Medical Benefits
Medical Plan Details
Benefit Summary
Consumer Choice 250
Consumer Choice 500
Family: $3,500 — True Family*
Family: $6,000 — True Family*
Family: $7,000 — Embedded**
Family: $12,000 — Embedded**
In-Network Services
In-Network Services
In-Network Services
Out-of-Network Services
Out-of-Network Services
Out-of-Network Services
Family: $7,000 — True Family*
Family: $12,000 — True Family*
Family: $14,000 — Embedded**
Family: $24,000 — Embedded**
Health Savings Account — Employer Contribution
Health Savings Account — Employer Contribution
Health Savings Account — Employer Contribution
Family: $1,000
Family: $2,000
*If you cover more than yourself, the family can meet the deductible by pooling deductible expenses together.
**The out-of-pocket maximum is the most you and your family will be responsible to pay out of pocket for services during the year. The single out-of-pocket maximum amount is embedded in the family out-of-pocket maximum. Therefore, when the deductible and coinsurance for one person reaches the individual out-of-pocket maximum, that individual is covered at 100% for the rest of the year. The family is capped at the family out-of-pocket maximum.
*If you cover more than yourself, the family can meet the deductible by pooling deductible expenses together.
**The out-of-pocket maximum is the most you and your family will be responsible to pay out of pocket for services during the year. The single out-of-pocket maximum amount is embedded in the family out-of-pocket maximum. Therefore, when the deductible and coinsurance for one person reaches the individual out-of-pocket maximum, that individual is covered at 100% for the rest of the year. The family is capped at the family out-of-pocket maximum.
*If you cover more than yourself, the family can meet the deductible by pooling deductible expenses together.
**The out-of-pocket maximum is the most you and your family will be responsible to pay out of pocket for services during the year. The single out-of-pocket maximum amount is embedded in the family out-of-pocket maximum. Therefore, when the deductible and coinsurance for one person reaches the individual out-of-pocket maximum, that individual is covered at 100% for the rest of the year. The family is capped at the family out-of-pocket maximum.
Don’t Forget
When you enroll in a Medical option, you will automatically have Critical Illness Insurance that pays a lump sum benefit of up to $2,500 per covered person for each diagnosed condition with a per-person lifetime maximum of $6,000.
Pharmacy
EmpiRx Health manages all of your prescription needs. There are a number of programs that help control your costs. You and your dependents also have access to a board network of pharmacies, which includes all chain pharmacies and most independent pharmacies.
Vision
When you enroll in a Medical option, you will automatically be enrolled in Aetna Vision coverage. You can visit any licensed eye care provider.
Telemedicine
Amwell consults are $64 until your deductible is met. Please note Psychology or Psychiatry are based on a fee schedule; however, remember that our EAP offers up to a 8 free virtual or face-to-face therapy visits.
Sign in at patients.amwell.com.
If you are already registered, please make sure to update your insurance information (insuring entities and member ID’s) to ensure visits continue to be covered under the plan.