Medical Benefits
Your employer offers medical insurance to all full-time employees working 30 or more hours per week (or 130 or more per month). 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 auxiant.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
$2,000/$4,000 |
$6,000/$12,000 |
Member Coinsurance |
20% |
50% |
Out-of-Pocket Max |
$6,250/$12,500 |
$12,500/$25,000 |
Preventive Care |
Covered at 100% |
50% Coinsurance |
Primary Care Visit |
$35 Copay |
50% Coinsurance |
Specialist Visit |
$40 Copay |
50% Coinsurance |
Physician’s Office (Outpatient Mental Health/Outpatient Substance Use Disorder) |
Covered at 100% |
50% Coinsurance |
Urgent Care |
$100 Copay |
50% Coinsurance |
Emergency Room |
$300 Copay |
$300 Copay |
| Prescription Drugs (30 Days) | In-Network |
Out-of-Network |
|---|---|---|
Tier 1 |
$15 Copay |
Not Covered |
Tier 2 |
$40 Copay |
Not Covered |
Tier 3 |
$75 Copay |
Not Covered |
| Mail Order Prescription Drugs (90 Days) | In-Network |
Out-of-Network |
|---|---|---|
Tier 1 |
$38 Copay |
Not Covered |
Tier 2 |
$100 Copay |
Not Covered |
Tier 3 |
$188 Copay |
Not Covered |
Per Pay Period Rate |
|
|---|---|
Employee Only |
$0.00 |
Employee + Spouse |
$197.00 |
Employee + Child(ren) |
$151.00 |
Employee + Family |
$332.00 |
Your employer offers medical insurance to all full-time employees working 30 or more hours per week (or 130 or more per month). 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 auxiant.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
$2,000/$4,000 |
$6,000/$12,000 |
Member Coinsurance |
0% |
30% |
Out-of-Pocket Max (Individual/Family) |
$4,000/$8,000 |
$8,000/$16,000 |
Preventive Care |
Covered at 100% |
30% Coinsurance |
Primary Care Visit |
$25 Copay |
30% Coinsurance |
Specialist Visit |
$30 Copay |
30% Coinsurance |
Physician’s Office (Outpatient Mental Health/Outpatient Substance Use Disorder) |
Covered at 100% |
50% Coinsurance |
Urgent Care |
$100 Copay |
30% Coinsurance |
Emergency Room |
$300 Copay |
$300 Copay |
| Prescription Drugs (30 Days) | In-Network |
Out-of-Network |
|---|---|---|
Tier 1 |
$15 Copay |
Not Covered |
Tier 2 |
$40 Copay |
Not Covered |
Tier 3 |
$75 Copay |
Not Covered |
| Mail Order Prescription Drugs (90 Days) | In-Network |
Out-of-Network |
|---|---|---|
Tier 1 |
$38 Copay |
Not Covered |
Tier 2 |
$100 Copay |
Not Covered |
Tier 3 |
$188 Copay |
Not Covered |
| Per Pay Period Rate | |
|---|---|
Employee Only |
$12.50 |
Employee + Spouse |
$222.50 |
Employee + Child(ren) |
$175.00 |
Employee + Family |
$386.50 |