Which Medical Plan is Right?
Lucky Strike Entertainment provides the choice of three medical plans, administered by UnitedHealthcare. Here’s a snapshot of each plan — find the one that fits your needs!
Core HSA
- You pay less each paycheck but have a higher deductible.
- This plan allows you to enroll in a Health Savings Account (HSA) in which you can make pre-tax contributions to your account through payroll deductions.
This plan offers in-network coverage only.
Standard HRA
- This plan has a lower deductible than the Core HSA and offers both in-network and out-of-network coverage.
- Includes a Health Reimbursement Account (HRA). Lucky Strike Entertainment funds $1,000 (prorated based on the plan effective month) to the HRA to help offset a portion of your deductible to pay for medical, dental, vision, prescriptions, and over-the-counter (OTC) drug costs.
- When using in-network providers, there are copays on Primary Care and Specialty Care Physician Office Visits instead of coinsurance. You do not need to meet your deductible for these visits.
Traditional
- You will have a lower deductible than the Core HSA or Standard HRA but will pay more each paycheck.
- Both in-network and out-of-network coverage is included.
Medical Plan Comparison
Plan Features | Core HSA What You Pay | Standard HRA What You Pay | Traditional What You Pay | |||||||
---|---|---|---|---|---|---|---|---|---|---|
In-Network Only | In-Network | Out-of-Network | In-Network | Out-of-Network | ||||||
Annual Deductible | ||||||||||
Individual | $5,500 | $3,500 | $7,000 | $1,500 | $3,000 | |||||
Family | $11,000 | $7,000 | $14,000 | $3,000 | $6,000 | |||||
Coinsurance | 20% | 30% | 40% | 20% | 40% | |||||
Annual Out-of-Pocket Maximum | ||||||||||
Individual | $7,000 | $7,000 | $10,000 | $7,000 | $10,000 | |||||
Family | $14,000 | $14,000 | $20,000 | $14,000 | $20,000 | |||||
Savings Account Eligibility | ||||||||||
Individual and Family | Associate-funded HSA and Limited Purpose FSA | Employer funds $1,000 to the HRA | Associate-funded FSA Associate-funded FSA | |||||||
Preventive Care | ||||||||||
Adult Periodic Exams Well-Child Care |
$0 | $0 | 40% coinsurance after deductible | $0 | 40% coinsurance after deductible | |||||
Physician Office Visit | ||||||||||
Primary Care Specialty Care |
20% coinsurance after deductible | $30 copay $60 copay |
40% coinsurance after deductible | 20% coinsurance after deductible | 40% coinsurance after deductible | |||||
Diagnostic Services | ||||||||||
Radiology and Lab Tests Urgent Care Facility ER Facility Charges Inpatient Facility Charges Outpatient Facility Charges |
20% coinsurance after deductible | 30% coinsurance after deductible | 40% coinsurance after deductible | 20% coinsurance after deductible | 40% coinsurance after deductible | |||||
Mental Health/Substance Abuse | ||||||||||
Inpatient Outpatient |
20% coinsurance after deductible | 30% coinsurance after deductible | 40% coinsurance after deductible | 20% coinsurance after deductible | 40% coinsurance after deductible | |||||
Other Services | ||||||||||
Chiropractic | 20% coinsurance after deductible | 30% coinsurance after deductible | 40% coinsurance after deductible | 20% coinsurance after deductible | 40% coinsurance after deductible | |||||
Retail Pharmacy (30-Day Supply) – Per Prescription | ||||||||||
Pharmacy Deductible | Combined with Medical | Combined with Medical | None | |||||||
Generic (Tier 1) | $15 copay after deductible | $10 copay after deductible | $10 copay | |||||||
Preferred (Tier 2) | 30% coinsurance after deductible $30 min, $120 max | 30% coinsurance after deductible $25 min, $125 max | 30% coinsurance $25 min, $125 max | |||||||
Non-Preferred (Tier 3) | 40% coinsurance after deductible $45 min, $200 max | 45% coinsurance after deductible $40 min, $225 max | 45% coinsurance $40 min, $225 max | |||||||
Mail Order Pharmacy (90-Day Supply) – Per Prescription | ||||||||||
Generic (Tier 1) | $37.50 copay after deductible | $25 copay after deductible | $25 copay | |||||||
