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Open Enrollment

February 1 - 15, 2021

Premium Choice Express is offering three (3) medical benefit options, vision and dental (optional) benefits for our 2021 plan year. Below are the options to select. All employees are REQUIRED to enroll OR deny medical coverage in the enrollment form below.

2021 Medical Benefit Overview - Effective March 1, 2021

HMO Essential $1500

 

Ded: $1,500 Ind/$3,000 Family

PCP: $20 co-pay / Specialist: $40 copay

In-Patient Hospital: 100% after Deductible

Emergency Room Copay: $250 copay

Out-of-Network: Emergency Only

Prescriptions:

Retail: $20/50/100

Mail Order: $40/100/300

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Payroll Deductions: Weekly

$53.07  Single:

$106.14  EE/SP:

$98.18  EE/CH:

$151.24  Family:

HMO Essential $3000

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Ded: $3,000 Ind/$6,000 Family

PCP: $25 co-pay / Specialist: $40 copay

In-Patient Hospital: 100% after Deductible

Emergency Room Copay: $250 copay

Out-of-Network: Emergency Only

Prescriptions:

Retail: $20/50/100

Mail Order: $40/100/300

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Payroll Deductions: Weekly

$43.09  Single:

$86.18  EE/SP:

$79.72  EE/CH:

$122.81  Family:

PPO National Essential $1000

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Ded: $1,000 Ind/$2,000 Family

PCP: $20 co-pay / Specialist: $40 copay

In-Patient Hospital: 100% after Deductible

Emergency Room Copay: $250 copay

Out-of-Network: 20% after Deductible

Prescriptions:

Retail: $20/50/100

Mail Order: $40/100/300

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Payroll Deductions: Weekly

$62.88  Single:

$125.77  EE/SP:

$116.34  EE/CH:

$179.22 Family:

2021 Vision & Dental - Optional Add-on

Dental: Standard Plan

$1500 calendar year maximum

$50 member deductible ($150 family max)

 

Preventative Visits

Cleaning (2)

Fluoride

Bite wing x-rays

 

Basic Service

80% paid by carrier

Oral surgery

General anesthesia

Periodontics

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Major Service

50% paid by carrier

Crowns

Bridges

Root canals

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Payroll Deductions: Weekly

$4.51  Single:

$9.00  EE/SP:

$10.64  EE/CH:

$15.14  Family:

Vision: Standard Plan

VSP Network Providers

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Well Visit Eye Exam

No member cost

 

Non-routine Eye Exam 

$10 copay

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Frame Allowance

$130 every 12 months

 

Lease Allowance

$130 every 12 months

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Contact Lense Fitting

$60 copay

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Lense & Frame Deductible

$25

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Payroll Deductions: Weekly

$1.12  Single:

$2.16  EE/SP:

$1.92  EE/CH:

$2.97  Family:

2021 Benefit Overview Video

Summary of Benefit Details

(click button to get details about plan option)

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