MEDICAL COVERAGE
Slappey & Sadd, LLC offers the following plans through Aetna.
Insurance Carrier:
Aetna Medical Insurance
Medical Plan:
$3,000 Copay Plan
In-Network: Primary Care Visits Specialist Care Visits
$35 Copay $75 Copay $75 Copay
Urgent Care
Emergency Room Care Preventative Visit Copay Diagnostic Testing (X-Ray / Blood Work) Advanced Imaging
Deductible; then $300 copay/visit
$0
Deductible; then 100% coinsurance
Deductible; then 100% coinsurance
Plan Coinsurance
100%
Employee Deductible Family Deductible
$3,000 $6,000
$6,500 (includes deductible) $13,000 (includes deductible)
Employee Out-of-Pocket Max Family Out-of-Pocket Max
Deductible; then 100% coinsurance Deductible; then 100% coinsurance
Inpatient Hospital
Outpatient Hospital or Facility
Out-of-Network Plan Coinsurance Employee Deductible
50%
$6,000 $18,000 $16,000 $48,000
Family Deductible
Employee Out-of-Pocket Max Family Out-of-Pocket Max
Prescription Drugs 30-day supply Tier 1 - Preferred Generic (Tier 1A / Tier 1)
$3 Copay / $10 Copay
Tier 2 - Preferred Brand
$45 Copay $75 Copay
Tier 3 - Non-Preferred Generic/Brand
Tier 4 - Specialty (Retail / Specialty)
20% Coinsurance up to $250 / 40% Coinsurance up to $500
Employee Deduction Employee Only Employee + Spouse
$0.00 $0.00 $0.00 $0.00
Employee + Child(ren)
Family
4 | Slappey & Sadd, LLC 2025 Benefits Guide
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