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Part-Time Sales Service Representatives – Benefits Made Right

Part-Time Sales Service Representatives – Benefits Made Right

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Month: June 2024

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SNAPSHOT - HOW PRESCRIPTION DRUG COPAYS AND MIN/MAX COINSURANCE LIMITS WILL CHANGE

2025

NEW for 2026

When the Medical Plan

Begins to Pay:

$500 Deductible: Immediately

$2,000 and $3,500 Deductible: After you satisfy your deductible

All Coverage Options:

After you satisfy your deductible

Retail Pharmacy (up to a 30-day supply)

Non-Preventive Drugs

You Pay

You Pay

Generic Drugs

$10 copay

$15 copay

Preferred Brand Drugs

30% (after $25 min/$75 max copay)

30% (after $35 min/$85 max copay)

Non-Preferred Brand Drugs

40% (after $50 min/$100 max copay)

40% (after $60 min/$110 max copay)

Mail Order or CVS Retail Pharmacy (up to a 90-day supply)

Non-Preventive Drugs

You Pay

You Pay

Generic Drugs

$25 copay

$37.50 copay

Preferred Brand Drugs

30% (after $62.50 min/$187.50 max copay)

30% (after $87.50 min/$212.50 max copay)

Non-Preferred Brand Drugs

40% (after $125 min/$250 max copay)

40% (after $150 min/$275 max copay)

Note: Out-of-network prescription drug services aren’t covered

SNAPSHOT – HOW OUT-OF-POCKET MAXIMUMS WILL CHANGE

2025

NEW for 2026

Out-of-Pocket Maximums*

$500 Deductible Option

$750 Deductible Option

In-Network

Out-of-Network

In-Network

Out-of-Network

Individual

$3,000

$6,000

$3,250

$6,500

Family

$6,000

$12,000

$6,500

$13,000

* Includes deductible

2025

NEW for 2026

Out-of-Pocket Maximums*

$2,000 Deductible Option

$2,250 Deductible Option

In-Network

Out-of-Network

In-Network

Out-of-Network

Individual

$4,000

$8,000

$4,250

$8,500

Family

$8,000

$16,000

$8,500

$17,000

* Includes deductible

2025

SAME for 2026

Out-of-Pocket Maximums*

$3,500 Deductible Option

$3,500 Deductible Option

In-Network

Out-of-Network

In-Network

Out-of-Network

Individual

$7,000

$14,000

$7,000

$14,000

Family

$14,000

$28,000

$14,000

$28,000

* Includes deductible

SNAPSHOT – HOW DEDUCTIBLES WILL CHANGE

2025

NEW for 2026

Deductibles

$500 Deductible Option

$750 Deductible Option

In-Network

Out-of-Network

In-Network

Out-of-Network

Individual

$500

$1,000

$750

$1,500

Family

$1,000

$2,000

$1,500

$3,000

2025

NEW for 2026

Deductibles

$2,000 Deductible Option

$2,250 Deductible Option

In-Network

Out-of-Network

In-Network

Out-of-Network

Individual

$2,000

$4,000

$2,250

$4,500

Family

$4,000

$8,000

$4,500

$9,000

2025

SAME for 2026

Deductibles

$3,500 Deductible Option

$3,500 Deductible Option

In-Network

Out-of-Network

In-Network

Out-of-Network

Individual

$3,500

$7,000

$3,500

$7,000

Family

$7,000

$14,000

$7,000

$14,000