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.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. Instructions on finding an in-network doctor can be found at the www.aetna.com/asa in Kansas and www.myfirsthealth.com/ in Oklahoma.
Kansas: Aetna Signature Administrators 1-800-279-6772
Oklahoma: My First Health 1-800-226-5116
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
$700/$1,400 |
$700/$1,400 |
Member Coinsurance |
20% |
50% |
Max Coinsurance (Indiv./Fam) |
$3,750/$7,500 |
$8,000/$16,000 |
Total Out-of-Pocket Max |
$4,450/$8,900 |
$8,700/$17,400 |
Preventive Care |
First $600 per benefit year paid by plan 100% then Deductible + Coinsurance |
50% after Deductible |
Primary Care Visit |
Deductible + Coinsurance |
Deductible + Coinsurance |
Specialist Visit |
Deductible + Coinsurance |
Deductible + Coinsurance |
Urgent Care |
Deductible + Coinsurance |
Deductible + Coinsurance |
Emergency Room |
$100 Copay, then Ded. + Coinsurance |
$100 Copay, then Ded. + Coinsurance |
Retail Pharmacy |
Deductible + Coinsurance |
N/A |
Mail Order Pharmacy |
Generic - $30 |
N/A |
Bi-Weekly Rate |
|
|---|---|
Employee Only |
$112.00 |
Employee + Spouse |
$305.00 |
Employee + Child(ren) |
$206.00 |
Employee + Family |
$305.00 |
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.
Keep in mind that your out-of-pocket costs will be lower if you receive care from an in-network doctor and facility. Instructions on finding an in-network doctor can be found at the www.aetna.com/asa in Kansas and www.myfirsthealth.com/ in Oklahoma.
Kansas: Aetna Signature Administrators 1-800-279-6772
Oklahoma: My First Health 1-800-226-5116
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible |
$3,400/$6,800 |
$3,400/$6,800 |
Member Coinsurance |
20% |
50% |
Max Coinsurance (Indiv./Fam) |
$3,750/$7,500 |
$8,000/$16,000 |
Total Out-of-Pocket Max |
$7,150/$14,300 |
$11,400/$22,800 |
Preventive Care |
First $600 per benefit year paid by plan 100% then Ded. + Coinsurance |
Deductible + Coinsurance |
Primary Care Visit |
Deductible + Coinsurance |
Deductible + Coinsurance |
Specialist Visit |
Deductible + Coinsurance |
Deductible + Coinsurance |
Urgent Care |
Deductible + Coinsurance |
Deductible + Coinsurance |
Emergency Room |
Deductible + Coinsurance |
Deductible + Coinsurance |
Pharmacy |
Deductible + Coinsurance |
N/A |
Mail Order Pharmacy |
Deductible + Coinsurance |
N/A |
Employee Rates per Month |
Bi-Weekly Rate |
|---|---|
Employee Only |
$66.00 |
Employee + Spouse |
$191.00 |
Employee + Child(ren) |
$127.00 |
Employee + Family |
$191.00 |
HealthJoy Makes it Easier to be Healthy and Well
HealthJoy is the virtual access point for all your healthcare navigation and employee benefits needs. We’re provided free by your employer to help understand and make the most of your benefits. We connect you and your family with the right benefits at the right moment in your care journey, saving you time, money, and frustration.
Help For Your Healthcare Journey
With 24/7 access to our dedicated healthcare concierge team, visits, and care navigation tools, you never have to walk alone. HealthJoy helps you locate in-network doctors, find extra savings on your prescriptions, and navigate your benefits. Our mobile app and dedicated member support team are always on hand to help make it easier to stay healthy and well.
Chat with us today by logging into the HealthJoy app or call (877) 500-3212
Provided By
Kansas: Auxiant/Aetna Signature Administrators
Oklahoma: First Health Network
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