HealthbyChoice Incentives POS plan

Plan highlights

  • Choose from three HealthbyChoice® Incentives plan types (HMO, POS, PPO)
  • Reward people for being, getting and staying healthy
  • Requirements: Health assessment and qualification form; all employees start at the Choice level of benefits
  • There are two levels: Choice and Standard. Choice benefits offer lower cost sharing.
  • Reward: Keeping the Choice level
  • Employees who don't meet requirements get Standard level benefits
  • Priority Health sets the requirements and administers the rewards program
  • The same medical benefits are covered regardless of cost level

Reasons to love our POS

  • USA map

    Broad state-wide network of doctors

  • Specialist with patient

    No referral to see a specialist

  • Trophy icon

    PriorityRewards:  easy way to save & earn money for getting quality care at fair-priced facilities

  • Laptop

    Virtual visits - see a doctor 24/7 on the phone or online

  • Globe

    24/7 global emergency services with Assist America®

  • Retail building

    Retail health clinic coverage - new this year on all plans!

HealthbyChoice Incentives POS: Choice level

  • Metal level

    Platinum

  • Deductible

    $250 individual
    $500 family

  • Coinsurance

    Employee pays 10%

  • Out-of-pocket limit

    $1,500 individual
    $3,000 family

  • Rx copayments

    Generic: $10
    Preferred brand: $40
    Non-preferred brand: $80
    Preferred specialty: 20%
    Non-preferred specialty: 20%

  • Primary / specialist / urgent care

    $10 / $25 / $75 copayment

  • Emergency room

    $150 copayment

  • High-tech radiology

    $150 copayment

HealthbyChoice Incentives POS: Standard level

  • Metal level

    Platinum

  • Deductible

    $2,000 individual
    $4,000 family

  • Coinsurance

    Employee pays 30%

  • Out-of-pocket limit

    $6,250 individual
    $12,500 family

  • Rx copayments

    Generic: $20
    Preferred brand: $60
    Non-preferred brand: $80
    Preferred specialty: 20%
    Non-preferred specialty: 20%

  • Primary / specialist / urgent care

    $30 / $45 / $75 copayment

  • Emergency room

    $250 copayment

  • High-tech radiology

    $150 copayment