Page 4 - Tacony 2021 Annual Benefits
P. 4
Medical and Prescription Drug Coverage
For many of us, nothing is more important than our health and the health of our family members. This is why we
offer a robust medical and pharmacy insurance program to our associates. We partner with Anthem to offer this
coverage.
Two Medical Options PPO Plan
All employees have a choice between two medical plan Offers higher per-paycheck premiums with lower
deductibles and out-of-pocket maximums
options. The two plans are respectively titled the PPO
Plan and the HDHP/HSA Plan. A meaningful option for those who prefer to pay
more in premiums throughout the year and less
Plan Highlights when using services
HDHP/HSA Plan You pay ofice visit/prescription drug copays and
are not responsible for meeting your deductible irst
Offers lower per-paycheck premiums with higher
deductibles and out-of-pocket maximums, which Can be paired with a traditional healthcare lexible
allows you to pay for care only when you need it spending account (FSA) to deliver tax advantaged
A viable option for healthy individuals/families who savings on healthcare expenses
do not anticipate a great need for care throughout Anthem Member Site
the year, or those who foresee some large expenses
where the out-of-pocket maximum will very easily The Anthem member site, www.anthem.com offers
be met many valuable services including the following.
Once you meet your deductible, the plan will begin In-network providers and pharmacy searches
to pay for a portion of services, including ofice Prescription drug formulary
visits and prescription drugs; the deductible does Access to temporary ID cards and means to order
not apply to in-network preventive services or another ID card
prescription drugs included on Anthem’s preventive
drug list Information regarding paid and pending claims
Can be paired with a health savings account to
deliver even greater tax advantaged savings on
healthcare expenses
New in 2021
Virtual sleep consultation—The Live Health Online network is expanding to include sleep medicine specialists. Coverage
will include a virtual sleep medicine clinic and home sleep testing consultation.
Physical therapy/occupational therapy—Separate oice visit limitations will no longer apply. Efective 1/1/21, members
will be eligible for 40 total visits, regardless of therapy type (physical or occupational).
New ID cards will only be issued if a member switches between plans. If you elect to remain in the same medical plan
for 2021, a new ID card will not be issued. If you need a new card, you can call Anthem customer service or go to
www.anthem.com and download/print a new card.
4 2021 Benefits Enrollment
For many of us, nothing is more important than our health and the health of our family members. This is why we
offer a robust medical and pharmacy insurance program to our associates. We partner with Anthem to offer this
coverage.
Two Medical Options PPO Plan
All employees have a choice between two medical plan Offers higher per-paycheck premiums with lower
deductibles and out-of-pocket maximums
options. The two plans are respectively titled the PPO
Plan and the HDHP/HSA Plan. A meaningful option for those who prefer to pay
more in premiums throughout the year and less
Plan Highlights when using services
HDHP/HSA Plan You pay ofice visit/prescription drug copays and
are not responsible for meeting your deductible irst
Offers lower per-paycheck premiums with higher
deductibles and out-of-pocket maximums, which Can be paired with a traditional healthcare lexible
allows you to pay for care only when you need it spending account (FSA) to deliver tax advantaged
A viable option for healthy individuals/families who savings on healthcare expenses
do not anticipate a great need for care throughout Anthem Member Site
the year, or those who foresee some large expenses
where the out-of-pocket maximum will very easily The Anthem member site, www.anthem.com offers
be met many valuable services including the following.
Once you meet your deductible, the plan will begin In-network providers and pharmacy searches
to pay for a portion of services, including ofice Prescription drug formulary
visits and prescription drugs; the deductible does Access to temporary ID cards and means to order
not apply to in-network preventive services or another ID card
prescription drugs included on Anthem’s preventive
drug list Information regarding paid and pending claims
Can be paired with a health savings account to
deliver even greater tax advantaged savings on
healthcare expenses
New in 2021
Virtual sleep consultation—The Live Health Online network is expanding to include sleep medicine specialists. Coverage
will include a virtual sleep medicine clinic and home sleep testing consultation.
Physical therapy/occupational therapy—Separate oice visit limitations will no longer apply. Efective 1/1/21, members
will be eligible for 40 total visits, regardless of therapy type (physical or occupational).
New ID cards will only be issued if a member switches between plans. If you elect to remain in the same medical plan
for 2021, a new ID card will not be issued. If you need a new card, you can call Anthem customer service or go to
www.anthem.com and download/print a new card.
4 2021 Benefits Enrollment
