Medical and Pharmacy Coverage RAS Medical Solution is proud to offer you a comprehensive benefits overview. We encourage you to take the time to review the enrollment guide prior to enrollment. Keep in mind that the benefits you select during this enrollment will be effective July 1, 2022.
Insurance Carrier: Plan Description:
Anthem Chamber SMART $1500/100%/$3500 Blue Open Access NPOS 60% of Employee Only Premium
Plan Type:
Employer Contribution: In-Network: Office Visit Copay - Primary Care Office Visit Copay - Specialist Care
$30 $70 $75
Urgent Care Copay Emergency Room Care
Deductible; then $350 Copay
Diagnostic Testing & Blood Work
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Advanced Imaging
Coinsurance Deductible
100%
$1,500 Individual / $3,000 Family $3,500 Individual / $7,000 Family Deductible; then 100% Coinsurance
Out-of-Pocket Max Inpatient Hospital
Outpatient Hospital or Facility
Hospital: Deductible; then 100% Coinsurance / Facility: $350 Copay
Out-of-Network: Deductible
$4,500 Individual / $13,500 Family
Coinsurance
50%
Out-of-Pocket Max
$10,500 Individual / $31,500 Family
Prescription Drugs: ( 30 Day Supply) Rx Deductible
N/A
Tier 1 - Generic Tier 2 - Preferred
$5
$20 $50 $85
Tier 3 - Non-Preferred
Tier 4 - Specialty
Mail Order Drugs (90 day supply) Employee Bi-Weekly Deduction Employee Only
2.5x Tier 1 / 3x Tier 2-4
$85.79 $300.26 $268.09 $482.39
Employee + Spouse Employee + Child(ren)
Family
Plan Description:
Anthem Basic Life w/AD&D
Employer Contribution:
Paid in full by employer
Benefit Amount
$25,000
2
ras medical solution benefits overview
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