Urgent Care Specialist
Resume:
SNOW JOE
HIGH MID BASE
Open Access Plus PPO Open Access Plus EPO HDHP H.S.A. EPO 2500/30% 15595915 15582521 15582503
Plan Type PPO EPO HDHP EPO
Drug Card Copays $15/35/75 after $100 Ded $15/35/75 after $100 Ded $15/35/75 after Ded No Referral No Referral No Referral
IN NETWORK
Deductible Ind/Fam $1,500/$3,000 $1,500/$3,000 $2,500/$5,D23000 Co-Insurance 20% 30% 50% copay after Ded.
Out-of-Pocket Max $4,000/$8,000 $6,350/$12,700 $7,000/$14,000 Office Co-Pay $20 $25 30% copay after Ded.
Specialist Co-Pay $40 $40 30% copay after Ded.
Lab Services/X-Ray 20% copay after Ded. 30% copay after Ded. 30% copay after Ded. MRIs, CATs, PETs 20% copay after Ded. 30% copay after Ded. 30% copay after Ded. Hospital In-Patient 20% copay after Ded. 30% copay after Ded. 30% copay after Ded. Hospital Out-Patient 20% copay after Ded. 30% copay after Ded. 30% copay after Ded. ER Copay $100 then pays 100% $100 then pays 100% 30% copay after Ded. Urgent Care $40 $40 30% copay after Ded.
Virtual Visits $20 $25 $55 myCIGNA
Lifetime MAX Unlimited Unlimited Unlimited
OUT NETWORK
Deductible Ind/Fam $1,550/3,100 N/A N/A
Co-Insurance 40% N/A N/A
Out-of-Pocket Max $6,000/$12,000 N/A N/A
UCR (usual customry reasonable)
80th N/A N/A
RATES
EMPLOYEE $218.47 $110.07 $5.19
EMPLOYEE/CHILDREN $598.52 $409.25 $226.09
EMPLOYEE/SPOUSE $728.87 $500.81 $280.09
FAMILY $938.87 $608.05 $287.92
Millennium Medicals Solutions Inc. medicalsolutionscorp.com 855-***-**** Garner offers year one savings of up to $56,119 while providing richer employee benefits
Base Plan Base Plan Base Plan
Plan
Office Copay (PCP/SPC) D&C $25 / $40 $20 / $40
Deductible $2,500 / $5,000 $1,500 / $3,000 $1,500 / $3,000 Coinsurance 30% 30% 20%
Out-of-Pocket $7,000 / $14,000 $6,350 / $12,700 $4,000 / $8,000 Employee Only Rate
Employee $430 $31 $461 $535 $21 $556 $643 $21
Employee + Spouse $905 $50 $955 $1,126 $32 $1,157 $1,354 $32 Employee + Children $751 $50 $801 $934 $32 $966 $1,124 $32 Employee + Family $1,313 $58 $1,371 $1,633 $38 $1,671 $1,964 $38 Proposed Base Plan $1,987,492
Garner Maximum Cost $78,778
Total $2,066,270
Minimum Savings -$21,321
Garner Program Cost and Savings
30%
$5,350 / $10,700
$500 / $1,000
PPO + $1,000 Garner H
with Ga
$0
$500 / $
20%
$3,000 / $
OAPIN Mid + $1,000 Garner HRA
with Garner
$0
OAPIN HSA + $1,500 Garner HRA
$5,500 / $11,000
$1,000 / $2,000
$0
30%
with Garner
Garner offers year one savings of up to $5
richer employee benefits
Base Plan Base Plan
Plan
Office Copay (PCP/SPC) D&C $25 / $40
Deductible $2,500 / $5,000 $1,500 / $3,000
Coinsurance 30% 30%
Out-of-Pocket $7,000 / $14,000 $6,350 / $12,70
Employee Only Rate
Employee $430 $31 $461 $535
Employee + Spouse $905 $50 $955 $1,126
Employee + Children $751 $50 $801 $934
Employee + Family $1,313 $58 $1,371 $1,633
Proposed Base Plan $1,987,492
Garner Maximum Cost $78,778
Total $2,066,270
Minimum Savings -$21,321
Garner Program Cost and Savings
OAPIN Mid +
OAPIN HSA + $1,500 Garner HRA
$5,500 / $11,000
$1,000 / $2,000
$0
30%
with Garner
Garner offers year one savings of up to $56,119 while providing richer employee benefits
Base Plan Base Plan Base Plan
Plan
