Medical Plans

UNDERSTANDING YOUR BENEFITS

Aquafinity health plans are built on choice, offering you the opportunity to make decisions about what will best meet your and your family’s health and financial needs. Aquafinity medical plan options are administered by Cigna and Kaiser Permanente (Available in CA only) and are designed to help you maintain your health through preventive care services, access to an extensive network of providers, and affordable prescription medication.

You can choose from three flexible plan options:

  • Cigna OAP BASE Plan $2500 (In-Network Only)
  • Cigna OAP Buy-Up Plan $1500 (In-Network Only)
  • Cigna OAP Full $500 (PPO)
  • Kaiser Permanente HMO (Available in CA Only)

You must log into the enrollment site, EASE, and make your benefit elections; be sure to review and finalize benefit elections in the system. 
https://aquafinity.ease.com

HEALTH MAINTENANCE ORGANIZATION (HMO)

Kaiser HMO is a type of health insurance plan that limits coverage to doctors, hospitals, and pharmacies that participate in the Kaiser Permanente HMO network only. There is no coverage if you go to out-of-network providers, except for emergency services. A Kaiser HMO requires you to live or work in its service area to be eligible for coverage with Kaiser.

CIGNA PPO PLAN

The Cigna Open Access Plus PPO plans are a National PPO Network within and out-of-network benefits. Plans have a deductible to meet first for certain services with coinsurance. Physicians services and prescriptions have copays.

Definitions:

A fixed amount you pay for a covered health service, usually when you receive the service. The amount can vary by the type of covered health care service.

The amount you owe for health care services your plan covers before your health insurance or plan begins to pay. The deductible may not apply to all services.

Once the deductible is met, you and the plan share any further health care costs until you meet your out-of-pocket maximum. This is your share of the costs of a covered health care service, calculated as a percent for the service.

The medical plan limits the total amount you pay each year for medical care. Once you meet your out-of-pocket maximum, the plan pays 100% of your eligible expenses for the remainder of the calendar year.


Plan Benefits


Kaiser HMO
2000Ded, 20/40 OV, 20% IP

IN-NETWORK ONLY
(Available in CA ONLY)
Annual Deductible$2,000 individual
$4,000 family
Out-of-Pocket Maximums$4,500 individual
$9,000 family
Preventive CareNo charge
Primary Office Visit$20 copay
(ded waived)
Specialist Office Visit$40 copay
(ded waived)
Virtual CareNo charge
Urgent Care$35 copay
(ded waived)
Inpatient Hospital
Stays
20% coinsurance
after deductible
Outpatient Surgery20% coinsurance
after deductible
Emergency Room (waived if admitted)20% coinsurance
after deductible
Prescription Drugs- 30 day supply
Generic$10 copay
Preferred Brand$30 copay
Brand Specialty20% coinsurance
up to $250

Plan Benefits


Cigna Healthcare
OAPINN BASE Plan
2500

Cigna Healthcare
OAPINN Buy-Up Plan
1500

Cigna Healthcare
OAP Full $500

IN-NETWORK ONLYIN-NETWORK ONLYIN-NETWORKOUT-OF-NETWORK
Annual Deductible
(Individual / Family)
$2,500 / $5,000$1,500/ $3,000$500 / $1,000$1,000 / $2,000
Out-of-Pocket Maximums
(Individual / Family)
$6,700/ $13,400$5,000 / $10,000$8,350 / $16,700$8,800 / $17,600
Preventive CareNo chargeNo chargeNo chargecovered 50%*
Primary/Specialist Office$40/$80 copay$20/$50 copay$35/ $70 copaycovered 50%*
Urgent Care$85 copay$55 copay$50 copaycovered 50%*
Inpatient Hospital Stays20% coinsurance*20% coinsurance*20% coinsurance*covered 50%*
Outpatient Surgery20% coinsurance*20% coinsurance*20% coinsurance*covered 50%*
Emergency Room
waived if admitted
20% coinsurance*$200/visit20% after deductible *
Virtual Care VisitsNo chargeNo chargeNo chargeNot covered
Prescription Drug (30 day supply)
Generic$15 copay$10 copay$10 copayNot Covered
Preferred Brand Name$100 copay$30 copay$35 copayNot Covered
Non- Preferred Brand$200 copay$50 copay$75 copayNot Covered
Specialty Drugs$300 copay$150 copay30% coinsurance up
to $250 max copay
Not Covered

Questions?