Page 9 - Demo

Medical Plans At-a-Glance
7
FULL-TIME AND PART-TIME (30 OR OR MORE HOURS PER WEEK)
Medical Plan Options
BlueEdge HSASM
PPO
HMO
Employee Premiums
Lowest
Highest
Moderate
Deductible
Highest
Moderate
Lowest
Out-of-Pocket Maximum
Lowest
(HSA Option 1)
Highest
Moderate
Health Care FSA
Limited purpose (dental & vision coverage only) Once deductible is met becomes a full purpose FSA
(medical dental and vision) IRS sets annual maximum (visit myHR for 2019 max) Use-it or lose-it account $500 rollover into the new year Full purpose FSA
(medical dental and vision) IRS sets annual maximum (visit myHR for 2019 max) Use-it or lose-it account $500 rollover into the new year Full purpose FSA
(medical dental and vision) IRS sets annual maximum (visit myHR for 2019 max) Use-it or lose-it account $500 rollover into the new year HSA Employer Contributions
$500 individual coverage $1 000 family coverage NA
NA
HSA Employee Contributions
Contribute pre-tax dollars up to annual IRS maximum (includes employer contributions catch-up contributions are not included $1 000 for age 55 and above) NA
NA
Critical Illness Coverage
$3 000 employee coverage provided at no cost to employee Additional employee spouse and child coverage available for election Employee spouse and child coverage available for election Employee spouse and child coverage available for election Virtual Visits
$44 copay per visit once deductible is met $30 copay per visit NA
Health Advocates
Advocates
to help you manage all aspects of your health care Advocates
to help you manage all aspects of your health care NA
Call Penalty
To avoid $200 penalty call a a a a a health advocate before receiving: MRI X-ray CT scan joint replacement bariatric surgery breast reduction musculoskeletal procedure To avoid $200 penalty call a a a a a health advocate before receiving: MRI X-ray CT scan joint replacement bariatric surgery breast reduction musculoskeletal procedure NA