2022 United Stated Benefits Options

Option #1: High Deductible/HSA Deductible: Deductible must be met before coinsurance applies Single $2,800 Family $5,600

Co-Insurance

Insurance pays 80% after deductible

Max Out of Pocket

Single $5,100 Family $10,200

Life Max

Unlimited

Office visit or virtual visit

80% coverage after deductible 100% no cost to associate 80% coverage after deductible 80% coverage after deductible 80% coverage after deductible 80% coverage after deductible & contributes to Out of Pocket Max 80% coverage after deductible to Out of Pocket Max

Preventative Care Emergency Room

Urgent Care

Lab/Diagnostic

RX Retail

RX Mail Order

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