EnviroScience, Inc.

Table of Content

  1. Header
  2. Page
    1. What's New for 2023!
    2. How To Enroll?
    3. Medical Benefits
    4. Pharmacy Updates
    5. Virtual Visits
    6. Dental Benefits
    7. Vision Benefits
    8. Life/ AD&D
    9. Disability Benefits
    10. 401k
    11. Plan Documents
    12. Contact Us
  3. Footer

What's New for 2023!

Whats new

Pharmacy- SaveonSP with Medical Mutual

How To Enroll?

ENROLLMENT INSTRUCTIONS:

1.You will receive an Email with a link to Ease. Click the blue “login” button with the email message to be directed to the enrollment portal.

2.Enter your User ID and password

3.If you do not remember your User ID and Password, please contact Carolyn Paris with NFP at carolyn.paris@nfp.com.

4.Follow instructions and enroll in your benefits

5.Make sure to sign your forms, save your elections and print your confirmation statement.


Click on the link below to enroll into your benefits

Ease

Medical Benefits

Medical Mutual

Medical: Provided through Medical Mutual of Ohio

HSA Plan: $5,000/$10,000 Deductible with 100% Coinsurance with underlying Health Reimbursement Arrangement.

  • - HRA PLAN: $3,000/$6,000 Deductible In-Network

NEW ID Cards will be issued for 01/01/2023. MMO is changing their national network from Aetna to Cigna PPO.




HSA Plan

PLAN BENEFITS

In-Network

Out-of-Network

DEDUCTIBLE

Single Deductible

$5,000

$15,000

Family Deductible

$10,000

$30,000

COINSURANCE (applies after deductible is met) & Out of Pocket Max (includes coinsurance and deductible)

Plan Pays

100%

70%

Single Out of Pocket Maximum

$6,900

$20,700

Family Out of Pocket Maximum

$13,800

$41,400

MEMBER COPAYMENTS

Primary Care (PCP) - Office Visit

100% after deductible

70% after deductible

Preventive Services

100% no deductible

70% after deductible

Prenatal Services

100% no deductible

70% after deductible

Specialist - Office Visit

100% after deductible

70% after deductible

OP Lab, X-Ray, MRI/Cat Scan

100% after deductible

70% after deductible

Hospital IP, OP Surgery

100% after deductible

70% after deductible

Urgent Care Facility

100% after deductible

70% after deductible

Emergency Room Visit***

100% after deductible

Only true emergencies will be covered

RX COPAYS after Deductible

Retail 30-Days

Mail Order 90-Days

Tier 1

$10 copay

$25 copay

Tier 2

$40 copay

$120 copay

Tier 3

$70 copay

$210 copay

Tier 4

25% up to $350 (30-day only)




HOW TO FND A PROVIDER IN NETWORK

Click on the white Medical Mutual button below and follow the steps listed.


1. Click on “Find a Doctor”

2. Select “Group” on plan type and click “Next”

3. Select “2023” for the plan year

4. Select Medical

5. Choose “SuperMed PPO” for the network

6. Enter in your location (or zip code)

7. You can now search by specific doctor, location,

   or browse a category.

Pharmacy Updates

SaveonSP

Medical Mutual is implementing the following pharmacy program enhancements:

SaveonSP – Manufacturers provide savings for certain specialty drugs


•Target specialty drugs across several therapy classes

•Members who enroll in this program will receive a $0 copay amount of these drugs

•Specialty drugs are filled exclusively by these pharmacies:

•Accredo (owned by Express Scripts)

•Gentry Health Solutions (owned by Discount Drug Mart)

•University Hospitals Specialty Program



Home Delivery Active Choice – Member’s choice Mail Order or Retail


•Letters will be sent to members who are currently filling long-term prescriptions at a retail pharmacy 60 days before 01/01/2023

•Select Home Delivery Active Choice requires you to notify ESI of your preference for filling your prescriptions. If you prefer to continue filling your prescriptions at your local retail pharmacy, you need to let ESI know before your fourth fill to ensure that the amount you pay continues to apply to your deductible and maximum out of pocket. Or if you want to switch to home delivery, ESI can help you get started.

To let ESI know your preference, just call the Rx number listed on member ID card and advise they want to continue to fill prescriptions at their retail pharmacy.

•An example of switching to Home Delivery


Please refer to the Employee Benefit Guide for more Information. Click on the Button below to download the benefit guide.

RX
Employee Benefit Guide

Employee Benefit Guide

Virtual Visits

Telehealth, also known as telemedicine, has been gaining popularity with the healthcare providers and patients alike. Telehealth appointments allow you to stay connected with your providers and obtain needed medical care through live video chats using a computer or mobile device.


Are telehealth visits covered under my plan?

As with any health benefit, your plan determines how virtual visits are covered. Generally speaking, virtual visits are covered the same as a standard office visit when you have an existing relationship with the provider. You can use telehealth for routine care for acute conditions such as sore throat, sinus infection, or chronic health conditions, such as diabetes or high blood pressure. Behavioral health visits are also included.


