Medical and Pharmacy Coverage
Loop Recruiting offers the following plans through AllState Benefits and offers “in and out-of-network” benefits.
Insurance Carrier:
AllState Benefits Medical Insurance Cigna OAP Open Access Plan Network
Medical Plan:
In-Network: Office Visit Copay - Primary Care
$40 Copay
Office Visit Copay - Specialist Care
$60 Copay
Urgent Care Copay
$75 Copay
Emergency Room Care
20% Coinsurance; after deductible
Preventative Visit Copay
$0
Diagnostic Testing & Blood Work
20% Coinsurance; after deductible
Imaging
20% Coinsurance; after deductible
Coinsurance
20%
Employee Deductible
$3,000
Family Deductible
$6,000
Employee Out-of-Pocket Max
$7,900
Family Out-of-Pocket Max
$15,800
Inpatient Hospital
20% Coinsurance; after deductible
Outpatient Hospital or Facility
20% Coinsurance; after deductible
Out-of-Network: Coinsurance
50%
Employee Deductible
$6,000
Family Deductible
$12,000
Employee Out-of-Pocket Max
$23,700
Family Out-of-Pocket Max
$47,400
Prescription Drugs: ( 30 Day Supply) Tier 1 - Generic
$20 Copay
Tier 2 - Preferred
$50 Copay
Tier 3 - Non-Preferred
$75 Copay
Tier 4 - Specialty
20% Coinsurance
Bi-Weekly Payroll Deduction Employee Only
$71.84
$294.54 $208.34 $402.33
Employee + Spouse Employee + Child(ren)
Family
4
LOOP RECRUITING 2023 BENEFITS GUIDE
Made with FlippingBook - professional solution for displaying marketing and sales documents online