Medical and Pharmacy Coverage
Thrush Aircraft offers the following plans through Anthem Blue Cross Blue Shield. Please reference the Summary Plan Description for more details.
Insurance Carrier:
Anthem Blue Cross Blue Shield Medical Insurance
Medical Plan Number:
$3,500 / 80% Copay Plan
$5,000 / 100% HDHP w/HSA
In-Network: Office Visit Copay - Primary Care Office Visit Copay - Specialist Care
$30 Copay $75 Copay $75 Copay
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Urgent Care Copay Emergency Room Care Preventative Visit Copay
$750 Copay; waived if admitted Deductible; then 100% Coinsurance
$0
$0
Diagnostic Testing & Blood Work
$30 or $75 Copay
Deductible; then 100% Coinsurance
Advanced Imaging
Deductible; then 80% Coinsurance Deductible; then 100% Coinsurance
Coinsurance
80%
100%
Employee Deductible Family Deductible
$3,500 $7,000
$5,000 $10,000
Employee Out-of-Pocket Max Family Out-of-Pocket Max
$7,900 (includes deductible) $15,800 (includes deductible)
$6,900 (includes deductible) $13,800 (includes deductible)
Inpatient Hospital
Deductible; then 80% Coinsurance Deductible; then 100% Coinsurance Deductible; then 80% Coinsurance Deductible; then 100% Coinsurance
Outpatient Hospital or Facility
Out-of-Network: Coinsurance
60%
50%
Employee Deductible Family Deductible
$7,000 $14,000 $15,000 $30,000
$15,000 $30,000 $20,700 $41,400
Employee Out-of-Pocket Max Family Out-of-Pocket Max
Prescription Drugs: ( 30 Day Supply) Tier 1 - Generic
$15 Copay $45 Copay $70 Copay
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Tier 2 - Preferred
Tier 3 - Non-Preferred
Tier 4 - Specialty
20% to $300 max
Employee Bi-Weekly Deduction
Non-Nicotine
Nicotine
Non-Nicotine
Nicotine
Employee Only
$56.93 $279.45 $254.61 $500.94
$56.93 $279.45 $254.61 $500.94
$87.98
$87.98
Employee + Spouse Employee + Child(ren)
$336.38 $305.33 $581.67
$336.38 $305.33 $581.67
Family
Thrush Aircraft 2022 Enrollment Guide
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