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MEDICAL

MEDICAL

Myers offers three different health plans to meet the needs of you and your family.  Your health care needs are unique.  That’s why you have a choice of health plans that vary by premium, deductible and coinsurance so you can find the fit that is right for you.  All plans include:

  • Access to a network of providers that is one of the largest in the nation, BlueCross BlueShield.
  • Prescription drug coverage with a money saving mail service option.
  • Free preventive care, including annual checkups and immunizations.
  • Personalized health services and online tools to help you manage your health, health decisions and health care dollars.
Anthem health guides are here to help

Health guides are team members hand-picked for their kindness and understanding, their ability to listen and find a solution, all while also helping you feel less overwhelmed. They are experts at:

  • One-call resolution. Our guides use advanced technology to see your whole health care picture while talking to you or advocating for you. They understand you are busy and may not have time for multiple conversations so they find the solution in the first call. Health guides take a comprehensive and personal approach, not only to help with your immediate needs but also anticipate future questions.
  • Advocating for you. Health guides bring knowledge and experience to help make sure you are receiving the care you need. They will help break down barriers and eliminate “homework” for you, like calling providers about billing discrepancies, so you can focus on your health. If you need help finding a provider, guides can match you with an in-network provider that suits your needs. They can also help you save money by comparing costs for care at different hospitals and save on your prescription drugs, by switching to generic from brand-name, if available.
  • Coordinating care for better health. Many people see more than one doctor. Health guides can connect you to health professionals who will help coordinate with doctors and other members of your care team. They can remind you of important preventive care, and even help schedule appointments for you, when possible. They also have in-depth knowledge about the programs and preventive care services that are part of your benefits, and they work closely with nurses, health coaches and social workers to provide support uniquely suited to you.

Anthem Health Guide is here to give you personalized help when you need it most. That way you can focus on what is most important: your health.

Enhanced HSA

HOW THE PLAN WORKS

Preventive Care: The plan pays 100% for in-network preventive care.

Annual Deductible: You pay all non-preventive care costs, including prescription drugs, up to the annual deductible. The annual deductible is $3,200 for Individual and $6,400 for Family when you use in-network providers.

Preventative Prescription Medication: This plan covers some preventive medications at 100% (See list under resources).

Coinsurance: Once you have met the deductible, you will pay coinsurance for services received. When you use in-network providers, your coinsurance cost will be 10% for individual and family.

Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. The medical and prescription drug deductible, copayments and coinsurance all apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.

LiveHealth Online (LHO): This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. 

If you are enrolled in the HSA medical plan, you have access to the Health Savings Account (HSA) administered by Optum Financial. An HSA is like a 401(k) plan but for healthcare. It is a tax-advantaged personal savings or investment account that individuals can use to save and pay for qualified healthcare expenses, now or in the future. For more information on how an HSA works, please see the Health Savings Account page

Covered Services Network Non-Network1
Deductible (Single/Family)
(combined network and non-network)
$3,200/6,400 $6,000/$12,000
Out-of-Pocket Maximum (single/family)
Includes deductible and coinsurance
(combined network and non-network)
$4,700/9,400 $6,000/$18,000
Lifetime Maximum
(combined network and non-network)
Unlimited Unlimited
Physician Office Visit/Specialist Office Visit Ded+10% 40%
Immunizations – Well Baby, Well Child, Adult 100% 100%
Well Baby Care Preventive Care (baby/child/adult) 100% 100%
Colonoscopy & related services (regardless of diagnosis) 100% 100%
Outpatient Physical Medicine
Therapies Physical/Occupational Therapy
Physical/Occupational Therapy: limited to 30 visits per calendar year
Speech Therapy (illness, injury, trauma, surgery)
Speech Therapy: limited to 20 visits per calendar year
Ded+10% 40%
Chiropractic Manipulations & Office Visits (age 12+)
limited to 20 visits per calendar year
Ded+10% 40%
Inpatient Facility Services/Skilled Nursing Facility Ded+10% 40%
Outpatient Surgery Hospital/
Alternative Care Facility
Ded+10% 40%
Other Outpatient Services Hospital/
Alternative Care Facility
Ded+10% 40%
Inpatient & Outpatient Professional Charges Ded+10% 40%
LiveHealth Online 10% N/A
Emergency Room Ded+10% 10%
Urgent Care Ded+10% 40%
Weekly Employee Payroll Contributions
  Full Wellness Rate
(if applicable both employee and spouse have completed wellness activities)
Partial Wellness Rate
(either Employee or Spouse have completed wellness activities)  
Non-Wellness Rate
       
Employee $13.98   $51.48
Employee + Spouse $30.74 $68.24 $105.74
Employee + Child(ren) $25.15   $75.00
Family $41.92 $85.50 $122.50

Wellness rates for employees and spouses are earned separately.

For more information on the wellness credits please visit the Wellness Program page.

The HSA medical plan comes with a Health Savings Account. Myers will automatically contribute $500 for single coverage or $1,000 for family coverage. Employer contributions are prorated and are loaded into your HSA either beginning in January, or at time of hire. For more information on how a Health Savings Accounts works please visit, Health Savings Account – Myers Industries Benefits (mymyersbenefits.com) .

PPO 1500

HOW THE PLAN WORKS

Preventive Care: The plan pays 100% for in-network preventive care.

Annual Deductible: For non-preventive care there is an annual deductible that must be met. The annual deductible is $1,500 for Individual coverage and $3,000 for Family coverage when you use in-network providers.

