Dental of Kansas
(316) 264-4511 or toll free 1-800-234-3375.
www.deltadentalks.com.

Dental Opt-out

You may elect to opt-out of dental coverage without other dental coverage. However, you will not be permitted to elect a dental plan until the next open enrollment period, unless you have a qualifying family status change.

Vision Plan

Superior Vision - This vision plan has a $10 co-pay, in-doctor network amount for eye examinations. Full exams and prescription lenses or contact lenses are covered in full every 12 months, and frames are covered up to $130 every 24 months. Covered lenses are covered up to $150 every 12 months. If you decide not to see a Superior Vision doctor, you will receive a reduced benefit and typically pay more out of pocket. For out-of-network providers, you are required to pay the provider in full at the time of your appointment and submit a claim to Superior Vision for partial reimbursement. If you have any questions about the plan or you decide to see a provider outside the network, call Superior Vision customer service at 1-800-507-3800 or visit their website at www.superiorvision.com.

  1. Find a Superior Vision provider at www.superiorvision.com or call 1-800-507-3800.
  2. Make an appointment and tell the doctor you are a Superior Vision member.
  3. Your doctor and Superior Vision will handle the rest.

Sedgwick County...working for you

Mission: To assure quality public services that provide for the present and future well-being of the citizens of Sedgwick County.