Terry Miller Service Company - 2024 Benefits Guide

NETWORK:

MEDICAL COVERAGE

Insurance Carrier:

Angle Health Medical Insurance: Cigna PPO Network

Medical Plan:

$3,000 Copay Plan

$5,000 Copay Plan

In-Network: Primary Care Visits

$20 Copay

$25 Copay

Specialist Care Visits

$50 Copay

$75 Copay

Urgent Care

$75 Copay

$85 Copay

Emergency Room Care

Deductible; then $250 Copay

Deductible; then $300 Copay

Preventative Visit Copay

$0

$0

Diagnostic Testing (X-Ray / Blood Work)

Deductible; then 20% Coinsurance

Deductible; then 20% Coinsurance

Advanced Imaging

Deductible; then 20% Coinsurance

Deductible; then 20% Coinsurance

Plan Coinsurance

80%

80%

Employee Deductible

$3,000

$5,000

Family Deductible

$6,000

$10,000

Employee Out-of-Pocket Max

$5,000 (includes deductible)

$7,000 (includes deductible)

Family Out-of-Pocket Max

$10,000 (includes deductible)

$14,000 (includes deductible)

Inpatient Hospital

Deductible; then $250 Copay

Deductible; then $300 Copay

Outpatient Hospital or Facility

Deductible; then 20% Coinsurance

Deductible; then 20% Coinsurance

Out-of-Network Plan Coinsurance

50%

50%

Employee Deductible

$6,000

$10,000 $20,000 $14,000 $28,000

Family Deductible

$12,000 $10,000 $20,000

Employee Out-of-Pocket Max

Family Out-of-Pocket Max

Prescription Drugs 30-day supply Tier 1 - Generic

$15 Copay $50 Copay $75 Copay

$20 Copay $60 Copay $85 Copay

Tier 2 - Preferred

Tier 3 - Non-Preferred

Tier 4 - Specialty

Deductible; then 20% Coinsurance

Deductible; then 20% Coinsurance

Employee Weekly Deduction Employee Only

$36.64 $206.88 $185.60 $341.67

$33.94 $191.62 $171.91 $316.46

Employee + Spouse Employee + Child(ren)

Family

6 | Terry Miller Service Company 2024 Benefits Guide

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