Slappey and Sadd, LLC - 2025 Benefits Guide

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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