Preferred (Tier 2) | 30% coinsurance after deductible $75 min, $300 max | 30% coinsurance after deductible $62.50 min, $312.50 max | 30% coinsurance $62.50 min, $312.50 max | |||||||
Non-Preferred (Tier 3) | 40% coinsurance after deductible $112.50 min, $500 max | 45% coinsurance after deductible $100 min, $562.50 max | 45% coinsurance $100 min, $562.50 max |
Medical Cost of Coverage
Medical (Pre-Tax Contributions) | If you do not participate in the Wellness Program, your rates will be $15 - $30 higher each pay period. |
Bi-Weekly Premiums | ||
---|---|---|---|---|
Core HSA | ||||
Associate | $15.00 | $30.00 | ||
Associate + Child(ren) | $26.18 | $52.36 | ||
Associate + Spouse | $127.02 | $254.04 | ||
Associate + Family | $133.52 | $267.05 | ||
Standard HRA | ||||
Associate | $43.09 | $86.19 | ||
Associate + Child(ren) | $68.32 | $136.64 | ||
Associate + Spouse | $200.40 | $400.80 | ||
Associate + Family | $223.43 | $446.86 | ||
Traditional | ||||
Associate | $77.50 | $155.00 | ||
Associate + Child(ren) | $120.58 | $241.16 | ||
Associate + Spouse | $305.82 | $611.64 | ||
Associate + Family | $348.66 | $697.32 |
*Medical rates are based on participation in the Wellness Program. If you do not participate in the Wellness Program, your weekly rates will be – $15-$30 higher.
VALUE-ADD PROGRAMS
As a valued member of UnitedHealthcare (UHC), there are multiple resources at your fingertips to get the care you need at a low cost.
UnitedHealthcare App
Instant Access to your health plan details, access ID Card, the find a doctor tool, view your claims, and even estimate the cost of common procedures.
If you’d prefer to access UHC from a computer, you can log in to manage your benefits, claims, and account balances or even re-print your ID card.
Rally Rewards
After a quick Health Survey, you can participate in fun missions to help you create a better you! Rally is designed to help you make changes to your daily routine, set smart goals, and track your progress. You can even earn Rally Coins that can be used for chances to win rewards, receive discounts or donate to charities.
Virtual Visits
Need to see a doctor right away but don’t have time to break away from work? For minor health conditions like a sinus infection, sore throat, or even pink eye, you can schedule a virtual visit with a board-certified MD. A prescription can even be sent to your local pharmacy — all within 30 minutes! Log into myuhc.com and pick the provider site that best suits your needs — then sign up!
Virtual Therapy visits are also available to help with conditions like ADD/ADHD, addiction, anxiety, and depression.
CarelonRx Home Delivery
Manage the medications you take regularly by having them shipped directly to your front door. Sign up for home delivery when you register at www.carelonrx.com.
Calm Health
Need help sleeping or meditating? Experience lower stress, less anxiety, improved focus and more restful sleep with the Calm Health app. Calm is a well-being app providing 24/7 access to digital resources for sleep, meditation and mindfulness. It also includes mental health screenings as well as self-guided learning modules. Whether you have 30 seconds or 30 minutes, Calm content is made to suit your schedule and needs.
Calm Health is available to all employees and eligible dependents covered by UnitedHealthcare (16 years or older) at no additional cost as part of your health benefits through Lucky Strike Entertainment. To get started, go to myuhc.com then to the Calm Health landing page and register for a Calm Health account. Once registered, you can use the Calm Health website or download the Calm Health app and sign in.
This summarizes the benefit plans that are available to eligible employees and their dependents. Official plan documents, policies and certificates of insurance govern your benefits program. If there is any conflict, the official documents prevail.
Watch: High Deductible Plan with HSA
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