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Plan highlights

  • National, open access network

  • No PCP required, no referrals required

  • $0 Labs/X-rays

  • $0 MinuteClinic (CVS)

  • $0 Teladoc virtual care

  • $35 OTC allowance at CVS per employee, every 3 months

  • Dental HMO and PPO option in the same plan, able to switch month to month

  • Employee Assistance Program (free counseling, daily life assistance, and legal and financial consultations)

Medical Plan Overview

deductible: $5,000 ind / $10,000 fam

max out-of-pocket: $7,500 ind / $15,000 fam

Services covered before your deductible

PCP: $35

specialist: $75

urgent care: $75

labs/x-ray: $0

minuteclinic: $0

teladoc: $0

Y

preventive care: $0

A

After you meet your deductible

imaging (MRI, CT): $0

Surgery: $0

hospital stay: $0

emergency: $300

Rehabilitation services

(physical therapy, occupational therapy): $75

Durable medical equipment: 50%