Page 12 - Future Steps
P. 12
What About My
Prescriptions? For the Two HSA plans
You may fill your prescriptions at
one of HealthPartners’ more than Annual Deductible and Out-of-Pocket Maximum
66,000 pharmacies nationwide or
through the convenient and cost With the $2,600 deductible plan with HSA, you pay the irst $2,600 of covered
effective mail order program. An
important part of your pharmacy expenses for each individual and a maximum of $5,200 for your family. The annual
benefits is HealthPartners deductible is equal to the out-of-pocket maximum.
preferred drug list (PDL). All
medical plan options will include
the GenericsAdvantageRx Under the $3,000 deductible plan with HSA, you will pay the irst $3,000 of covered
Formulary. This list contains expenses for each individual and a maximum of $6,000 for your family.
both brand-name and generic
drugs with proven safety and
effectiveness. Medications on the Coinsurance
PDL are placed into tiers. These
tiers determine your out-of- Under the $2,600 deductible with HSA plan, once you meet the annual deductible,
pocket costs. the plan pays 100% of the cost.
X For information about your
specific coverage and costs, Under the $3,000 deductible HSA plan, once you meet the deductible, you and
log in to
healthpartners.com or call the plan will share costs through coinsurance until you reach the out-of-pocket
Members Services maximum.
X For questions concerning
prior authorization or step Out-of-Pocket Maximum
therapy, please contact
the Rx Navigator via The amount you must pay out of your own pocket for your annual deductible,
HealthPartners’ Member
Services copayments, and coinsurance is limited each plan year. This limit is called the out-of-
pocket maximum. The out-of-pocket maximum for the $3,000 deductible with HSA
plan is $6,000 for each individual and $12,000 per family.
Health Savings Account (HSA)
You may choose to use funds from your HSA to offset the deductible. See the next
section for more details on the HSA.
Hospital Indemnity Coverage
By enrolling in either the $2,600 or the $3,000 deductible with HSA plans, you
and any covered family member(s) automatically receive a hospital indemnity plan
through Cigna. This plan pays a reimbursement to you for hospitalizations. If you
are hospitalized, you must ile a claim with Cigna to receive the reimbursement
amount illustrated on page 10. The claim form is available on GoodPoint or at
cigna.com under “Find a Form.”
GESM
12
Prescriptions? For the Two HSA plans
You may fill your prescriptions at
one of HealthPartners’ more than Annual Deductible and Out-of-Pocket Maximum
66,000 pharmacies nationwide or
through the convenient and cost With the $2,600 deductible plan with HSA, you pay the irst $2,600 of covered
effective mail order program. An
important part of your pharmacy expenses for each individual and a maximum of $5,200 for your family. The annual
benefits is HealthPartners deductible is equal to the out-of-pocket maximum.
preferred drug list (PDL). All
medical plan options will include
the GenericsAdvantageRx Under the $3,000 deductible plan with HSA, you will pay the irst $3,000 of covered
Formulary. This list contains expenses for each individual and a maximum of $6,000 for your family.
both brand-name and generic
drugs with proven safety and
effectiveness. Medications on the Coinsurance
PDL are placed into tiers. These
tiers determine your out-of- Under the $2,600 deductible with HSA plan, once you meet the annual deductible,
pocket costs. the plan pays 100% of the cost.
X For information about your
specific coverage and costs, Under the $3,000 deductible HSA plan, once you meet the deductible, you and
log in to
healthpartners.com or call the plan will share costs through coinsurance until you reach the out-of-pocket
Members Services maximum.
X For questions concerning
prior authorization or step Out-of-Pocket Maximum
therapy, please contact
the Rx Navigator via The amount you must pay out of your own pocket for your annual deductible,
HealthPartners’ Member
Services copayments, and coinsurance is limited each plan year. This limit is called the out-of-
pocket maximum. The out-of-pocket maximum for the $3,000 deductible with HSA
plan is $6,000 for each individual and $12,000 per family.
Health Savings Account (HSA)
You may choose to use funds from your HSA to offset the deductible. See the next
section for more details on the HSA.
Hospital Indemnity Coverage
By enrolling in either the $2,600 or the $3,000 deductible with HSA plans, you
and any covered family member(s) automatically receive a hospital indemnity plan
through Cigna. This plan pays a reimbursement to you for hospitalizations. If you
are hospitalized, you must ile a claim with Cigna to receive the reimbursement
amount illustrated on page 10. The claim form is available on GoodPoint or at
cigna.com under “Find a Form.”
GESM
12
