2024-BenefitsGuide-V16-Final

Medical Benefits

HIGH PPO PLAN The High PPO Plan is the most comprehensive of the plans. It has the lowest deductible and covers your expenses at a higher coinsurance rate. The plan also offers the lowest primary care and specialist copays and lowest out-of-pocket limits. Overall, the High PPO Plan requires a higher monthly contribution, but offers lower out-of-pocket costs when medical services are utilized. LOWPPO PLAN The Low PPO Plan is the next most comprehensive plan. The deductibles are higher, and your medical expenses are covered at a lower coinsurance. In this plan, the copays and out-of-pocket limits are higher. Overall, the Low PPO Plan offers a lower monthly contribution, but requires higher out-of-pocket costs when medical services are utilized. SAVER PLAN The Saver Plan is a High Deductible Health Plan (HDHP) which carries a higher deductible with higher out-of-pocket limits. In an HDHP, you pay the cost of the doctor’s office visits and prescription drugs until you meet the Plan’s annual deductible. Although this plan is good choice for some people, it may not be the best choice for others. For example, if you do not have the financial means to cover the full deductible amount in the event of a large medical expense, this plan may not be right for you. If the Saver Plan is of interest to you, we highly recommend you visit the Fidelity NetBenefits website (www.netbenefits.com) for detailed Health Savings Account (HSA) information. Health Savings Account (HSA) for Saver Plan Participants If you enroll in The Saver Plan, Reliance will contribute $250 per year for those effective between January 1 - June 30. For those effective between July 1 and December 31, Reliance will contribute $125 to your Health Savings Account (HSA). You can also contribute to your HSA. Your contributions can be made every pay period via payroll deduction before federal taxes and before most state taxes. The money in this account can be used for qualified healthcare expenses, such as the annual deductible and coinsurance, or future qualified medical expenses. This account can accumulate on a tax-free basis, and withdrawals to pay for qualified medical expenses are free from federal income taxes (state taxation rules vary from state to state). Funds can roll over from year to year, as the HSA does not have a yearly “use it or lose it” feature. If you pay for your current qualified medical expenses out of pocket, your HSA funds can be used to pay for expenses in your retirement. You must enroll in the Saver Plan to be eligible to contribute to the HSA.

KEY FEATURES OF THE HIGH AND LOW PPO MEDICAL PLANS COPAY The flat dollar amount you pay for each office visit when you go to an in-network doctor or a specialist. Copays do not apply towards your deductible. Copays apply towards the out-of-pocket limit. ANNUAL DEDUCTIBLE The amount you pay for all other medical services before the plan begins to pay. COINSURANCE This is your share of the cost after you have met your deductible. OUT-OF-POCKET MAXIMUM The plan limits the amount you pay for eligible out-of-pocket medical and prescription drug services during the plan year. Copays, deductibles, and coinsurance all count toward your annual out-of-pocket maximum. Once the out- of-pocket maximum has been met in the calendar year, the plan pays 100% of your eligible expenses for the rest of the year. IN-NETWORK VS. OUT-OF- NETWORK You may select any medical provider in the Anthem Blue Cross network, or any licensed medical provider outside the network. Electing in-nework providers can save you and/or your covered family members money on medical expenses. In-network care is subject to a lower deductible and reimbursed at a higher coinsurance rate. Out-of-network care is subject to a higher deductible and is reimbursed at a lower coinsurance percentage. It may also include possible balance billing for reasonable and customary fee adjustments.

IN- AND OUT-OF-NETWORK DEDUCTIBLES AND OUT-OF- POCKET LIMIT

Both in- and out-of-network deductibles and coinsurance limits cross apply. This means that in network expenses count toward your out-of-network limits, and vice versa.

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