Page History
| Warning | ||
|---|---|---|
| ||
Please see COVID-19 Insurance Coverage Details for more info on the COVID-19 pandemic. |
Eligibility
| Excerpt | |||||
|---|---|---|---|---|---|
Reliant extends medical insurance coverage of the group health plan benefit to all full-time employees or those working 30 hours or more per week. All eligible employees can also enroll their eligible dependents (see: Adding a Dependent to Insurance). To waive extended coverage, see Insurance Waiver Options. Part-time employees who average less than 30 hours per week are not eligible to participate in the group health plan. Questions about specific coverage or conditions may be found in the employee’s certificate of group insurance provided by the insurance carrier or by calling the insurance company directly.
|
Coverage, Rates, and Plan Details
...
Health Saver plans are High-Deductible Health Plans (HDHP) that allow participants to utilize Health Savings Accounts to save and pay for their current and future medical expenses. There are some Some aspects of HS plans that are different differ from traditional Preferred Provider Plans (PPOs). HS plans are designed to be paired with a personal HSA - Health Savings Account, allowing the employee to save monthly funds each month for medical expenses. The Health Saver plans do not have co-pays for doctor visits or co-pays and discounts for prescriptions prescription drugs. Participants pay 100 percent of medical and prescription drug claims until they’ve reached they reach the plan’s deductible. (For some HS plans, the plan pays at the co-insurance level until an annual Out-of-Pocket Maximum is reached.) HSA-compatible plans typically cost 20 percent less than a low-deductible PPO plan. Many of the ministries we connect with, such as Pioneers and Wycliffe, are utilizing HSA Plans for their missionariesfield workers. HSA plans will also have an Employer HSA Contribution in addition to the plan premium.
Health Saver Plans have a Aggregate Deductible
Please be aware, the deductible is “aggregate”; this means the whole deductible applies to the whole family. So couples and families have to meet the entire combined deductible before they receive any coverage of insurance. This applies to both medical visits and prescriptions. If an employee has coverage with one or more dependents, the employee AND his or her dependents must meet the plan’s FULL family deductible before any claims will be paid for anyone in the family, and then the family maximum out-of-pocket applies.
Non-embedded vs Embedded Deductible
HS2000, HS3000, HS5000 plans - Deductible for individual coverage
This applies only to an employee who has no dependents included on their coverage. The individual is responsible for paying for medical and prescription drug claim costs up to the plan’s individual deductible amount before GuideStone® begins paying claims.
HS2000 and HS3000 plans - Deductibles for family coverage
This applies to an employee who has dependents included on their coverage. The employee and dependents are responsible for paying for medical and prescription drug claim costs up to the plan’s family deductible amount before GuideStone begins paying claims for anyone in the family. The family deductible may be met by one individual or by multiple family members’ combined claims. This is known as a non-embedded deductible.
HS5000 plan - Deductibles for family coverage
This is the amount a family is required to pay before benefits begin for services not covered by co-pays. Once this amount is met, the plan will consider all family members to have met their deductibles. One individual cannot contribute more than the individual deductible amount. This is an embedded deductible.Also, keep in mind if an employee has individual-only coverage, he or she must meet the individual deductible before any claims will be paid by GuideStone, and then an individual maximum out-of-pocket may apply before claims will be paid at 100% (depending on the HS plan).
Health Saver Plans are Paired with a Health Savings Account
...
| Speechbubble | ||
|---|---|---|
| ||
| “Honestly, the Health Saver 3000 HSA did take a little getting used to, but my wife and I have been very happy with it so far. We chose to invest enough that we expect to probably carry an excess balance over from one year to the next. At this point, it looks like that will happen. One thing this means is that our family budget for health care next year will actually be reduced since we will already be carrying over some funds in the HSA from this year.” – Steve |
...
| Speechbubble | ||||
|---|---|---|---|---|
| ||||
| “The HSA payment card is super easy to use. Just like a debit card! Also, since we don’t have significant health-care healthcare needs at this point, we like the ability to save up for the future with lower premiums. We also like the freedom to spend our money saved on out-of-network expenses.” – David |
...
| Speechbubble | ||
|---|---|---|
| ||
| “I like that it did make us think through what medical decisions we were making. I also like that it would allow us to save up for orthodontic work tax-free. I just wish that I had the HSA option back in my 20s and had put aside the savings from a traditional PPO into my HSA account. It would have really been worth having that HSA account balance in my 30s!” – Luke |
Webinar
...
Related information
- Medical Insurance Coverage and Rates
- Medical Vision Benefit (PDF)
- Changes HDHP-HSA Plans - GuideStone (PDF)
- Changes PPO Plans - GuideStone (PDF)
- Explanation of Benefits (PDF)
- How the Claims Process Works (PDF)
- Medical Plan Glossary - GuideStone (PDF)
- Notice of Creditable Coverage - GuideStone (PDF)
- PPO Medical Plan Booklet - GuideStone (PDF)
- Preventative GuideStone Preventive Care Schedule - GuideStone (PDF)2022.pdf
- 2022 Preventive Schedule - Watch Video
- Medical Insurance - Waiver Form - GuideStone (PDF)
...
Related pages
| Children Display |
|---|
...
