Spear PT - 2026 Benefit Guide

Benefits for 2026

Medical – The Centivo Advantage plan provides access to great medical care, $0 deductible and our lowest payroll deductions.

SUMMARY OF COVERAGE

Plan Features

Centivo Advantage

IN NETWORK

Deductibles (Indiv / Family)

$0 / $0

Out-of-Pocket Max (Indiv / Family)

$3,000 / $6,000

Preventive Care

No Charge

PCP & Referrals Required

Yes

Primary Care Visit

No Charge

Specialist Visit

$40 Copay

Diagnostic Exam

$0 / $100 Copay

Basic Lab, X-Rays

$0 Copay

Advanced Imaging (MRI, CAT)

$100 Copay

Outpatient Procedure

$500 Copay

Inpatient Hospital

$800 Copay

Emergency Room

$150 Copay

Urgent Care

$75 Copay

Pharmacy / RX

Retail (30 Day Supply)

$10 / $40 / $70 / $150

Mail Order (90 Day Supply)

2.5x Retail

Key Characteristics of the Centivo Plan - Cost containment : Zero-dollar deductible, lower monthly premiums - Selective Network : High-Quality, Narrower Provider Network

- Primary Care Centric Approach : PCP as the Gateway. Referrals required for specialists and outpatient procedures. Less flexible that other plans, but members are encouraged to establish strong relationships with their primary care physicians, who act as the central point of care and guide them through the healthcare system. - Coordinated Care : The emphasis on primary care ensures better coordination across specialties and treatments, improving outcomes and reducing costs. - Digital Tools & Support : Online resources, Free Virtual Primary Care, and Health Advocacy

* Member may be responsible for any amount over the allowed amount

This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.

2026 Employee Benefit Guide

8

Made with FlippingBook - Online catalogs