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We are committed to providing comprehensive coverage to ensure that our employees have access to the care they need to stay healthy and productive In this section, you’ll find detailed information about our medical and prescription drug coverage, including how to enroll, how to access care, and how to manage your benefits.
Co.Benefits offers a variety of medical plans to meet the diverse needs of our employees. Our three plan options include the Copay Plan, HSA Plan, and HMO Plan. The Copay Plan offers a low monthly premium with minimal out-of-pocket costs. The HSA Plan is a high-deductible health plan that is paired with a Health Savings Account, allowing employees to save for future healthcare expenses. The HMO Plan offers a network of providers with little to no out-of-pocket costs, but also has a higher monthly premium. Each of these plans has its own unique features and benefits, and we encourage you to review them to find the one that best fits your healthcare needs.
The Copay Plan is a traditional plan that offers low monthly premium with minimal out-of-pocket costs. Under this plan, you will have a copayment for doctor visits and prescription drugs, and there is also a small annual deductible that you’ll need to meet before your insurance kicks in. This plan covers preventive care, such as check-ups and vaccinations, at no additional cost. Additionally, it covers inpatient and outpatient hospital stays, lab tests, diagnostic imaging, and emergency services. The Copay Plan also offers a prescription drug benefit that covers most medications, with a low copayment for each prescription. This plan is a great option for those who want low monthly premium and want to minimize out-of-pocket expenses.
The HSA Plan is a high-deductible health plan that is paired with a Health Savings Account (HSA). Under this plan, you will have a higher annual deductible that you’ll need to meet before your insurance kicks in, but you’ll have lower monthly premium. The HSA is a personal savings account that you can use to pay for qualified medical expenses, including doctor visits, prescription drugs, and hospital stays. The money in the account belongs to you, even if you change jobs or leave the company. You can also invest the money in the account and let it grow tax-free. The HSA plan also covers preventive care, such as check-ups and vaccinations, at no additional cost. This plan is a great option for those who want to save money on monthly premium and want to save money on future medical expenses.
The HMO Plan is a health maintenance organization plan that offers a network of providers with little to no out-of-pocket costs, but also has a higher monthly premium. This plan requires you to choose a primary care physician and get referrals to see specialists. Under this plan, you will have access to a wide range of medical services, including preventive care, doctor visits, laboratory tests, diagnostic imaging, and prescription drugs. Inpatient and outpatient hospital stays are also covered under this plan. The HMO plan also covers preventive care, such as check-ups and vaccinations, at no additional cost. This plan is a great option for those who want low out-of-pocket costs and who prefer to have a primary care physician who coordinates their care.
Important!
Choose the plan that best fits your healthcare needs – consider coverage, costs, and network to ensure optimal health support!
Here you will find information about our prescription drug coverage, including the types of medications covered, the cost-sharing for each medication and the process of ordering the medication. We understand that medication plays an important role in maintaining good health, that’s why we strive to provide our employees with access to the medication they need. We have partnered with leading pharmacy benefit managers to ensure that our prescription drug coverage is comprehensive, affordable and easy to access.
Our prescription drug coverage is designed to provide our employees with access to the medications they need to maintain good health. Under the plan, we cover most medications, including brand-name drugs and generic drugs. The coverage includes drugs that are prescribed by a healthcare professional, as well as over-the-counter drugs that are approved by the FDA. We also cover preventive drugs, such as vaccines and some birth control options. However, there are some medications that may not be covered by the plan, such as experimental drugs or drugs that are not FDA approved. Additionally, certain medical treatments, such as cosmetic surgery, may not be covered. If you have any questions about whether a specific medication is covered, you can check the formulary or contact our customer service team for more information.
Our prescription drug coverage has a cost-sharing structure that is designed to be affordable for our employees. The cost-sharing will vary depending on the type of medication, the dosage and the quantity required. For example, generic drugs typically have lower copayment than brand-name drugs. Also, the copayment for a 90-day supply of medication may be lower than the copayment for a 30-day supply. There may be a small copayment for preventive drugs, such as vaccines, but in most cases it would be covered at no cost. Additionally, our plan has a maximum out-of-pocket limit which means that an employee will not have to pay more than a certain amount for their prescription drugs in a given year, regardless of the cost of the drugs. We encourage our employees to use preferred pharmacies in order to get the best price for their medication.
Discover how Co.Benefits supports you in various health situations. Our real-life examples demonstrate the practicality and impact of your medical benefits, ensuring you make the most informed decisions for your health and well-being.
Features |
Copay Plan |
HSA Plan |
HMO Plan |
---|---|---|---|
Annual Deductible |
$XXX/individual $XXXX/family |
$XXXX/individual; $XXXX/family* |
$XXXX/individual; $XXXX/family* |
Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual |
$XXXX/individual |
Total Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual; |
$XXXX/individual; |
Preventive Care |
|||
Exam |
XXX%, no deductible |
XXX%, no deductible |
XXX%, no deductible |
Non-Urgent Services |
$XXX copayment |
XX%, after deductible |
XX%, after deductible |
Routine Care |
|||
Primary Care visits |
$XX copayment |
XX%, after deductible |
XX%, after deductible |
Specialist |
$XX copayment |
XX%, after deductible |
XX%, after deductible |
Features |
Copay Plan |
HSA Plan |
HMO Plan |
---|---|---|---|
Annual Deductible |
$XXX/individual $XXXX/family |
$XXXX/individual; $XXXX/family* |
$XXXX/individual; $XXXX/family* |
Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual |
$XXXX/individual |
Total Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual; |
$XXXX/individual; |
Preventive Care |
|||
Exam |
XXX%, no deductible |
XXX%, no deductible |
XXX%, no deductible |
Non-Urgent Services |
$XXX copayment |
XX%, after deductible |
XX%, after deductible |
Routine Care |
|||
Primary Care visits |
$XX copayment |
XX%, after deductible |
XX%, after deductible |
Specialist |
$XX copayment |
XX%, after deductible |
XX%, after deductible |
Please note that the information provided in this medical table is for general reference purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized guidance and recommendations regarding your specific medical condition or situation.