HCO Physician's Benefits Guide - 2024

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Hughston Benefits Guide

MEDICAL | ALLIED BENEFIT

Your medical plans will be offered through Allied Benefit for the 2024 plan year. Please review your plan summaries or Summary of Benefits and Coverage (SBC) for coverage information and full plan details. As an Allied member, www.alliedbenefit.com allows you to track your health care benefits and access timely information and tools to help you make better health care decisions. You can view your Personal Health Record, view detailed claims information and reports, find providers and access your ID card.

Remember to tell your providers that your plan utilizes the Aetna Signature Network.

Medical - Allied Benefit (TPA) Aetna Signature Administrators PPO Network Coinsurance (Member pays) Calendar Year Deductible - Individual ( Hughston | In-network) - Family ( Hughston | In-network)

Copay Plan

HSA 1600

In-Network

Out-of-Network

In-Network

Out-of-Network

20%

40%

20%

40%

Embedded $2,000 $4,000

Non-Embedded $1,600 $3,200

Embedded $500 | $1,000 $1,000 | $2,000

Non-Embedded $3,200 $9,600

Out-of-Pocket Maximum (Deductible included) - Individual

$4,000 $8,000

$10,000 $20,000

$4,000 $8,000

$15,000 $30,000

- Family

Office Visit -Primary - Specialist - Preventive

$25 Copay $50 Copay 100% Covered

40% after Deductible 40% after Deductible 40% after Deductible

20% after Deductible 20% after Deductible 100% Covered

40% after Deductible 40% after Deductible 40% after Deductible

Emergency Room Services (Copay waived if admitted)

$150 Copay

$150 Copay

20% after Deductible

20% after Deductible

Urgent Care

$60 Copay

40% after Deductible 40% after Deductible 40% after Deductible

20% after Deductible 20% after Deductible 20% after Deductible

40% after Deductible 40% after Deductible 40% after Deductible

Inpatient Services Outpatient Services

20% after Deductible 20% after Deductible

Prescriptions (30 Day Supply)

Prescription Drug Coverage Administered by Liviniti

Deductible

$200 / $400 $10 Copay

Subject to Medical Deductible $10 Copay after Deductible $30 Copay after Deductible $60 Copay after Deductible $120 Copay after Deductible

Tier 1 Tier 2 Tier 3

$30 Copay after Rx Deductible $60 Copay after Rx Deductible $120 Copay after Rx Deductible

Tier 4 (Specialty Drugs) Mail Order (90 Day Supply) Tier 1 Tier 2 Tier 3 Medical Rates (Monthly) Employee Employee + Spouse Employee + Child(ren)

$20 Copay $60 Copay after Rx Deductible $120 Copay after Rx Deductible

$20 Copay after Deductible $60 Copay after Deductible $120 Copay after Deductible

$1,127.33 $2,099.77 $1,875.29 $3,080.04

$1,053.26 $1,947.04 $1,740.71 $2,847.99

Family

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