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  Medical

Many employees don’t understand what their medical insurance covers.

We’re here to help you understand your benefits and make the best choices for you and your family.

The Company is pleased to offer three medical plans.
The benefit summaries for each are below.

The plans provides you with options to save health care dollars, such as mail order prescription drugs, wellness programs and a discounted vision program. An important feature is the preventive care services are covered at 100% in-network. In other words, when using in-network providers, benefits for preventive care services are provided at no cost. This makes it easier to maintain your family’s health by taking advantage of preventive care services such as immunizations, check-ups and screenings. Please see the plan certificate for the complete list of preventive services.

The plans offers two levels of benefits: in-network and out-of-network. When you seek care in-network, simply select a provider who is on the Anthem network list—you do not have to go through a primary care physician first. When you use network providers, you receive higher benefit coverage (less out-of-pocket). Plus, network doctors have agreed to charge lower rates—this saves you and the plan money. Simply show your medical I.D. card when receiving in-network benefits so you don’t have to file any claim forms. The Anthem network offers a broad network of providers, giving you access to most major hospitals in the country.

If you select a provider not in the network, services will be covered by the plan but at a lower benefits level (more out-of-pocket). While you get the flexibility of seeing the provider of your choice, the provider will likely charge more for services and you must complete a claim form for reimbursement. Both in-network and out-of-network benefits are subject to out-of-pocket limitations.

For anyone enrolling a spouse in our medical plan, there is a monthly surcharge for a working spouse who is eligible for coverage through their employer.

Important Terms to Know

Coinsurance refers to money that an individual is required to pay for services after a deductible has been paid.

Copayment is a predetermined (flat) dollar amount that an individual pays for health care services in addition to what the insurance covers. Copayments are not usually specified by percentages.

Deductible is the amount that you pay during a calendar year before the health plan “kicks in” to reimburse for medical expenses.

Embedded deductible – If any family member reaches the individual deductible, then the deductible is satisfied for that family member. If any combination of family members reach the family deductible, then the deductible is satisfied for the entire family