Coinsurance: Once you have met the deductible, you will pay coinsurance for services received. When you use in-network providers, your coinsurance cost will be 20% for individual and family.

Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. The medical and prescription drug deductible, copayments and coinsurance all apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.

LiveHealth Online (LHO): This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. LHO has a copay of $10 for the PPO Plan. Download the LHO flyers in the Resource Box for additional information.

Covered Services Network Non-Network1
Deductible (Single/Family)
(combined network and non-network)
$1,500/$3,000 $2,000/$4,000
Out-of-Pocket Maximum (single/family)
Includes deductible and coinsurance
(combined network and non-network)
$5,500/$11,000 $9,000/$18,000
Lifetime Maximum (combined network and non-network) Unlimited Unlimited
Physician Office Visit $30 copay 50%
Specialist Office Visit $50 copay 50%
Immunizations – Well Baby, Well Child, Adult 100% 100%
Well Baby Care Preventive Care (baby/child/adult) 100% 100%
Colonoscopy & related services (regardless of diagnosis) 100% 50%
Outpatient Physical Medicine
Therapies Physical/Occupational Therapy
Speech Therapy (illness, injury, trauma, surgery)
Limited to 20 visits per calendar year
Ded+20% 50%
Chiropractic Manipulations & Office Visits (age 12+) $30 copay 50%
Inpatient Facility Services/Skilled Nursing Facility Ded+20% 50%
Outpatient Surgery Hospital/Alternative Care Facility Ded+20% 50%
Other Outpatient Services Hospital/
Alternative Care Facility
Ded+20% 50%
Inpatient & Outpatient Professional Charges Ded+20% 50%
LiveHealth Online $10 copay N/A
Emergency Room (waive if admitted) $200 copay $200 copay
Urgent Care $50 copay 50%
Weekly Employee Payroll Contributions
  Full Wellness Rate
(if applicable both employee and spouse have completed wellness activities)
Partial Wellness Rate
(either Employee or Spouse have completed wellness activities)  
Non-Wellness Rate
       
Employee $43.86   $93.87
Employee + Spouse $90.07 $140.07 $190.07
Employee + Child(ren) $73.69   $127.50
Family $122.82 $190.00 $222.82

Wellness rates for employees and spouses are earned separately.

For more information on the wellness credits please visit the Wellness Program page.

Core HSA

HOW THE PLAN WORKS

Preventive Care: The plan pays 100% for in-network preventive care.

Annual Deductible: You pay all non-preventive care costs, including prescription drugs, up to the annual deductible. The annual deductible is $6,000 for Individual and $12,000 for Family when you use in-network providers.

Preventative Prescription Medication: This plan covers some preventive medications at 100% (See list under resources).

Coinsurance: Once you have met the deductible, you will pay coinsurance for services received. When you use in-network providers, your coinsurance cost will be 20% for individual and family.

Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. The medical and prescription drug deductible, copayments and coinsurance all apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.

LiveHealth Online (LHO): This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. LHO has a copay of $55 for the HSA Plan. Download the LHO flyers in the Resource Box for additional information.

If you are enrolled in the HSA medical plan, you have access to the Health Savings Account (HSA) administered by Optum Financial. An HSA is like a 401(k) plan but for healthcare. It is a tax-advantaged personal savings or investment account that individuals can use to save and pay for qualified healthcare expenses, now or in the future. For more information on how an HSA works, please see the Health Savings Account page

Covered Services Network Non-Network1
Deductible (Single/Family)
(combined network and non-network)
$6,000/$12,000 $12,000/$24,000
Out-of-Pocket Maximum (single/family) Includes deductible and coinsurance (combined network and non-network) $7,000 / $14,000 $14,000/$28,000
Lifetime Maximum (combined network and non-network) Unlimited Unlimited
Physician Office Visit/Specialist Office Visit Ded+20% 40%
Immunizations – Well Baby, Well Child, Adult 100% 100%
Well Baby Care Preventive Care (baby/child/adult) 100% 100%
Colonoscopy & related services (regardless of diagnosis) 100% 100%
Outpatient Physical Medicine
Therapies Physical/Occupational Therapy
Physical/Occupational Therapy: limited to 30 visits per calendar year
Speech Therapy (illness, injury, trauma, surgery)
Speech Therapy: limited to 20 visits per calendar year
Ded+20% 40%
Chiropractic Manipulations & Office Visits (age 12+)
limited to 20 visits per calendar year
Ded+20% 40%
Inpatient Facility Services/Skilled Nursing Facility Ded+20% 40%
Outpatient Surgery Hospital/Alternative Care Facility Ded+20% 40%
Other Outpatient Services Hospital/
Alternative Care Facility
Ded+20% 40%
Inpatient & Outpatient Professional Charges Ded+20% 40%
LiveHealth Online $55 copay N/A
Emergency Room Ded+20% 20%
Urgent Care Ded+20% 40%
Weekly Employee Payroll Contributions
  Full Wellness Rate
(if applicable both employee and spouse have completed wellness activities)
Partial Wellness Rate
(either Employee or Spouse have completed wellness activities)  
Non-Wellness Rate
       
Employee $11.10   $36.10
Employee + Spouse $24.43 $49.43 $74.43
Employee + Child(ren) $19.99   $52.00
Family $33.31 $64.00 $85.00

Wellness rates for employees and spouses are earned separately.

For more information on the wellness credits please visit the Wellness Program page.

Employer contributions are prorated and are loaded into your HSA either beginning in January, or at time of hire.