You can choose between three Medical plans:
Employees who reside in Hawaii have one Medical plan option, the Options PPO Plan. You can read more about that option here.
All medical plans cover the same services and procedures; however, your deductible, coinsurance, and premium rates will vary for each plan option.
Yes. Eligibility is determined based on your home address on file. You cannot elect an Out-of-Area Medical plan. If you are eligible for an Out-of-Area Medical plan, it will be displayed as an option when you enroll in your benefits.
You can still enroll in the Premium HSA or Basic HSA plan, but you will not be eligible to contribute to an HSA if you are enrolled in Medicare. It will be your responsibility to ensure you do not contribute to the HSA or you could face tax penalties.
The Medical plan carrier is UnitedHealthcare (UHC).
To find a provider you can go here.
You will receive Medical plan and Prescription Drug ID cards if you enroll in coverage for the first time or change your plan coverage for 2025. If you remain in the same plan you have today, you will not receive a new ID card. You will not receive an ID card for the Dental plan, Vision plan, Health Care FSA, or Dependent Care FSA.
Yes. All three Medical plan options offer access to Virtual Visits through UnitedHealthcare.
You can consult with a doctor via video chat, so you and your family get the convenient care you need from home, work, or on-the-go.
Each Medical plan option has Prescription Drug coverage. Each plan offers a flat dollar copay for generic medication. Brand and Non-Preferred medication will be subject to coinsurance. If you enroll in the Premium or Basic HSA plan, you will be required to meet your deductible before the copay or coinsurance will apply.
To look up drug costs and find a pharmacy, click here.
CVS/caremark is the prescription drug administrator.
Go to caremark.com or call CVS/caremark at 1-877-252-3485.
If you enroll in the Premium HSA or Basic HSA, your Prescription Drug coverage and Medical plan have the same deductible. Prescription drug costs you pay will apply to your Medical plan deductible and out-of-pocket maximum. However, the deductible does not apply to certain preventive drugs. To review the preventive drug list, click here or visit www.caremark.com, or call 1-877-252-3485.
If you enroll in the Standard Plan, there is no prescription drug deductible. But any prescription drug cost you pay will apply to your Medical plan out-of-pocket maximum.
New ID cards will be issued to new enrollees from CVS/caremark.