Human8 Benefit Summary 2024

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2024 Medic al Plans

Effective January 1, 2024 - December 31, 2024

Blue Cross Blue Shield

Low-deductible plan

HSA Plan

Deductible

$1,000 / $2,000

$3,200 / $6,400

Coinsurance

80% covered by insurance $2,500 / $5,000 Annual Max

80% covered by insurance

$8,150 / $16,300

$6,900 / $13,800

Preventitive care

Covered at 100%

Covered at 100%

Office visit & ER copay

$30 office visit & urgent care $150 ER visit

Deductible + coinsurance

Prescription copay

$10 generic $40 preferred brand $80 non-preferred brand

$10 generic $40 preferred brand $80 non-preferred brand

What is a deductible? The amount of money you will pay for services before Blue Cross starts to pay.

(INDIVIDUAL / FAMILY)

(INDIVIDUAL / FAMILY)

Out-of-pocket maximum (INDIVIDUAL / FAMILY)

What is coinsurance? Once the deductible is met, claim costs are shared between you (20%) and Blue Cross (80%) for innetwork providers

What is considered preventive? Annual physicals/OBGYN appointments, routine mammograms/colonoscopies, well-baby visits, and certain immunizations (i.e. flu shots)

(after deductible)

90-day supply: 3 months for the price of 2 months

Cost

Single: $107.45 Couple: $257.87 Employee + Children: $257.87 Family: $322.34

(PAY PER PERIOD)

Single: $71.60 Couple: $171.84 Employee + Children: $171.84 Family: $214.80

How much does the company pay per month for HSA: Single: $41.67 | Couple / Family: $83.33

2024 Dental Plan

2024 Vision Plan

Lincoln Financial

MetLife

Preventative care

Covered at 100%, up to annual maximum (annual cleanings, x-rays)

Eye exam

$10 (in-network)

Basic dental care

Covered at 90% in-network, after deductible, up to annual maximum (fillings, oral surgery)

Lenses

$25 copay (in-network)

Major dental care

Covered at 60% in-network, after deductible, up to annual maximum (bridges, dentures, implants)

Frames

$135 allowance

Annual maximum

$1,500 per person, per year

Contacts

$135 allowance

Orthodonics

Covered at 50% to a lifetime limit of $1,500 per child, up to age 19

Deductible

Single $25 Family $75

Cost

Single: $6.76 Couple: $12.10 Employee + Children: $14.66 Family: $20.19

(PER PAY PERIOD)

Cost

(PER PAY PERIOD)

20% off the balance over $100

Insurance will cover frames / lenses + contacts once every 12 months

Single: $1.85 Couple: $3.49 Employee + Children: $3.49 Family: $5.12


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