Page 8 - Burke Hospital 2022 Benefits Summary

Medical Benefits
Offered through Empire
The medical plans for 2022 are with Empire. They are both EPO plans (similar to an HMO—no benefits out-of network—but different because they do not require a referral to see an in-network specialist). These plans are associated with the Empire PPO/EPO broad network both locally, and nationally.
Copays do accumulate toward out-of-pocket max.
Pay Frequency
Core Plan Per Paycheck Contributions
Salary Band
Single
Family
Bi-weekly
<$50k
Semi-monthly
Core Plan Part Time Per Paycheck Contributions
Pay Frequency
Salary Band
Single
Family
Bi-weekly
<20hrs
Semi-monthly
$50-90K >$90K
<$50k
$50-90K
>$90K
$50-90K >$90K
<$50k
$50-90K
>$90K
$38.98 $104.19 $46.07 $130.24
$60.25 $173.65
$42.23 $112.87
$49.91 $141.10
$65.27 $188.12
$78.31 $206.46 $85.40 $232.51
$99.58 $275.92
$84.84 $223.66
$92.52 $251.89
$107.88 $298.91
$77.97 N/A
20-29hrs $77.97 $208.38
<20hrs $84.47 N/A
20-29hrs $84.47 $225.74
N/A N/A
20-29hrs $156.63 $412.92
<20hrs N/A N/A
20-29hrs $169.68 $447.32
Pay Frequency
High Plan Per Paycheck Contributions
Salary Band
Single
Family
Bi-weekly
<$50k
Semi-monthly
High Plan Part Time Per Paycheck Contributions
Pay Frequency
Salary Band
Single
Family
Bi-weekly
<20hrs
Semi-monthly
8
You make the Difference.
30+ hrs only
Opt-out credit: $1,000 annually with proof of coverage