Medical + Prescription Plans

The best medical plan is the one that meets the needs of you and your family.

Medical & Prescription Plan Options

Pick from one of three different medical plan choices. Each is structured differently in terms of copays, premiums and deductibles.

Core PPO Plan

This summary is assuming in-network coverage. Refer to the Benefit Plan Booklet for detailed coverage information.

Weekly Premiums:

  • Employee: $0.00
  • Employee/Spouse: $20.77
  • Employee/Child: $13.67
  • Employee/Spouse/Child: $25.75

Deductible:

  • Individual: $4,000
  • 2 Individuals: $8,000
  • 3+ Individuals: $8,000

Out-of-Pocket Max (includes deductible):

  • Individual: $7,000
  • 2 Individuals: $14,000
  • 3+ Individuals: $14,000

Office Visits & Specialists:

  • Preventive Care Visit: Covered 100%
  • PCP Office Visit: $40 copay
  • Chiropractic Care: $60 copay
  • Specialist Office Visit: $60 copay
  • Physical/Speech/ABA Therapy: 70% after deductible, unlimited visits

Emergency & Hospitalization:

  • Inpatient Hospital: 70% after deductible
  • Emergency Room: 70% after deductible
  • Urgent Care: $75 copay

Prescriptions:

  • Generic: $10 copay
  • Preferred: 30% – $25/$75
  • Non-Preferred: 50% – $50/$100
  • Specialty Medications: 50% to $250 copay

Health Investment
Plan

This summary is assuming in-network coverage. Refer to the Benefit Plan Booklet for detailed coverage information.

Weekly Premiums:

  • Employee: $17.28
  • Employee/Spouse: $41.17
  • Employee/Child: $27.09
  • Employee/Spouse/Child: $51.05

Deductible:

  • Individual: $2,000
  • 2 Individuals: $3,400
  • 3+ Individuals: $4,000

Out-of-Pocket Max (includes deductible):

  • Individual: $4,000
  • 2 Individuals: $7,000
  • 3+ Individuals: $8,000

Office Visits & Specialists:

  • Preventive Care Visit: Covered 100%
  • PCP Office Visit: 80% after deductible
  • Chiropractic Care: 80% after deductible
  • Specialist Office Visit: 80% after deductible
  • Physical/Speech/ABA Therapy: 80% after deductible, unlimited visits

Emergency & Hospitalization:

  • Inpatient Hospital: 80% after deductible
  • Emergency Room: 80% after deductible
  • Urgent Care: 80% after deductible

Prescriptions:

  • Preventive Medications (Blood Pressure and Cholesterol Lowering): Covered 100%
  • Generic: $10 copay after deductible
  • Preferred: 30% – $25/$75 after deductible
  • Non-Preferred: 50% – $50/$100 after deductible
  • Specialty Medications: 50% to $250 copay after deductible

Health Investment
Plan

This summary is assuming in-network coverage. Refer to the Benefit Plan Booklet for detailed coverage information.

Weekly Premiums:

  • Employee: $17.28
  • Employee/Spouse: $41.17
  • Employee/Child: $27.09
  • Employee/Spouse/Child: $51.05

Deductible:

  • Individual: $2,000
  • 2 Individuals: $3,400
  • 3+ Individuals: $4,000

Out-of-Pocket Max (includes deductible):

  • Individual: $4,000
  • 2 Individuals: $7,000
  • 3+ Individuals: $8,000

Office Visits & Specialists:

  • Preventive Care Visit: Covered 100%
  • PCP Office Visit: 80% after deductible
  • Chiropractic Care: 80% after deductible
  • Specialist Office Visit: 80% after deductible
  • Physical/Speech/ABA Therapy: 80% after deductible, unlimited visits

Emergency & Hospitalization:

  • Inpatient Hospital: 80% after deductible
  • Emergency Room: 80% after deductible
  • Urgent Care: 80% after deductible

Prescriptions:

  • Preventive Medications (Blood Pressure and Cholesterol Lowering): Covered 100%
  • Generic: $10 copay after deductible
  • Preferred: 30% – $25/$75 after deductible
  • Non-Preferred: 50% – $50/$100 after deductible
  • Specialty Medications: 50% to $250 copay after deductible

Premier PPO Plan

This summary is assuming in-network coverage. Refer to the Benefit Plan Booklet for detailed coverage information.

Weekly Premiums:

  • Employee: $34.93
  • Employee/Spouse: $79.53
  • Employee/Child: $60.59
  • Employee/Spouse/Child: $105.24

Deductible:

  • Individual: $1,000
  • 2 Individuals: $2,000
  • 3+ Individuals: $2,000

Out-of-Pocket Max (includes deductible):

  • Individual: $4,000
  • 2 Individuals: $8,000
  • 3+ Individuals: $8,000

Office Visits & Specialists:

  • Preventive Visit: Covered 100%
  • PCP Office Visit: $25 copay
  • Chiropractic Care: $40 copay
  • Specialist Office Visit: $40 copay
  • Physical/Speech/ABA Therapy: 80% after deductible, unlimited visits

Emergency & Hospitalization:

  • Inpatient Hospital: 80% after deductible
  • Emergency Room: 80% after deductible
  • Urgent Care: $50 copay

Prescriptions:

  • Generic: $10 copay
  • Preferred: 30% – $25/$75
  • Non-Preferred: 50% – $50/$100
  • Specialty Medications: 50% to $250 copay

You've got Teladoc

When you enroll in a health plan, you and your dependents have access to Teladoc for telehealth services. Teladoc is available 24 hours a day, 7 days a week, and provides telephone or video conference appointments for unexpected, non-life-threatening healthcare needs.

Talk to a doctor anytime, anywhere by phone or video.
• Use your phone, the app, or the website to create an account and complete your medical history
• Request a time and a Teladoc doctor will contact you
• The doctor will diagnose symptoms and send a prescription if necessary

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