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Policy Info
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Enrollment Options
benadmin-support@gethired.com.
Resources
Optional plan resources. Employees can access this information via the plan details. link during enrollment, and throughout the year from their benefits portal.
Contacts
Customer Service888-777-7777
Plan Description
This is a PPO plan with Anthem. PPO plans provide richer benefits at a higher cost, and also allow subscribers to visit a larger network of doctors and facilities.
Payroll Deduction Codes
Deduction Frequency Overrides
Payroll deduction overrides have been locked because at least one employee has enrolled in this plan
and changes could impact existing enrollment records. Please contact support if you need to make
changes to this plan.
Optional override settings for benefit deductions to accommodate scenarios where employee pay and deduction frequencies are different. For example, employees are paid bi-weekly (26 pays), but benefit deductions are only taken out of 24 pay dates. Per pay costs will be calculated accordingly.
Summary
Enrolled
Eligible
Policy Info
Eligibility
Plan Eligibility
New Hire Waiting Period
Waiting Period: 60 Day(s) 1st of month after
Termination Rule
End Coverage: End of Termination Month
Newly Eligible Rules
Waiting Period: 0 Day(s) 1st of month after
Rehire Rules
Waiting Period: 30 Day(s) 1st of month after
Rehire within: 90 Day(s)
Coverage
|
In Network
|
Out of Network
|
|
|---|---|---|
| Coverage | ||
| Annual Individual Deductible |
1000
|
2000
|
| Annual Family Deductible |
2000
|
4000
|
| Coinsurance |
80%
|
80%
|
| Physician/Medical Services | ||
| Preventive Services |
0%
|
0%
|
| Primary Care Physician |
$25 copay
|
80%
|
| Specialist |
$45 copay
|
80%
|
| Hospital Services | ||
| Inpatient Hospital |
20%
|
60%
|
| Outpatient Hospital |
20%
|
60%
|
| Emergency Services | ||
| Emergency Room |
$100 copay
|
$100 copay
|
| Urgent Care |
$30 copay
|
60%
|
| Extended Care Services | ||
| Home Health Care |
$100 copay
|
$100 copay
|
| Hospice Services |
$30 copay
|
60%
|
| Additional Services | ||
| Prescription Drugs | ||
| Prescription Deductible |
$0
|
$0
|
| Retail Supply Limit |
60 Days
|
30 Days
|
| Retail Generic Drugs |
$0 copay
|
80%
|
| Retail Preferred Brand Drugs |
$25 copay
|
80%
|
| Retail Specialty Drugs |
$75 copay
|
80%
|
Additional Coverage / Notes
Rates
Contributions
Additional Settings
Enrollment Options
Resources
Contacts
Documents
Plan Description
This is a PPO plan with Anthem. PPO plans provide richer benefits at a higher cost, and also allow subscribers to visit a larger network of doctors and facilities.