Lowest payroll contributions
Highest payroll contributions
Lowest Deductible
Highest Deductible
You pay 100% for prescriptions, doctor visits, and all covered services that are not considered Preventive Care until you meet your Deductible.
The plan comes with a Health Reimbursement Account (refer to “What is a Health Reimbursement Account?” on page 10 for more information). When one or more dependents are covered under the plan, the plan includes an Embedded Out-of-Pocket Maximum, which means you will not pay more than this amount in a calendar year for any individual covered under the plan. When one or more dependents are covered under the plan, the plan includes an Embedded Deductible. When expenses are applied toward an Embedded Deductible, they are also applied toward the shared family Deductible. After you meet your Deductible, you and the plan pay Coinsurance until you reach your Out-of-Pocket Maximum. You pay a Copay when you visit an urgent care center or a doctor’s office for covered services that are not considered Preventive Care. You pay Coinsurance for prescription drugs, up to a certain amount. For all other covered services that are not considered Preventive Care, you pay 100% until you meet your Deductible.
Click here to see the prescription drugs that are covered under this plan at 100%.
When one or more dependents are covered under the plan, the family Deductible is shared.
The plan comes with a Health Savings Account (refer to “What is a Health Savings Account?” on pages 11 and 12 for more information). When one or more dependents are covered under the plan, the plan includes an Embedded Out-of-Pocket Maximum, which means you will not pay more than this amount in a calendar year for any individual covered under the plan. After you meet your Deductible, you and the plan pay Coinsurance until you reach your Out-of-Pocket Maximum.
Refer to the Glossary of Terms on page 3 for the definitions of the words in bold orange print above
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