Neel, Robinson and Stafford - 2025 Benefits Guide

MEDICAL COVERAGE

Neel, Robinson & Stafford offers the following plans through Angle Health.

Insurance Carrier:

Angle Health Medical Insurance

Medical Plan:

$2,000 Copay Plan

$5,000 HDHP Plan

In-Network: Primary Care Visits

$20 Copay $50 Copay $75 Copay

Deductible; then 100% coinsurance Deductible; then 100% coinsurance Deductible; then 100% coinsurance Deductible; then 100% coinsurance

Specialist Care Visits

Urgent Care

Emergency Room Care

Deductible; then $250 copay

Preventative Visit Copay Diagnostic Testing (X-Ray / Blood Work)

$0

$0

$20 Copay

Deductible; then 100% coinsurance

Advanced Imaging

Deductible; then 20% coinsurance

Deductible; then 100% coinsurance

Plan Coinsurance

20%

100%

Employee Deductible

$2,000 $4,000

$5,000

Family Deductible

$10,000

Employee Out-of-Pocket Max

$4,000 (includes deductible) $8,000 (includes deductible)

$5,000 (includes deductible)

Family Out-of-Pocket Max

$10,000 (includes deductible)

Inpatient Hospital

Deductible; then 20% coinsurance Deductible; then 20% coinsurance

Deductible; then 100% coinsurance Deductible; then 100% coinsurance

Outpatient Hospital or Facility

Out-of-Network Plan Coinsurance

50%

50%

Employee Deductible

$5,000

$10,000 $20,000 $11,000 $22,000

Family Deductible

$10,000 $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

Deductible; then 100% coinsurance Deductible; then 100% coinsurance Deductible; then 100% coinsurance Deductible; then 100% coinsurance

Tier 2 - Preferred

Tier 3 - Non-Preferred

Tier 4 - Specialty

Deductible; then 20% coinsurance

Employee Semi-Monthly Deduction Employee Only

$106.82 $417.69 $361.17 $672.04

$62.39

Employee + Spouse Employee + Child(ren)

$328.26 $279.92 $545.79

Family

6 | Neel, Robinson & Stafford 2025 Benefits Guide

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