Medical Benefits
We offer medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.auxiant.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
$1,000 / $3,000 |
$1,000 / $3,000 |
Member Coinsurance |
$4,000 / $8,000 |
$8,000 / $16,000 |
Out-of-Pocket Max |
80% / 20% |
50% / 50% |
Physician Visits |
||
Primary Care Visit |
$30 Copay |
Deductible + 50% |
Preventive Care |
Fully Covered |
Deductible + 50% |
Specialist Visit |
$30 Copay |
Deductible + 50% |
Hospital Services |
||
Physician Services |
Deductible + 20% |
Deductible + 50% |
Inpatient Hospitalization |
Deductible + 20% |
Deductible + 50% |
Outpatient Surgery |
Deductible + 20% |
Deductible + 50% |
Basic Outpatient Diagnostics |
Deductible + 20% |
Deductible + 50% |
Urgent Care |
$30 Copay |
Deductible + 50% |
Emergency Room |
Deductible + 20% |
Deductible + 20% |
Retail Prescriptions |
||
Tier 1 - Generic |
$15 |
N/A |
Tier 2 - Preferred Brand |
$70 |
N/A |
Tier 3 - Non-preferred Brand |
$110 |
N/A |
Tier 4 - Specialty |
Brand: $110 / Non-Preferred: $200 |
N/A |
Mail Order Prescriptions |
||
Tier 1 - Generic |
$37.50 |
N/A |
Tier 2 - Preferred Brand |
$175 |
N/A |
Tier 3 - Non-preferred Brand |
$275 |
N/A |
Employee Weekly Share |
|
|---|---|
Employee Only |
$76.91 |
Employee + Spouse |
$157.52 |
Employee + Child(ren) |
$120.79 |
Employee + Family |
$183.13 |
We offer medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.auxiant.com.
In-Network |
|
|---|---|
Deductible |
$0 / $0 |
Out-of-Pocket Max |
$3,300 / $6,600 |
Physician Visits |
|
Primary Care Visit |
$30 Copay |
Preventive Care |
No Copay |
Specialist Visit |
$60 Copay |
Hospital Services |
|
Physician Services |
No Charge |
Inpatient Hospitalization |
$400 Copay per day |
Outpatient Surgery |
$400 Copay |
Basic Outpatient Diagnostics |
Diagnostic test: No Chart |
Urgent Care |
$30 Copay |
Emergency Room |
$250 Copay |
Retail Prescriptions |
|
Tier 1 - Generic |
$15 |
Tier 2 - Preferred Brand |
$70 |
Tier 3 - Non-preferred Brand |
$110 |
Tier 4 - Specialty |
Brand: $110 / Non-Preferred: $200 |
Mail Order Prescriptions |
|
Tier 1 - Generic |
$37.50 |
Tier 2 - Preferred Brand |
$175 |
Tier 3 - Non-preferred Brand |
$275 |
Employee Weekly Share |
|
|---|---|
Employee Only |
$84.14 |
Employee + Spouse |
$172.36 |
Employee + Child(ren) |
$132.10 |
Employee + Family |
$200.32 |
We offer medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. To find an in-network doctor, please visit www.auxiant.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
$3,400 / $6,800 |
$3,400 / $6,800 |
Out-of-Pocket Max |
$3,400 / $6,800 |
$6,800 / $13,600 |
Member Coinsurance |
80% / 20% |
80% / 20% |
Physician Visits |
||
Primary Care Visit |
Deductible |
Deductible + 20% |
Specialist Visit |
Fully Covered |
Deductible + 20% |
Preventive Care |
Deductible |
Deductible + 20% |
Hospital Services |
||
Physician Services |
Deductible |
Deductible + 20% |
Inpatient Hospitalization |
Deductible |
Deductible + 20% |
Outpatient Surgery |
Deductible |
Deductible + 20% |
Basic Outpatient Diagnostics |
Deductible |
Deductible + 20% |
Urgent Care |
Deductible |
Deductible + 20% |
Emergency Room |
Deductible |
Deductible |
Retail Prescriptions |
||
Tier 1 - Generic |
Deductible |
N/A |
Tier 2 - Preferred Brand |
Deductible |
N/A |
Tier 3 - Non-preferred Brand |
Deductible |
N/A |
Tier 4 - Specialty |
Deductible |
N/A |
Mail Order Prescriptions |
||
Tier 1 - Generic |
Deductible |
N/A |
Tier 2 - Preferred Brand |
Deductible |
N/A |
Tier 3 - Non-preferred Brand |
Deductible |
N/A |
Employee Weekly Share |
|
|---|---|
Employee |
$72.38 |
Employee + Spouse |
$148.27 |
Employee + Child(ren) |
$113.63 |
Family |
$172.32 |