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MEDICAL PLAN Finding A Medical
TheBANK offers eligible full-time, exempt, and oficer employees along Provider
Please follow the steps below if
with their dependents medical coverage through a self-funded plan. Our you need to locate an in-network
medical administrator is UMR and we utilize the UnitedHealthcare Choice provider or facility .
Plus Network. Prescription drug coverage is provided through Express Go to www .umr .com
Scripts. Please note Walgreens is not included in our Express Scripts
network. Select “Find a Provider”
Select “Medical”
Medical Plan Option Select your network
New hires are eligible to enroll in the CDHP plan. In the CDHP plan, (UnitedHealthcare Choice
Plus)
medical and pharmacy expenses are subject to the deductible before
coinsurance begins.
Plan elections are binding through December 31, 2019 unless you
experience a change in family status.
7/1/19 to 12/31/19 Medical Plans
Bi-Weekly Premium
CDHP
Employee Only $20 .26
Employee + Spouse $163 .57
Employee + Child(ren) $114 .67
Employee + Family $243 .48
7/1/19 to 12/31/19 Medical Plans
Wellness Discounted Premium
CDHP
Employee Only $6 .80
Employee + Spouse $150 .11
Employee + Child(ren) $101 .22
Employee + Family $230 .03
PRESCRIPTION DRUG COVERAGE
Prescription drug beneits under all plans are offered through Express
Scripts. Our plans utilize Express Scripts’ full network, with the exception
of Walgreens. Walgreens is not included in our network.
TheBANK of Edwardsville 3
TheBANK offers eligible full-time, exempt, and oficer employees along Provider
Please follow the steps below if
with their dependents medical coverage through a self-funded plan. Our you need to locate an in-network
medical administrator is UMR and we utilize the UnitedHealthcare Choice provider or facility .
Plus Network. Prescription drug coverage is provided through Express Go to www .umr .com
Scripts. Please note Walgreens is not included in our Express Scripts
network. Select “Find a Provider”
Select “Medical”
Medical Plan Option Select your network
New hires are eligible to enroll in the CDHP plan. In the CDHP plan, (UnitedHealthcare Choice
Plus)
medical and pharmacy expenses are subject to the deductible before
coinsurance begins.
Plan elections are binding through December 31, 2019 unless you
experience a change in family status.
7/1/19 to 12/31/19 Medical Plans
Bi-Weekly Premium
CDHP
Employee Only $20 .26
Employee + Spouse $163 .57
Employee + Child(ren) $114 .67
Employee + Family $243 .48
7/1/19 to 12/31/19 Medical Plans
Wellness Discounted Premium
CDHP
Employee Only $6 .80
Employee + Spouse $150 .11
Employee + Child(ren) $101 .22
Employee + Family $230 .03
PRESCRIPTION DRUG COVERAGE
Prescription drug beneits under all plans are offered through Express
Scripts. Our plans utilize Express Scripts’ full network, with the exception
of Walgreens. Walgreens is not included in our network.
TheBANK of Edwardsville 3

