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HEALTHCARE PLAN DESIGNS AND COSTS

You are viewing plans for:

OPTION 1

Primary Only

Total Monthly Premium

$996.44

Individual Deductible
$6,000
Individual Out-of-Pocket Max
$6,000
Family Deductible
$12,000
Family Out-of-Pocket Max
$12,000
Office Visit
No charge
Specialist Visit
No charge

OPTION 2

Primary Only

Total Monthly Premium

$960.04

Individual Deductible
$8,500
Individual Out-of-Pocket Max
$8,500
Family Deductible
$17,000
Family Out-of-Pocket Max
$17,000
Office Visit
No Charge
Specialist Visit
No Charge
HSA Eligible

OPTION 3

Primary Only

Total Monthly Premium

$804.36

Individual Deductible
$5,000
Individual Out-of-Pocket Max
$6,500
Family Deductible
$10,000
Family Out-of-Pocket Max
$13,000
Office Visit
20% after deductible
Specialist Visit
20% after deductible
HSA Eligible

OPTION 4

Primary Only

Total Monthly Premium

$744.78

Individual Deductible
$7,500
Individual Out-of-Pocket Max
$7,500
Family Deductible
$15,000
Family Out-of-Pocket Max
$15,000
Office Visit
$0 after deductible
Specialist Visit
$0 after deductible

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MetLife Dental

Primary Only

Total Monthly Premium

$34.67

Preventive
100%
Basic
80%
Major
50%
Annual Maximum (Per Person)
$1,500
Annual Deductible (Per Person)
$50
Annual Deductible (Family Maximum)
$150

MetLife TX-MT-LA

MetLife Non TX-MT-LA

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MetLife Vision

Primary Only

Total Monthly Premium

$6.18

Eye Exams
$10 Copay
Lenses Benefit (Single Vision)
$25 Copay
Frame Benefits
$130 Allowance

Summary of Benefits

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MetLife Critical Illness

Primary Only

Total Monthly Premium

$

Employee Coverage Options
$15,000 or $30,000

Summary of Benefits

MetLife Hospital Indemnity

Primary Only

Total Monthly Premium

$25.19

Admission Benefit
$1000
Confinement Benefit
$200
Inpatient Rehab Benefit
$100

Summary of Benefits

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Empowering employees through easy access to legal help

To learn more, click the button below to view our Legal Plans Slipsheet.

View Legal Plans Slipsheet

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Over 65? AnthemĀ® is excited to offer its Medicare Advantage Plan to ACNA retirees.

To learn more, click the button below to view our Employee Benefit Guide.

View Employee Benefit Guide

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Want to learn more? Visit the ACNA Health Benefits Center

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