Medical & Prescription Benefits

You may choose from three Open Access medical plans administered by  Anthem.

All medical plans offer:

  • Preventive care at no cost to you
  • Include prescription drug coverage administered by OptumRx.
  • No requirement to select a Primary Care Physician (PCP)
  • No referral requirement for specialist care
  • In-network and out-of-network coverage options
  • Eligibility to receive a fitness reimbursement up to $300 per year

For each plan, you share in the cost of care through deductibles, copays, and/or coinsurance. The out-of-pocket costs you must pay depend on the plan you select. No matter which plan you choose, you’re protected from the high cost of large medical bills by an annual out-of-pocket maximum. The out-of-pocket maximum is the most you will pay for covered services in a calendar year before the plan pays 100% of covered expenses. For more information about the three plans available and their costs, review your Medical Plan Comparison and Cost Summary for your organization.

Have you recently had a change in status (married, divorced, widowed, birth/adoption)? If so, your benefits must be changed within 30 days of the event.