Medical Benefits
In-Network |
|
---|---|
Deductible (Individual/Family) |
$3,500/$7,000 |
Coinsurance |
0% |
Out-of-Pocket Max (Individual/Family) |
$4,500/$9,000 |
Primary |
Deductible |
Specialist |
Deductible |
Urgent Care |
Deductible |
Emergency Room |
Deductible |
Retail Prescriptions |
|
---|---|
Generic |
Deductible, then $10 Copay |
Brand Name |
Deductible, then $45 Copay |
Non-Preferred |
Deductible, then $70 Copay |
Specialty |
Deductible, then 20% to a max of $150 |
Employee Per Pay Period Cost |
Standard Rate |
Wellness Rate |
---|---|---|
Employee Only |
$34.62 |
$0.00 |
Employee + Spouse |
$270.00 |
$235.38 |
Employee + Spouse* |
$339.23 |
$304.62 |
Employee + Children |
$205.38 |
$170.77 |
Employee + Family |
$362.31 |
$327.69 |
Employee + Family* |
$431.54 |
$396.92 |
*Surcharge applies only if the employee’s spouse is eligible for coverage through their employer’s group |
If you choose to elect the HSA option, Argus Consulting will contribute $75 per month to your Health Savings Account. |
In-Network |
|
---|---|
Deductible (Individual/Family) |
$1,000/$2,000 |
Employee Coinsurance |
20% |
Out-of-Pocket Max (Individual/Family) |
$3,500/$7,000 |
Primary Care |
$25 Copay |
Specialist |
$50 Copay |
Urgent Care |
$75 Copay |
Emergency Room |
$200 Copay, then Deductible, then Coinsurance |
Retail Prescriptions |
|
---|---|
Generic |
$10 Copay |
Brand Name |
$45 Copay |
Non-Preferred |
$70 Copay |
Specialty |
20% to max of $150 |
Employee Per Pay Period Cost |
Standard Rate |
Wellness Rate |
---|---|---|
Employee Only |
$34.62 |
$0.00 |
Employee + Spouse |
$380.77 |
$346.15 |
Employee + Spouse |
$450.00 |
$415.38 |
Employee + Children |
$272.31 |
$237.69 |
Employee + Family |
$454.62 |
$420.00 |
Employee + Family |
$523.85 |
$489.23 |
*Surcharge applies only if the employee’s spouse is eligible for coverage through their employer’s group |
Group Number
16927
Provided By
Meritain Health
Provider Website
Customer Service
Resources
Frequently Asked Questions