Medical Benefits

Your employer offers 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. To find a doctor, please visit www.allstatebenefits.com.

Things to consider when choosing a plan:
• Do you prefer to pay more for family medical insurance out of your paycheck, but less when they need care?
• Do you prefer to pay less out of your paycheck, but more when you need care?
• What planned medical services do you expect to need in the upcoming year?
• Do you or any of your covered family members take prescription medications regularly?

	Open Network
Deductible (Individual/Family)	$5,000 / $10,000
Out-of-Pocket Max (Individual/Family)	$9,100 / $18,200
Member Coinsurance (plan pays/you pay)	70% /30%
Physician Visits
Primary Care Visit	$40 Copay
Preventive Care	0%
Specialist Visit	$60 Copay
Hospital Services
Physician Services	Deductible + Coinsurance
Inpatient Hospital	Deductible + Coinsurance
Outpatient Surgery	Deductible + Coinsurance
Basic Outpatient Diagnostics	Deductible + Coinsurance
Urgent Care	$75 Copay
Emergency Room	Deductible + Coinsurance
Prescriptions
Tier 1 - Generic	$20
Tier 2 - Preferred Brand	$50
Tier 3 - Non-Preferred Brand	$75

	BOUNTIFUL per 26 Pay Period Cost	SKYHOOK Weekly Pay Period Cost
Employee Only	$0.00	$0.00
Employee + Spouse	$101.39	$50.69
Employee + Child(ren)	$67.51	$33.76
Employee + Family	$168.90	$84.45

Downloads

Summary of Benefits

Vori Health

How your plan works flyer

Recuro Health Guide

	Open Network
Deductible (Individual/Family)	$3,500 / $7,000
Out-of-Pocket Max (Individual/Family)	$6,600 / $13,200
Member Coinsurance (plan pays/you pay)	80% / 20%
Physician Visits
Primary Care Visit	Deductible + Coinsurance
Preventive Care	0%
Specialist Visit	Deductible + Coinsurance
Hospital Services
Physician Services	Deductible + Coinsurance
Inpatient Hospital	Deductible + Coinsurance
Outpatient Surgery	Deductible + Coinsurance
Basic Outpatient Diagnostics	Deductible + Coinsurance
Urgent Care	Deductible + Coinsurance
Emergency Room	Deductible + Coinsurance
Prescriptions
Tier 1 - Generic	Deductible + 20% Coinsurance
Tier 2 - Preferred Brand	Deductible + 20% Coinsurance
Tier 3 - Non-Preferred Brand	Deductible + 40% Coinsurance