MEDICAL BENEFITS
INDIVIDUAL PLANS

VIRTUAL ORIENTATIONS

The administrator will host two (2) Virtual Orientations to help answer questions you may have. Both meetings will take place

 

TUESDAY, JANUARY 2, 2024

 

(CLICK A TIME TO JOIN THAT MEETING)

NEW ENROLLMENT DEADLINE: FRIDAY, JANUARY 5, 2024 WITH AN EFFECTIVE DATE OF JANUARY 1, 2024

INDIVIDUAL PLANS

PLAN #1

Co-pay:

$15

$15

$15

Ded / Coinsurance

Diagnostics / Xrays / Labs:

Ded / Coinsurance

Ded / Coinsurance

Ded / Coinsurance

Ded / Coinsurance

Urgent Care:

$50/ea.

$50/ea.

Ded / Coinsurance

ER:

$300

then ded / coinsurance

$300

then ded / coinsurance

$300

then ded / coinsurance

Ded / Coinsurance

Co-Insurance:

20%

20%

20%

Max Out Of

Pocket:

$3,500

$4,900

$5,400

$3,500

Prescriptions:

Claims Management:

(ARK Group)

Plan Deductible*:

(United Health Care)

GAP**:

(Manhattan Life)

$2,000

($1,500)

$5,000

($3,000)

$5,000

($2,500)

$6,000

($3,000)

Net Deductible:

$500

$2,000

$2,500

$3,000

PLAN #2

PLAN #3

PLAN #4

$50/ea.

20%

Included

(see below)

Included

(see below)

Included

(see below)

Included

(see below)

$10 / $50 / $115 / $250

$10 / $35 / $75 / $250

$10 / $50 / $115 / $250

Ded / Coinsurance

PAYROLL DEDUCTION***

$160.40

$109.29

$74.22

$65.92

PLAN #1

PLAN #2

PLAN #3

PLAN #4

* When you go to enroll, the United Healthcare summary of benefits will show the full deductible, as the plans are utilized, another carrier (Manhattan Life) will step in to cover claims (up to 1/2 or a little more depending on the plan level) directly at time of service with NO claim forms.

** The Medical (United Healthcare) and GAP (Manhattan Life) plans run concurrently. GAP is similar to a pre-loaded cash card backed by an insurance policy, and is presented at the time of service alongside your medical card. As you use the GAP, it is reducing your deductible with United Healthcare.

*** Prices may vary based on the number of participants

CLAIMS MANAGEMENT

(ARK Group)