ImpaxRX is a concierge pharmacy program specifically targeting high-cost drugs by taking advantage of alternate distribution programs.
Income-eligible individuals will qualify to receive their prescriptions at NO COST.
For more information on ImpaxRX, contact your Human Resources department, or call 844-467-2979 (option 1) for ImpaxRX.
Full-Time Employees (30 hours/week minimum)
**New employees are eligible for benefits 90 days after date of hire.
EMPLOYEE ELIGIBILITY: If you do not enroll during the Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.
DEPENDENT ELIGIBILITY: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.
What is a Qualifying Life Event?
If you have a Qualifying Life Event and want to request a mid-year change, you must notify Human Resources and complete your election changes within 30 days following the event. Be prepared to provide documentation to support the Qualifying Life Event.
What is Acceptable Documentation?
When you utilize providers that are in Medical Mutual's network, you will receive higher benefits. Employees who seek care from a provider that is not in Medical Mutual's network will be responsible for higher costs.
Preventive Services Covered at 100%
All routine preventive services are covered 100% as long as the claim is submitted as routine or preventive, and falls within the approved list of preventive services. Remind your physician that you are visiting for the purpose of a wellness visit and to submit your visit as preventive in nature.
What is considered a preventive service?
Your prescription drug coverage is through Express Scripts.
Impax RX will reach out to income eligible employees directly to aid in the payment of high cost prescriptions. (prescription approval and income eligibility required)
Flexible Spending Accounts (FSA) allow you to reduce your taxable income by setting aside pre-tax dollars from each paycheck to pay for eligible out of pocket health care and dependent care expenses for yourself, your spouse and your dependent children.
In order to participate in an FSA, you must enroll each year. Your annual contribution stays in effect during the entire year (January 1st through December 31st). The only time you can change your election is during the enrollment period or if you experience a change-in-status event. You must elect this benefit within 30 days of your hire date or first date of benefits eligibility.
Health Care & Limited Purpose FSA
You can spend up to the full amount as soon as your account has been set. Maximum annual contribution is $2,750.
**Health Care FSA's have a $500 rollover limit. These funds can be used for the first 2.5 months of the next year. Any unused funds beyond the 2.5 months will be forfeited**
Dependent Care FSA
SunLife remains the carrier for your dental benefits.
You may go to any dentist. SunLife pays all claims (network and non-network) at the 90th percentile. If a dental treatment is expected to exceed $300, SunLife recommends a dental treatment plan be submitted to claims for review, before the treatment begins.
Medical Mutual remains the carrier for your vision benefits.
You may go to any eye care provider. However, those who belong to the MMO Vision Network will be most cost effective.
Anthem remains the carrier for your Basic Life benefits.
Your Basic Life Benefit
**It is important to designate beneficiaries. The person you designate as your primary beneficiary will receive your life insurance benefits in the event of your death. It is important to designate a contingent beneficiary, who will receive the benefits if the primary beneficiary cannot.
First Stop Health
No crowded waiting rooms. No driving. See a doctor when you need a doctor. Talk to a doctor 24/7.
When can I use First Stop Health?
How does it work?