Medical and Pharmacy Coverage
SteelBlue Building Components offers the following Medical plans through Anthem and offers “in and out-of-network” benefits.
Insurance Carrier:
Anthem Medical Insurance
Medical Plan:
$2,000 / 80% Buy-Up Plan
$4,000 / 80% Base Plan
In-Network: Office Visit - Primary Care
$20 Copay $50 Copay $20 Copay
$30 Copay $75 Copay $30 Copay
Office Visit - Specialist Care
Urgent Care
Emergency Room Care
$300 Copay; then coinsurance
$300 Copay; then coinsurance
Preventative Visit
$0 $0
$0 $0
Diagnostic Testing & Blood Work
Imaging
Deductible; then coinsurance
Deductible; then coinsurance
Coinsurance
80%
80%
Employee Deductible
$2,000 $4,000 $4,500 $9,000
$4,000 $8,000 $7,000 $14,000
Family Deductible
Employee Out-of-Pocket Max
Family Out-of-Pocket Max
Inpatient Hospital
Deductible; then coinsurance Deductible; then coinsurance
Deductible; then coinsurance Deductible; then coinsurance
Outpatient Hospital or Facility
Out-of-Network: Coinsurance
50%
50%
Employee Deductible
$6,000
$12,000 $24,000 $21,000 $42,000
Family Deductible
$12,000 $13,500 $27,000
Employee Out-of-Pocket Max
Family Out-of-Pocket Max
Prescription Drugs 30-day supply Tier 1 - Generic
$10 $35 $75
$10 $35 $75
Tier 2 - Preferred
Tier 3 - Non-Preferred
Tier 4 - Specialty
25% up to $350
25% up to $350
Employee Bi-Weekly Deduction Employee Only
$106.23 $224.79 $193.45 $309.45
$68.44
Employee + Spouse Employee + Child(ren)
$140.31 $120.18 $196.13
Family
4 STEELBLUE BUILDING COMPONENTS 2024 BENEFITS GUIDE
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