Medical Benefits
Your employer offers medical insurance to protect the health of you and your family. It covers medical expenses such as visits to the doctor’s office, emergency care, and prescription drugs. It’s important to have a medical plan that meets your needs and the needs of your family.
In-Network |
|
|---|---|
Deductible |
$2,000/$4,000 |
Out-of-Pocket Max |
$5,000/$10,000 |
Member Coinsurance |
20% |
Primary Care Visit |
$30 Copay |
Specialist Visit |
$60 Copay |
Routine Preventive |
Covered 100% |
Vision (1 exam every 2 years) |
$30 Copay |
Teladoc General Medical/Dermatology |
$0 Copay/$25 Copay |
Inpatient Surgery |
Deductible then Coinsurance |
Outpatient Surgery |
Deductible then Coinsurance |
Physician Services |
Deductible then Coinsurance |
Outpatient Diagnostics |
Deductible then Coinsurance |
Urgent Care |
$75 Copay |
Emergency Room |
$200 Copay |
Prescriptions |
|
Retail (Tier 1/2/3/4) |
$0/ $40/ $80/ 25% to $250 |
Mail Order (Tier 1/2/3) |
$0/ $100/ $200 |
Employee Costs |
Weekly |
Bi-Weekly |
|---|---|---|
Employee Only |
$12.20 |
$24.40 |
Employee + Spouse |
$73.10 |
$146.20 |
Employee + Child(ren) |
$40.50 |
$81.00 |
Family |
$101.40 |
$202.80 |
Scriptsourcing is a pharmacy program available for any employee and dependent covered under the Midcon Health Plan. Talk with your spouse about what prescriptions your family takes.
Visit https://scriptsourcing.com/med-finder/ to search brand or specialty medications that are available and eligible for the program. Enroll in the program if your prescription is listed (enrollment is voluntary). Then, your medication will be provided in a 90-day supply, shipped directly to your home at $0 copy, $0 shipping cost.
If you’d rather speak directly with someone, please call 410.902.8811.
