Medical Benefits
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.?.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
||
Out-of-Pocket Max |
||
Member Coinsurance (Plan pays/Member pays) |
||
Physician Visits |
||
Primary Care |
||
Routine Preventive |
||
Specialist |
||
Telehealth |
||
Hospital Services |
||
Physician Services |
||
Inpatient Hospital |
||
Outpatient Surgery |
||
Basic Outpatient Diagnostics |
||
Urgent Care |
||
Emergency Room |
||
Retail Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
||
Mail Order Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
Monthly Cost |
|
|---|---|
Employee Only |
|
Employee + Spouse |
|
Employee + Child(ren) |
|
Employee + Family |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.?.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
||
Out-of-Pocket Max |
||
Member Coinsurance (Plan pays/Member pays) |
||
Physician Visits |
||
Primary Care |
||
Preventive Care |
||
Specialist |
||
Telehealth |
||
Hospital Services |
||
Physician Services |
||
Inpatient Hospital |
||
Outpatient Surgery |
||
Basic Outpatient Diagnostics |
||
Urgent Care |
||
Emergency Room |
||
Retail Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
||
Mail Order Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
Monthly Cost |
|
|---|---|
Employee Only |
|
Employee + Spouse |
|
Employee + Child(ren) |
|
Employee + Family |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.?.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
||
Out-of-Pocket Max |
||
Member Coinsurance (Plan pays/Member pays) |
||
Physician Visits |
||
Primary Care |
||
Preventive Care |
||
Specialist |
||
Telehealth |
||
Hospital Services |
||
Physician Services |
||
Inpatient Hospital |
||
Outpatient Surgery |
||
Basic Outpatient Diagnostics |
||
Urgent Care |
||
Emergency Room |
||
Retail Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
||
Mail Order Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
Monthly Cost |
|
|---|---|
Employee Only |
|
Employee + Spouse |
|
Employee + Child(ren) |
|
Employee + Family |
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.?.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
||
Out-of-Pocket Max |
||
Member Coinsurance (Plan pays/Member pays) |
||
Physician Visits |
||
Primary Care |
||
Preventive Care |
||
Specialist |
||
Telehealth |
||
Hospital Services |
||
Physician Services |
||
Inpatient Hospital |
||
Outpatient Surgery |
||
Basic Outpatient Diagnostics |
||
Urgent Care |
||
Emergency Room |
||
Retail Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
||
Mail Order Prescriptions |
||
Tier 1 - Generic |
||
Tier 2 - Preferred Brand |
||
Tier 3 - Non-preferred Brand |
||
Tier 4 - Specialty |
Monthly Cost |
|
|---|---|
Employee Only |
|
Employee + Spouse |
|
Employee + Child(ren) |
|
Employee + Family |
Resources
Frequently Asked Questions