Medical
Medical coverage provides healthcare protection for you and your family. You can visit any provider, but in-network doctors offer the highest level of benefits and lower out-of-pocket costs by charging reduced, contracted rates. Out-of-network providers set their own fees, so you may be responsible for charges above the Reasonable and Customary (R&C) limits. Preventive care—such as physical exams, flu shots, and screenings—is covered at 100% when you use in-network providers. The main differences between plan options are how much you pay per paycheck and what you pay when you receive care.
Each plan has different:
- Annual deductible amounts – the amount you pay each year for eligible in-network and out-of-network charges before the plan begins to pay.
- Out-of-pocket maximums– the most you will pay each year for eligible network services and/or prescriptions. After you reach your out-of-pocket maximum, the plan picks up the full cost of covered medical care for the remainder of the year.
- Copays – A copay is a fixed amount you pay for a health care service. Copays do not count toward your deductible but do count toward your annual out-of-pocket maximum.
- Coinsurance – Once you’ve met your deductible, you and the plan share the cost of care, which is called coinsurance. For example, you pay 20% for services and the plan will pay 80% of the cost until you have reached your out-of-pocket maximum.
Contact Information
Anthem
Medical: 833-777-7412
Pharmacy: 833-205-6004
National Direct Plus Drug List
National Direct Plus Preventive Rx Drug List
Enrolling your Domestic Partner?
You will need to complete the Domestic Partner Affidavit.
Kaiser
800-464-4000
kp.org
Kaiser HMO
Benefit Highlights
In-Network
Deductible (Individual/Family)
$1,000/$2,000
Out-of-Pocket Max (Individual/Family)
$4,000/$8,000
Preventive Care
$0
Primary Care Visit
$20 copay
Specialist Visit
$20 copay
Urgent Care
$20 copay
Emergency Room
20% after deductible
Retail Rx (Up 30-day Supply)
Generic
$10
Brand Name
$30
Specialty
20% up to $250 per prescription
Mail Order Rx (Up 90-day Supply)
Generic
$20
Brand Name
$60
Specialty
20% up to $250 per prescription
Shows what you pay for in-network services only. You always pay the deductible and copay ($). You pay coinsurance (%) after you meet the deductible.
Plan Cost - Bi-Weekly
Employee Only: $48.92
Employee and Spouse: $151.38
Employee and Child(ren): $120.00
Employee and Family: $229.38
Anthem PPO 500
Benefit Highlights
In-Network
Deductible (Individual/Family)
$500/$1,000
Out-of-Pocket Max (Individual/Family)
$3,000/$5,000
Preventive Care
$0
Primary Care Visit
$20 copay
Specialist Visit
$30 copay
Urgent Care
$50 copay
Emergency Room
$150 copay (waived if admitted)
Retail Rx (Up 30-day Supply)
Generic
$10
Brand Name
$30
Specialty
Varies based on tier
Mail Order Rx (Up 90-day Supply)
Generic
$20
Brand Name
$60
Specialty
2x retail (Varies based on tier)
Shows what you pay for in-network services only. You always pay the deductible and copay ($). You pay coinsurance (%) after you meet the deductible.
Plan Cost - Bi-Weekly
Employee Only: $57.23
Employee and Spouse: $191.08
Employee and Child(ren): $133.38
Employee and Family: $242.77
Anthem HSA 2000
Benefit Highlights
In-Network
Deductible (Individual/Individual within a Family/Family)
$2,000/$3,400/$4,000
Out-of-Pocket Max (Individual/Individual within a Family/Family)
$4,000/$4,000/$5,000
Preventive Care
$0
Primary Care Visit
20% after deductible
Specialist Visit
20% after deductible
Urgent Care
20% after deductible
Emergency Room
20% after deductible
Retail Rx (Up 30-day Supply)
Generic
$10 after deductible
Brand Name
$30 after deductible
Specialty
Cost varies depending on drug tier
Mail Order Rx (Up 90-day Supply)
Generic
$20 after deductible
Brand Name
$60 after deductible
Specialty
Cost varies depending on drug tier
Shows what you pay for in-network services only. You always pay the deductible and copay ($). You pay coinsurance (%) after you meet the deductible.
Plan Cost - Bi-Weekly
Employee Only: $39.23
Employee and Spouse: $106.62
Employee and Child(ren): $85.85
Employee and Family: $184.62
Anthem HRA 3500 – Closed to new enrollments
Benefit Highlights
In-Network
Deductible (Individual/Family)
$3,500/$7,000
Out-of-Pocket Max (Individual/Family)
$4,500/$9,000
Preventive Care
$0
Primary Care Visit
20% after deductible
Specialist Visit
20% after deductible
Urgent Care
20% after deductible
Emergency Room
20% after deductible
Retail Rx (Up 30-day Supply)
Generic
$15 after deductible
Brand Name
$30 after deductible
Specialty
Cost varies depending on drug tier
Mail Order Rx (Up 90-day Supply)
Generic
$30 after deductible
Brand Name
$60 after deductible
Specialty
Cost varies depending on drug tier
Shows what you pay for in-network services only. You always pay the deductible and copay ($). You pay coinsurance (%) after you meet the deductible.
Plan Cost - Bi-Weekly
Employee Only: $18.92
Employee and Spouse: $57.69
Employee and Child(ren): $44.77
Employee and Family: $108.00
One Medical
Primacy Concierge Care
Concierge Primary Care
With One Medical, you can experience a new level of convenience and personalized care.
One Medical is only available for enrolled Anthem members.
Enjoy easy access to a network of top-tier physicians, seamless virtual appointments, and in-person visits at conveniently located offices.
One Medical is here to keep you and your family in the best of health, offering preventive care and ongoing support for all your healthcare needs. One Medical offers same/next-day appointments, seamless care, and longer, non-rushed appointments.
You can access 24/7 virtual care through the One Medical app, email, and phone.
How to Register:
- Register at www.onemedical.com/myhealth with the activation code: RVTECHXOM
- If you already use One Medical, you can log in at onemedical.com using your existing membership, visit the “Account Settings” section, and then plug in the company code under “Membership, Insurance & Billing”.