Buy Up PPO Plan

-      Increasing the Deductible from $1,000/$2,000 to $1,500/$3,000 for in-network services

-      Changing the Virtual Visit copay from $10 to No Charge

-      Increasing the Tier 2 & Tier 3 Prescription Drug Deductible from $100 to $150

-      Increasing the Tier 2 Prescription Drug copy from $35 to $40

-      Increasing the Tier 3 Prescription Drug copay from $75 to $80

Core EPO Plan

-      Increasing the Deductible from $2,500/$5,000 to $3,000/$6,000 for in-network services

-      Increasing the Out of Pocket Maximum from $8,150/$16,300 to $8,550/$17,100 for in-network services

-      Changing the Virtual Visit copay from $20 to No Charge

-      Decreasing the Tier 1 Prescription Drug Retail copay from $15 to $10

-      Increasing the Tier 2 Prescription Drug Retail copay from $45 to $50

-      Increasing the Tier 3 Prescription Drug Retail copay from $75 to $90

Buy-Down HSA EPO Plan

-      Increasing the Deductible from $4,000/$8,000 to $5,750/$11,500 for in-network services

-      Increasing the Out of Pocket Maximum from $6,750/$13,500 to $7,000/$14,000 for in-network services

-      Changing Virtual Visit coverage from a $10 copay after the deductible is met to No Charge after the deductible is met

-      Changing the Emergency Room benefit from 30% coinsurance after the deductible is met to 50% coinsurance after the deductible is met

Dependent Eligibility: Children will be eligible for coverage until the end of the month in which they turn 26 years of age.

For additional changes, please review the Important Notice of Changes. 

No Benefit Changes to the Dental, Vision, Life and LTD plans. 

• Read more about what is new for 2021-2022 in the Henry Doneger Benefit Guide
• Review all your benefits plans, options, and rates for 2021-2022