Health Benefits
Be healthy. Choose wisely.
Compare the Medical Plans
$900 DEDUCTIBLE PLAN | $1,500 DEDUCTIBLE PLAN | $2,500 DEDUCTIBLE PLAN | $4,500 DEDUCTIBLE PLAN | $6,550 DEDUCTIBLE PLAN | |
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HSA Eligible | No | Yes | Yes | No | Yes |
HSA Company Funding (per pay period) | No | Up to an annual maximum of $150 single; $300 employee plus dependent | Up to an annual maximum of $150 single; $300 employee plus dependent | No | No |
Preventive Healthcare Visit | Covered at 100% in-network | ||||
In-Network | |||||
Individual/Family Deductible1 | $900/$1,800 | $1,500/$3,000 | $2,500/$5,000 | $4,500/$9,000 | $6,550/$13,100 |
Individual/Family Out-of-Pocket Max | $4,800/$9,600 | $5,200/$6,850 | $6,200/$6,850 | $6,550/$13,100 | $6,550/$13,100 |
Plan Coinsurance | 80% after deductible | 80% after deductible | 70% after deductible | 70% after deductible | 100% after deductible |
Office Visit (Primary Care/Specialist) | 80% after deductible | 80% after deductible | 70% after deductible | 70% after deductible | 100% after deductible |
Retail Prescriptions - Short-term drugs and maintenance drugs up to first two fills4 (up to 30-day supply) |
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Generic | 70% (min $10, max $20)2 | 80% after deductible3 | 70% after deductible3 | 70%2 | 100% after deductible3 |
Preferred Brand5 | 70% (min $25, max $50)2 | 80% after deductible3 | 70% after deductible3 | 70%2 | 100% after deductible3 |
Non-Preferred Brand5 | 55% (min $40, max $80)2 | 60% after deductible3 | 50% after deductible3 | 50%2 | 100% after deductible3 |
Mail Order Prescriptions (up to 90-day supply) |
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Generic | 70% (min $25, max $50)2 | 80% after deductible3 | 70% after deductible3 | 70%2 | 100% after deductible3 |
Preferred Brand5 | 70% (min $62.50, max $125)2 | 80% after deductible3 | 70% after deductible3 | 70%2 | 100% after deductible3 |
Non-Preferred5 Brand | 55% (min $100, max $200)2 | 60% after deductible3 | 50% after deductible3 | 50%2 | 100% after deductible3 |
Specialty Drugs
(up to a 30-day supply) |
Subject to applicable prescription coinsurance |
1$1,500 and $2,500 Deductible Plans—Family unit must meet family deductible before coinsurance is available. Each family member's covered expenses (medical and prescription drug expenses) count toward the family deductible. Once this family deductible is met, the Plan will pay benefits for all family members. The single deductible only applies to a member with no covered dependents. $900, $4,500, and $6,550 Deductible Plans—Each member must meet the individual deductible, subject to the family maximum, before coinsurance is available.
2 Healthcare deductible does not apply.
3 Healthcare deductible waived for preventive medications. Under the $6,550 Deductible Plan, coinsurance of 70% generic, 70% preferred brand and 50% non-preferred brand applies to preventive medications.
4Maintenance drugs after two fills—plan pays 0%
5You will pay the difference between the brand and generic (does not count toward deductible)
The benefits in all healthcare plan options in the state of Massachusetts meet the state's creditable coverage health insurance coverage standards in effect as of September 1, 2016.
What Will You Pay?
Your specific benefit costs per pay period will be displayed as you're enrolling on the Kindred Benefits Marketplace website. Please note that rates reflect your current wellness program participation. If you're unsure if you are currently receiving the Healthy Rewards Rate or Basic Rate, you can find this information as you're enrolling on the Kindred Benefits Marketplace website. Click here for more information on how to earn and retain the discounted Healthy Rewards Rate.
Learn More
View our glossary to learn more about some of the terms used on this page.