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计划概述
- Premium savings making this plan ideal for cost-sensitive employers
- Care coordinated by a medical home team
- Ultimate plan design flexibility
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Designation of Medical Home required
- No referrals required for in-network specialty care
- Premium savings making this plan ideal for cost-sensitive employers
- Care coordinated by a medical home team
- Ultimate plan design flexibility
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Designation of Medical Home required
- No referrals required for in-network specialty care
- Live 24/7 customer service
- Online access to account information anytime–from paying providers to viewing claims
- Integrated plan setup, enrollment, claims administration and billing so that health plan and member accounts are set up in one convenient place
- A fully-equipped employer portal for all your contribution and reporting needs
- Free HealthEquity mobile app gives members on-the-go access to account information
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Lowest premiums of all Option Advantage plans
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Most benefits subject to the deductible
- Deductible waived on in-network PCP visits, including Naturopaths, preventative services, ExpressCare, and prescription drugs only.
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Deductible waived on in-network PCP, specialists, urgent care visits, allergy shots and outpatient physical therapy
- First $500 of in-network lab and X-ray services covered in full; deductible waived
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Comprehensive, robust coverage and predictable costs
- Ultimate plan design flexibility
- Deductible waived on in-network PCP, specialists, ER, urgent care, allergy shots, outpatient physical therapy and lab and X-ray, and imaging services (PET, CT, MRI)
- Deductible waived on in-network delivery, postnatal and routine newborn nursery care; delivery is 10x PCP copay
- ExpressCare services are covered in full; deductible waived
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
- Comprehensive, robust coverage
- Predictable costs
- Ultimate plan design flexibility
- Many services are not subject to the deductible
- Coverage to in-network providers only
- An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
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免费的网络内服务
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
ACA preventive care
ProvRN
LifeBalance
Disease management for chronic conditions
Health coaching
ID protection
Travel assistance
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Provider Network 选项
Choice Networks
Tailored network medical home model
No referrals required for in-network specialty care
Connect Networks
Tailored network medical home model
No referrals required for in-network specialty care
Connect + Signature + Extend PPO Networks
Options include medical home model and Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
Signature + Extend PPO Networks
Broad PPO-style network
No referrals required for in-network specialty care
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计划设计
Cannot combine in- and out-of-network deductible and out-of-pocket maximum
Cannot combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Option to combine in- and out-of-network deductible and out-of-pocket maximum
Rich coverage with deductible waived on most services
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计划福利
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay differs from PCP copay
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible applies for in-network PCP and specialist visits
Deductible applies for in-network urgent care visits
Specialist coinsurance is the same as the PCP coinsurance
Option to pair plan with an integrated health account
Most services covered after the deductible is met
Deductible is waived for in-network PCP, applies for specialist visits
Deductible applies for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Most services covered before deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
Most services covered before the deductible is met
Deductible waived for in-network PCP and specialist visits
Deductible waived for in-network urgent care visits
Specialist copay can match or differ from PCP copay
Option to pair plan with an integrated health account
有选择是好事。我们有您应得的选择。
我们的计划提供一系列旨在支持您的员工的福利
ID 保护
Assist America Identity Theft Protection 提供欺诈监控、警告和解决方案，让您倍感安心。
健康指导
Providence 健康教练随时为您提供支持，助您享受更健康、更快乐的生活。
旅行援助
在离家 100 英里以上的旅行途中，或在国际旅行途中，可通过 Assist America 获得紧急医疗帮助。
LifeBalance
在您喜爱的活动中享受折扣优惠，比如看电影、通过独特的度假套餐低价出游等。
One Pass Select™
借助 One Pass Select™，您可以轻松访问全国健身房网络，根据自身需求锻炼身体，并享受健康饮食配送服务。