HCO Physician's Benefits Guide - 2024

Hughston Benefits Guide

7

SPOTLIGHT ON URGENT CARE

Is your medical issue a true emergency? While you may encounter urgent issues, they are not always life threatening. In these cases, you can save yourself both time and money by visiting an Urgent Care Center or using the Telemedicine benefit instead of the Emergency Room! Search the Aetna Signature Administrators PPO network for convenient Urgent Care Centers around your home or office, and register with the Telemedicine vendor today!

Medical - Allied Benefit (TPA) Aetna Signature Administrators PPO Network Coinsurance (Member pays) Calendar Year Deductible - Individual - Family Out-of-Pocket Maximum (Deductible included) - Individual -Family

HSA 3000

In-Network

Out-of-Network

0%

40%

$3,000 $6,000

$10,000 $20,000

$4,000 $8,000*

$15,000 $30,000

SPOTLIGHT ON MAIL ORDER

Office Visit -Primary - Specialist - Preventive

Deductible Deductible 100% Covered

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

Emergency Room Services (Copay waived if admitted)

Deductible

Deductible

Take regular prescription medications on an ongoing, daily basis? If so, take advantage of Liviniti’s mail order program! Filling your prescriptions in a 90 day supply may help you stay healthy because having a 90 day supply of your medication on hand typically means you’re less likely to miss a dose. It also means you can make fewer visits to the pharmacy to refill your medication, and depending on your plan, you may be able to save money by filling your prescriptions 90 days at a time.

Urgent Care

Deductible Deductible Deductible

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

Inpatient Services Outpatient Services

Prescriptions (30 Day Supply)

Prescription Drug Coverage Administered by Liviniti

Deductible

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

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

$922.61 $1,752.39 $1,622.54 $2,555.63

Family

*$7,000 out-of-pocket maximum for an individual in a family plan.

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