 |
|||||||||||||||||||||||||||||||||||||
Asuris HSA Healthplan 2.0SMYou have Javascript and/or stylesheets
disabled. Turning off Javascript or stylesheets disables the interactive functions
of this page and prevents the definitions of the various terms underlined below
from appearing when you place your mouse cursor over them.
|
|||||||||||||||||||||||||||||||||||||
| Deductible Options: |
| Individual: $1,500 / $2,500 / $3,500 / $5,000 |
| Family: $3,000 / $5,000 / $7,000 / $10,000 |
| Family (with Embedded Individual): $5,000 ($3,000) / $7,000 ($3,000) |
| Please choose a deductible from the options above to see its coverage at a glance. |
| Type of Plan: | Consumer Directed | |
| Deductible: | ||
| Annual OOP Max: | ||
| Coinsurance Max: | not applicable | |
| Lifetime Max: | $2,000,000 | |
| Copay: | none | |
| Coinsurance: | ||
| Providers: | Category 1, 2 and 3 Find a Doctor |
|
Benefit Highlights, Exclusions & Limitations
Exclusions and limitations are inside each benefit summary PDF below.
Deductible |
Effective 01/01/11–12/13/11 |
Effective 01/01/12 and beyond |
|---|---|---|
| Individual $1,500 / $2,500 / $3,500 Family $3,000 / $5,000 / $7,000 |
||
| Individual $5,000 Family $10,000 |
||
| Embedded deductible option: Family $5,000 / $7,000 with $3,000 individual deductible |
(PDF)Banking
You can work with one of Asuris’ preferred banking partners or choose your own bank.
Wellness Programs
Wellness programs are available to your employees and their families at no additional cost. They are not insurance, but are being offered to help your employees and their families take charge of their health.
Health CoachSM
A Health Coach can help your employees set goals that are right —and realistic—for them in any health-related area. The program provides the motivation, the support, and the direction members need to take charge of health-related goals.
Your employee is the one to set the goals, make appointments, and take personal action—they’re what makes the program so effective. Members will even receive Rewards points through myAsuris.com for completing the program.
CareEnhance®
A 24-hour nurse hotline staffed by registered nurses. CareEnhance is a great way for members to get medical questions answered without having to make an appointment with a doctor or visit an urgent care clinic. By explaining symptoms or concerns, members can get advice on what they can do on their own—or get a nurse’s opinion on whether they should see a doctor right away.
Special Beginnings®
Our Special Beginnings maternity program helps mothers enjoy healthier pregnancies and deliver healthy babies. The program includes a full prenatal guide, as well as a support system for those important nine months.
Case Management
A medical illness or unexpected injury can quickly create stress and confusion. We hope your employees will never be confronted with a serious medical problem, but if they are, a Case Manager can help.
Case Managers are experienced, licensed health care professionals who provide support and guidance. In addition to our Case Managers assisting our members with existing medical conditions, our proactive team of Case Managers can help with early intervention options for future medical issues. Our Case Managers make sure your employees' needs come first.
Disease Management
Asuris Disease Management offers early intervention and long-term management of chronic conditions. This can help reduce the need for expensive procedures, hospitalizations and emergency room visits. Our internal programs focus on the conditions with the most impact on our members’ quality of life.
Asuris Rare Disease Condition Management Program
The Asuris Rare Disease Condition Management Program, in collaboration with Accordant®, is a valuable service that provides a personal health care support system to members with rare, complex, chronic conditions. Members who are affected by select conditions have 24/7 access to specially trained nurses who can answer questions and provide guidance.
This program is designed to meet unique health care needs and help coordinate care by working with you, your doctors and designated family members to obtain the best possible care in the most efficient manner. Learn more at Accordant.com about the Rare Disease Condition Management Program.
Optional Benefits
You can round out the benefits your employees will enjoy by adding optional plan benefits. To learn more about these options, contact us » or your agent.
Pharmacy
Value-based Rx Option (Groups 100+): First dollar coverage for generics and formulary brands commonly used in the following five medication classes: asthma, diabetes, high blood pressure, high cholesterol and smoking cessation. Not subject to deductible.
Medications with first dollar coverage (PDF)
Unlimited Spinal Manipulations
- No benefit maximum
- Option 2: all group sizes, no benefit maximums, subject to deductible and coinsurance max
Vision
- 100% coverage for annual eye exam (Category 1 & 2, Category 3 may be subject to balance billing)
- Up to $150 in hardware annually
- Not subject to deductible
Dental
Three plans that offer something for everyone. Available as stand-alone coverage or paired with Asuris HSA Healthplan 2.0.
Employee Assistance Program (EAP)
A service that helps employees deal with the challenges they face in any of their many roles: employee, parent, spouse, child, friend, partner, and even consumer.
- 24-hour crisis assistance
- Up to 4 face-to-face counseling sessions per incident
- Legal and financial services
- Parenting services and Adult and Elder care
- read more
Life
and Disability
To learn about Life and Disability plans, visit our partner, LifeMap Assurance Company.
Contact UsAdd Dental Coverage
AspireSM and EnhanceSM
View Dental Plans
