Page 8 - Future Steps
P. 8
Preventive Care Deductibles and Out-of-Pocket Maximums
Both plans cover routine The deductibles and out-of-pocket maximums under the High Deductible Plan work
preventive care at 100%. Before differently than the Traditional Plan. In the Traditional Plan, deductibles and out-of-
seeking preventive care, always pocket maximums are embedded. In the High Deductible Plan, deductibles and out-
check age requirements on of-pocket maximums are non-embedded. Below is a comparison between the two.
speciic well child, well man,
and well woman screenings, High Deductible Plan
vaccinations, and tests to Deductible (Non-Embedded)
conirm the visit will be X When a covered family member meets the family annual deductible, or if
considered preventive and any 2 or more family members combined meet it, the plan will begin paying
covered at 100%. We encourage coinsurance for all covered family members
you to stay up to date with Out-of-Pocket Maximum (Non-Embedded)
your preventive care visits and X When a covered family member meets the family out-of-pocket maximum, or
work with your physician to if any 2 or more family members combined reach it, the plan will pay 100% of
identify care options which help covered costs for all covered family members for the balance of the year
maintain or improve your health.
Both plans are compliant with Traditional Plan
the guidelines issued by the U.S. Deductible (Embedded)
Preventive Services Task Force X When a covered family member (either you or another dependent) meets the
(USPSTF). The High Deductible employee only deductible, the plan will begin paying coinsurance for that person
Plan also covers preventive
medications, as deined by the X When any 2 or more covered family members meet the family deductible, the
USPSTF, at 100%, no cost to plan will begin paying coinsurance for all covered family members
the member. Out-of-Pocket Maximum (Embedded)
X When a covered family member meets the employee only out-of-pocket
maximum the plan will pay 100% of covered costs for that family member for
the balance of the year
X When 2 or more covered family members reach the family out-of-pocket
maximum, the plan will pay 100% of covered costs for all covered family
members for the balance of the year
8
F+W, A Content + eCommerce Company
Both plans cover routine The deductibles and out-of-pocket maximums under the High Deductible Plan work
preventive care at 100%. Before differently than the Traditional Plan. In the Traditional Plan, deductibles and out-of-
seeking preventive care, always pocket maximums are embedded. In the High Deductible Plan, deductibles and out-
check age requirements on of-pocket maximums are non-embedded. Below is a comparison between the two.
speciic well child, well man,
and well woman screenings, High Deductible Plan
vaccinations, and tests to Deductible (Non-Embedded)
conirm the visit will be X When a covered family member meets the family annual deductible, or if
considered preventive and any 2 or more family members combined meet it, the plan will begin paying
covered at 100%. We encourage coinsurance for all covered family members
you to stay up to date with Out-of-Pocket Maximum (Non-Embedded)
your preventive care visits and X When a covered family member meets the family out-of-pocket maximum, or
work with your physician to if any 2 or more family members combined reach it, the plan will pay 100% of
identify care options which help covered costs for all covered family members for the balance of the year
maintain or improve your health.
Both plans are compliant with Traditional Plan
the guidelines issued by the U.S. Deductible (Embedded)
Preventive Services Task Force X When a covered family member (either you or another dependent) meets the
(USPSTF). The High Deductible employee only deductible, the plan will begin paying coinsurance for that person
Plan also covers preventive
medications, as deined by the X When any 2 or more covered family members meet the family deductible, the
USPSTF, at 100%, no cost to plan will begin paying coinsurance for all covered family members
the member. Out-of-Pocket Maximum (Embedded)
X When a covered family member meets the employee only out-of-pocket
maximum the plan will pay 100% of covered costs for that family member for
the balance of the year
X When 2 or more covered family members reach the family out-of-pocket
maximum, the plan will pay 100% of covered costs for all covered family
members for the balance of the year
8
F+W, A Content + eCommerce Company
