Thrush Aircraft - 2023 Benefits Guide

Medical and Pharmacy Coverage

Thrush Aircraft offers the following Medical plans through

Anthem and offers “in and out-of-network” benefits.

Insurance Carrier:

Anthem Medical Insurance

Medical Plan:

$3,500 / 80% Copay Plan

$5,000 / 100% HDHP w/HSA

In-Network: Office Visit Copay - Primary Care

$30

Deductible; then 100% Coinsurance

Office Visit Copay - Specialist Care

$75

Deductible; then 100% Coinsurance

Urgent Care Copay

$75

Deductible; then 100% Coinsurance

Emergency Room Care

$750 Copay; waived if admitted

Deductible; then 100% Coinsurance

Preventative Visit Copay

$0

$0

Diagnostic Testing & Blood Work

$30 or $75

Deductible; then 100% Coinsurance

Imaging

Deductible; then 80% Coinsurance

Deductible; then 100% Coinsurance

Coinsurance

80%

100%

Employee Deductible

$3,500

$5,000

Family Deductible

$7,000

$10,000

Employee Out-of-Pocket Max

$7,900 (includes deductible)

$6,900 (includes deductible)

Family Out-of-Pocket Max

$15,800 (includes deductible)

$13,800 (includes deductible)

Inpatient Hospital

Deductible; then 80% Coinsurance

Deductible; then 100% Coinsurance

Outpatient Hospital or Facility

Deductible; then 80% Coinsurance

Deductible; then 100% Coinsurance

Out-of-Network: Coinsurance

60%

50%

Employee Deductible

$7,000

$15,000

Family Deductible

$14,000

$30,000

Employee Out-of-Pocket Max

$15,000

$20,700

Family Out-of-Pocket Max

$30,000

$41,400

Prescription Drugs: ( 30 Day Supply) Tier 1

$15 Copay

Deductible; then 100% Coinsurance

Tier 2

$45 Copay

Deductible; then 100% Coinsurance

Tier 3

$70 Copay

Deductible; then 100% Coinsurance

Tier 4

20% to $300 max

Deductible; then 100% Coinsurance

Specialty

25% or 35%

Deductible; then 100% Coinsurance

Employee Bi-Weekly Deduction

Non-Nicotine

Nicotine

Non-Nicotine

Nicotine

Employee Only

$56.93

$87.98

$56.93

$87.98

Employee + Spouse

$279.45

$336.38

$279.45

$336.38

Employee + Child(ren)

$254.61

$305.33

$254.61

$305.33

Family

$500.94

$581.67

$500.94

$581.67

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THRUSH AIRCRAFT 2023 BENEFITS GUIDE

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