ABC-InfoShare_Stacked_RGB

Exploring your options

When you’re considering what healthcare coverage you need, we suggest you start with medical because it’s the one you’ll probably use most.

Your options through Asurion Benefits Central for medical, dental and vision coverage will follow the same process: pick a metallic option, then pick an insurance carrier.

Dismiss the idea that one metallic option is automatically better than another just because of its name. The fact that you’d rather have more gold or platinum in your bank account is not necessarily true of your healthcare coverage.

Your decision shouldn’t just be based on premium cost.

In fact, there are three components of healthcare cost you should consider before choosing an option.

1

Your premiums, i.e. per-paycheck cost

2

Your deductible + coinsurance = your share of the cost of care

3

Your healthcare savings

Did you see your doctor only for a preventive exam? Then you might be able to get away with the lowest paycheck deductions. Do you have multiple dependents who could have high healthcare needs? You might want to consider a lower–risk plan with higher paycheck deductions. Higher coverage at the point of service equals higher paycheck deductions.

The best way to budget for future healthcare needs is to look at your healthcare expenses from the previous year. When you use your medical coverage, you have to meet your option’s deductible before the option shares cost. After you meet the deductible, you pay a percentage of the cost—coinsurance—until you reach the option’s annual out-of-pocket maximum. At that point your financial responsibility is satisfied for the year.

Most people don’t think about unforeseen healthcare incidents—but they happen! And if you experience one before you meet your deductible, you may end up with a large medical bill. Good news! Asurion offers a couple of pretax savings accounts for healthcare needs: a flexible spending account (FSA) or a Health Savings Account (HSA), which is available with the Silver option.

Comparing plans

 

BRONZE PLUS

SILVER

GOLD

PLATINUM

PREVENTIVE CARE

100% covered

100% covered

100% covered

100% covered

PREMIUMS
Rates depend on ZIP code and coverage level

$

$

$$

$$$

COPAYMENT
PCP / Specialist

$30 / $50

You pay the cost of visit until deductible is met

$25 / $40

$25 / $40

URGENT CARE

$50

None

$40

$25

DEDUCTIBLE
Employee only / Family

$2,300 / $4,600

$1,600 / $3,200

$800 / $1,600

$250 / $500

COINSURANCE

30%

25%

25%

15%

Out-of-pocket maximum

$6,700 / $13,400

$3,800 / $7,600

$3,600 / $7,200

$2,300 / $4,600

HEALTHCARE ACCOUNTS
Flexible spending
account (FSA)
Health Savings Account (HSA)

FSA optional
HSA not available

Dental and vision FSA optional
HSA available

FSA optional
HSA not available

FSA optional
HSA not available

PRESCRIPTION Copayment

     

Tier 1
Tier 2
Tier 3

$12
$60
$80

No copayments
25% after deductible

$10
$40
$60

$8
$30
$50

  • In-network rates shown only.
  • Deductible and out-of-pocket maximum listed as Employee only / Family.
  • Silver option features a “True Family” deductible, which means that under Family coverage you must meet the full deductible before the option begins sharing cost for any covered person.
  • Notes for CA employees: Certain carriers in California may be an exception, depending on ZIP code. California has an additional Gold option. See comparison of Gold and Gold II.

Another important consideration: Your carrier

After you’ve chosen a metallic option, you’ll choose an insurance carrier. Your options will vary based on your home ZIP code, but you’re bound to find a carrier that meets your budget and needs. You’ll have a variety of national and regional carriers.

As part of your decision, check to make sure your doctor is in-network with the insurance carrier you’re considering, unless you don’t mind having to switch providers. Depending on the option, you may pay 20-30% more to use an out-of-network provider. In addition, your in- and out-of-network deductibles accrue separately. For lowest cost, you should always choose in-network providers.

 

Here is an overview of your insurance carrier options.

Visit the insurance carrier member pages on Asurion Benefits Central for more information about these and regional options.

 

AETNA

ANTHEM

CIGNA

UNITEDHEALTHCARE

 

Available in all states

Yes

Yes

Yes

Yes

 

Claims advocacy support

Yes

Yes

Yes

Yes

 

Fitness center discounts

Yes

No

Yes

Yes

 

Doctor’s office visits

Yes

Yes

Yes

Yes

 

Infertility care coordination

Yes

Yes

Yes

Yes

 

Mobile app

Yes

Yes

Yes

Yes

 

Nutrition program discounts

Yes

Yes

Yes

No

 

Special needs care coordination

Yes

Yes

No

Yes

 

Telemedicine

Yes

Yes

Yes

Yes

 

Transgender care coordination

Yes

Yes

No

Yes

You may notice some carriers have lower or higher premiums than others. Each carrier is different and offers their own price for each option and coverage level. They also have their own network of providers.

What’s not different are the medical options. The insurance carriers offered to you will cover the benefits of the medical options in the same way.

You can compare the details when you enroll online, to see which carrier is offering you the best deal.