Page 6 - Apricity Benefits Guide
P. 6
2020
Apricity Benefits Overview
MEDICAL/PRESCRIPTION
DRUGS BENEFITS
Comprehensive medical coverage is essential to the health
and well-being of you and your family. It is for this reason that
we offer eligible employees three medical plan options through
Anthem Blue Cross Blue Shield (“Anthem”) as indicated below:
Option 1—The Core Plan
Option 2— The Core Plus Plan
Option 3—The HSA Plan
While all of the plans cover the same medical services, each
plan provides coverage at a different level (copay, deductible
and coinsurance) and requires you to contribute a different
amount per pay period toward the premium.
Plan Overviews
The Anthem medical options are network-based plans that
feature an in-network and out-of-network component.
The in-network component allows you to choose any health
care provider within the Anthem network. When you receive
care from an in-network provider, you receive the highest level
of beneits and incur the lowest out-of-pocket expenses.
The out-of-network component allows you to select health care
practitioners and facilities from outside the Anthem network.
When you receive care from an out-of-network provider, you
will be responsible for paying a greater share of the cost for the
medical services obtained. In addition, an annual deductible
and coinsurance applies to all eligible medical services.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 6
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
Apricity Benefits Overview
MEDICAL/PRESCRIPTION
DRUGS BENEFITS
Comprehensive medical coverage is essential to the health
and well-being of you and your family. It is for this reason that
we offer eligible employees three medical plan options through
Anthem Blue Cross Blue Shield (“Anthem”) as indicated below:
Option 1—The Core Plan
Option 2— The Core Plus Plan
Option 3—The HSA Plan
While all of the plans cover the same medical services, each
plan provides coverage at a different level (copay, deductible
and coinsurance) and requires you to contribute a different
amount per pay period toward the premium.
Plan Overviews
The Anthem medical options are network-based plans that
feature an in-network and out-of-network component.
The in-network component allows you to choose any health
care provider within the Anthem network. When you receive
care from an in-network provider, you receive the highest level
of beneits and incur the lowest out-of-pocket expenses.
The out-of-network component allows you to select health care
practitioners and facilities from outside the Anthem network.
When you receive care from an out-of-network provider, you
will be responsible for paying a greater share of the cost for the
medical services obtained. In addition, an annual deductible
and coinsurance applies to all eligible medical services.
Table of Contents Your Quick Guide to Savings and Group Auto and Home Insurance .33
About Your Beneits Program. . . . . . .2 Spending Accounts .............16 Group Legal Services ............33
Beneits Basics ...................3 Dental Beneits .................18 Employee Assistance Program ....34
Medical/Prescription Drugs Beneits . 6 Dental Plan Summary ............20 Medicare Part D Creditable
Comparing Medical Plan Options ..7 Vision Beneits ..................21 Coverage Notice ...............35
First Stop Health ................11 Voluntary Disability Insurance .....22 Premium Assistance Under Medicaid
Medical Plan Summary ..........12 Life and AD&D Insurance ........25 and the Children’s Health Insurance
Program (CHIP) .................42
Pharmacy Plan Summary .........13 Voluntary Accident Insurance ....29 Contact Information .............46 6
Flexible Spending Accounts ......14 Voluntary Critical Illness Insurance . 31
