Medical and Pharmacy Coverage
Webb Construction offers the following plans through Aetna. Please reference the Summary Plan Description for more details.
Insurance Carrier:
Aetna Medical Insurance
Medical Plan:
$4,000 / 100% Copay Plan
$7,350 / 100% Integrated Rx
In-Network: Office Visit Copay - Primary Care Office Visit Copay - Specialist Care
$35 $70 $75
$40 $80
Urgent Care Copay Emergency Room Care Preventative Visit Copay
$100
Deductible; then 100% Coinsurance
Deductible; then 100% Coinsurance
$0
$0
Diagnostic Testing & Blood Work
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Imaging
Coinsurance
100%
100%
Employee Deductible Family Deductible
$4,000 $8,000
$7,350 $14,700
Employee Out-of-Pocket Max Family Out-of-Pocket Max
$6,500 (includes deductible) $13,000 (includes deductible)
$8,150 (includes deductible) $16,300 (includes deductible)
Inpatient Hospital
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Deductible; then 100% Coinsurance Deductible; then 100% Coinsurance
Outpatient Hospital or Facility
Out-of-Network: Coinsurance Employee Deductible
50%
50%
$8,000 $24,000 $23,000 $69,000
$22,050 $66,150 $42,050 $126,150
Family Deductible
Employee Out-of-Pocket Max Family Out-of-Pocket Max
Prescription Drugs: ( 30 Day Supply) Rx Deductible - Integrated Rx
$0
Tier 2-4 subject to deductible
Tier 1 Tier 2 Tier 3 Tier 4
$3 / $10
$3 / $10
$45 $75 N/A
$50 $80 N/A
Preferred Specialty
20% up to $250 40% up to $500
20% up to $250 40% up to $500
Non-Preferred Specialty
Employee Weekly Deduction Employee Only
$25.58 $174.77 $156.12 $292.88
$18.31 $121.46 $108.56 $203.12
Employee + Spouse Employee + Child(ren)
Family
Webb Construction 2022 Enrollment Guide
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