|
Medical Plan Options and Incentives
Consumer Basic: Office visits applied to deductible ($2250 individual) and coinsurance (25%). HealthFund used first to reduce deductible. $250 added back to HealthFund per quarter if compliant.
Consumer Plus: Office visits applied to deductible ($1750 individual) and coinsurance (20%). HealthFund used first to reduce deductible. $300 added back to HealthFund per quarter if compliant.
Open Access: $0 copay for office visit per quarter if compliant
POS Premium: $0 copay for office visit per quarter if compliant
Services Covered Under Program
Unlimited Visits as medically necessary (expect 5 visits first year)
Pharmacy Benefits – all Medical Plan Options
Antidiabetic drugs
Generic, including injectable insulin - $0 copay
Brand – Generic copay level in medical plan option
Antihypertensives
Generic - $0 copay
Brand – Generic Copay level in medical plan option
Testing Supplies
Meter, Test Strips and Lancets: Brand copay level in medical plan option
|