Do I need to make an appointment?

If you have an existing relationship with a healthcare provider, you would need to contact them to set up a telehealth appointment. This is called a scheduled telehealth visit. You can also schedule telehealth visits for behavioral health services once you have had an initial face-to-face visit with the provider.

If you want to speak to a healthcare provider right away, you can use an on-demand telehealth service, if it is covered by your plan. An on-demand telehealth visit is similar to walking into an urgent care center. You do not need to schedule an appointment. You can log in for a telehealth visit anytime and you will be assigned to the first available provider. Behavioral health visits are not covered as on-demand telehealth visits.


Click the bottom below or call Medical Mutual Customer Care at 800-362-4700


Virtual Visits

Dental Benefits

Dental

Dental: Provided through Lincoln with no plan changes


Base Dental

Buy-Up Dental 

PLAN FEATURES

In-Network

Out of Network

In-Network

Out of Network

Network Details

Lincoln PPO

N/A

Lincoln PPO

N/A

Benefit Period

Calendar Year

Calendar Year

DEDUCTIBLE

Single $0

Family $0

$0

$0

When receiving Basic and Major services

 (Does not apply for Preventive services)

COVERED SERVICES

CLASS I:

Preventive Services

Routine oral exams and cleanings, x-rays (bitewing), sealants & fluoride treatments

Covered at

100%

Covered at

100%

MAC

Covered at

100%

Covered at

100%

UCR

CLASS II:

Basic Services

Periodontics (surgical & non-surgical), endodontics (root canals), oral surgery, fillings, prosthetic maintenance & x-rays (full mouth)

Covered at

50%

Covered at

50%

MAC

Covered at

80%

Covered at

80%

UCR

CLASS III:

Major Services

Prosthodontics, crowns, inlays/onlays,

dentures, implants & bridges

Covered at

30%

Covered at

30%

MAC

Covered at

60%

Covered at

60%

UCR

CLASS IV:

Ortho Services

Lifetime Max - $1,500

Covered at

50%

Covered at

50%

MAC

Covered at

50%

Covered at

50%

UCR

ANNUAL MAXIMUM                                      

Maximum Benefit

Allowed per Benefit Period

$1,000 per covered individual

$1,500 per covered individual



Need help finding a Dentist click on the link below.

Vision Benefits

 Vision Exam

$10 copay

Up to $45

COVERED SERVICES – LENSES / FRAMES

Single Lenses

$25 copay

Up to $40

Bifocals

$25 copay

Up to $60

Trifocals

$25 copay

Up to $80

Frames

$130 retail allowance,

plus 30% off remaining balance

Up to $45

COVERED SERVICES

Contact Lenses

$125 retail allowance

Up to $125

Contact Lens Evaluation Fitting

Included in Exam

with covered contact purchase

No discounts

BENEFIT FREQUENCY

Exams

Once every 12 Months

Lenses

Once every 12 Months

Frames

Once every 24 Months

Contacts

Once every 12 Months

(contacts in lieu of frames/lenses)

Vision

Life/ AD&D

life

VOLUNTARY LIFE INSURANCE

Employees have the opportunity to enroll in supplemental Life insurance. If you choose to enroll in employee coverage, this will be in addition to your employer provided Basic Life coverage. Coverage is also available for your spouse and/or child dependents. It is typically required that you elect coverage for yourself in order to be eligible for coverage on your dependents.


Click on the Button below!


Disability Benefits

SHORT-TERM DISABILITY (STD)

Everyday illnesses or injuries can interfere with your ability to work. Even a few weeks away from work can make it difficult to manage household costs. Short Term Disability coverage provides financial protection for you by paying a portion of your income, so you can focus on getting better and worry less about keeping up with your bills.


LONG-TERM DISABILITY (LTD)

Serious illnesses or accidents can come out of nowhere. They can interrupt your life, and your ability to work for months – even years. 

Long Term Disability provides financial protection for you by paying a portion of your income, so you have financial support to manage your disability and your household.



DIS

401k

401k

Get Started and Save for the Future!


With EnviroScience, Inc. 401k Plan. This 401k plan is offered by Fidelity Investments


Click on the button below

Plan Documents

Guidelines for Distribution

Guidelines for Distribution

Wrap SPD Document

Wrap SPD Document

Wrap Plan Document

Wrap Plan Document

HSA SPD Document

HSA SPD Document

HRA SPD Document

HRA SPD Document

HRA Plan Document

HRA Plan Document

Employee Acknowledgment

Employee Acknowledgment

Annual Notice Women's Health

Annual Notice Women's Health

HSA Plan Document

HSA Plan Document

Contact Us

Human Resource Department

Donna Barona

Human Resource Director

(234) 602-0332

 

 

Denise Bidgood

Payroll & HR Administrator

(440) 241-4499 

Account Team Contacts

SJ

Susan Justavick

Account Manager

susan.justavick@nfp.com

(216) 264-2707

Additional Contacts

CMP

Carolyn M. Paris

Benefit Coordinator

carolyn.paris@nfp.com

216.816.0010