MEDICAL

Your health is your greatest adventure! Whether it’s staying active, eating well, or checking in with your doctor, every little step keeps you feeling your best.

PT-Medical-01

Resources

Preferred Provider Organization Plan (PPO)

Services	In-Network	Out-of-Network
Deductible (Single/Family)	$1,000/$2,000	$2,000/$4,000
Coinsurance	10% after Deductible	30% after Deductible
Maximum Out-of-Pocket	$2,000/$4,000	$4,000/$8,000
Primary Care Visits	$20 Copay	30% after Deductible
Preventive Care	No Cost	30% after Deductible
Specialist Visits	$20 Copay	30% after Deductible
Inpatient Visit	10% after Deductible	30% after Deductible
Outpatient Services	10% after Deductible	30% after Deductible
Emergency Room	$75 Copay (waived if admitted)
Urgent Care	$30 Copay	30% after Deductible

Prescription Drugs

Services	Retail	Mail Order
Generic	$12	$24
Preferred Brand	$30	$75
Non-Preferred Brand	$60	$150

*This is just an abbreviated summary; refer to the Certificate & SPD for final confirmation of coverage

Informational Videos

Medical Plan PPO Preferred Provider Organization

Preventive Care

Primary Care vs Urgent Care vs ER