Eligible employees may enroll in a medical plan linked to one of two health accounts, either a Health Reimbursement Account (HRA) or Health Savings Account (HSA).
We offer an EPO [Exclusive Provider Organization/in-network only] plan and PPO plans. The PPO plans are very similar to each other, with the exception of the individual deductible (See Summary of Benefits).
Medical
Pharmacy
Website: https://www.express-scripts.com/
Phone: 866-773-4372
For additional information please contact HealthAdvocate through email [email protected] or by phone (866) 695-8622.
Medical Documents
Pharmacy Summary of Benefits
| EXPRESS-SCRIPTS NETWORK PHARMACY | PPO WITH HRA | PPO WITH HSA | BASIC EPO | OUT OF NETWORK (ALL PLANS) |
| Preventive Prescriptions | Payable in Full | Payable in Full | No Coverage |
Retail – 30 Day Supply
Tier 1 – Generic
Tier 2 – Preferred Brand Drugs (Formulary)
Tier 3 – Non-Preferred Brand (Non-Formulary) | After your Deductible, you pay:
20% coinsurance
30% coinsurance
40% coinsurance | No Deductible, you pay:
$15 Copay
$35 Copay
$70 Copay | No Coverage |
Mail Order or Retail – 90 Day Supply
Tier 1 – Generic
Tier 2 – Preferred Brand Drugs (Formulary)
Tier 3 – Non-Preferred Brand (Non-Formulary) | After your Deductible, you pay:
20% coinsurance
30% coinsurance
40% coinsurance | No Deductible, you pay:
$45 Copay
$105 Copay
$210 Copay | No Coverage |
| Specialty Medication (30 day Maximum) | After your Deductible, you pay:
25% coinsurance to a maximum of
$100 per prescription per month | No Deductible, you pay:
$250 Copay | No Coverage |
Telemedicine
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- Fever
- Sore throat
- Cough and colds
- Flu
- Urinary tract infections
- Sinusitis
- Allergies
To learn more and register today:
Visit livehealthonline.com
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