Office Copay (PCP/SPC) D&C $25 / $40 $20 / $40
Deductible $2,500 / $5,000 $1,500 / $3,000 $1,500 / $3,000 Coinsurance 30% 30% 20%
Out-of-Pocket $7,000 / $14,000 $6,350 / $12,700 $4,000 / $8,000 Employee Only Rate
Employee $430 $31 $461 $535 $21 $556 $643 $21 $664 Employee + Spouse $905 $50 $955 $1,126 $32 $1,157 $1,354 $32 $1,386 Employee + Children $751 $50 $801 $934 $32 $966 $1,124 $32 $1,155 Employee + Family $1,313 $58 $1,371 $1,633 $38 $1,671 $1,964 $38 $2,002 Proposed Base Plan $1,987,492
Garner Maximum Cost $78,778
Total $2,066,270
Minimum Savings -$21,321
Maximum Savings -$56,119
Garner Program Cost and Savings
30%
$5,350 / $10,700
$500 / $1,000
PPO + $1,000 Garner HRA
with Garner
$0
$500 / $1,000
20%
$3,000 / $6,000
OAPIN Mid + $1,000 Garner HRA
with Garner
$0
OAPIN HSA + $1,500 Garner HRA
$5,500 / $11,000
$1,000 / $2,000
$0
30%
with Garner
s of up to $56,119 while providing
Base Plan Base Plan
$25 / $40 $20 / $40
$1,500 / $3,000 $1,500 / $3,000
30% 20%
$6,350 / $12,700 $4,000 / $8,000
$461 $535 $21 $556 $643 $21 $664
$955 $1,126 $32 $1,157 $1,354 $32 $1,386
$801 $934 $32 $966 $1,124 $32 $1,155
$1,371 $1,633 $38 $1,671 $1,964 $38 $2,002
30%
$5,350 / $10,700
$500 / $1,000
PPO + $1,000 Garner HRA
with Garner
$0
$500 / $1,000
20%
$3,000 / $6,000
OAPIN Mid + $1,000 Garner HRA
with Garner
$0
r HRA
,000
,000
ner
How Garner Works
We use more data and
new analytics to
identify top doctors
better than ever before
Our concierge team
makes it simple for
members to find the
best doctor for them
We reinforce
engagement with our
innovative engagement
incentives
Dr. Esther Chao
Non-Surgical Orthopedist
Megan C.
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The Garner Experience
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Unlock funds to pay
out-of-pocket
+
=
Your bill has been paid
MRI on 06/17/19
Your medical bill was $429.97
Garner paid -$429.97
Your bill after Garner $0
Garner administers a unique engagement-based HRA, enriching the plan for members who use Garner to find high quality care getgarner.com
Existing PCP
relationships
Emergency Room &
Urgent Care Visits
15
Garner’s flexible plan ensures there are no painful employee disruptions Garner covers…
Continuity of Care
Monthly Bi-weekly
Dental PPO 100/80/50 $1500 80th UCR Level
Individual $0.00 $0.00
Individual + Spouse/Partner $38.99 $18.00
Individual + Child(ren) $45.95 $21.21
Family $90.47 $41.76
Vision $10 Exams/12 Mo. & $25
Frames/lendses 12/24 Months;
$130 Allowance
Individual $0.00 $0.00
Individual + Spouse/Partner $8.53 $3.94
Individual + Child(ren) $7.51 $3.47
Family $16.04 $7.40
Vol Term Term Life Life $100K $25,000 GUARANTEED ISSUE 0% ACCIDENT &
DISMEMBERMENT $25,000
Guaranteed Issue $300K max; if above $100K+ Need Health Statement Group Voluntary Term Life
Insurance Employee Spouse
29 & Under $0.067 per $1,000 $0.067 per $1,000
30 - 34 $0.073 per $1,000 $0.073 per $1,000
35 - 39 $0.110 per $1,000 $0.110 per $1,000
40 - 44 $0.178 per $1,000 $0.178 per $1,000
45 - 49 $0.274 per $1,000 $0.274 per $1,000
50 - 54 $0.447 per $1,000 $0.447 per $1,000
55 - 59 $0.702 per $1,000 $0.702 per $1,000
60 - 64 $0.975 per $1,000 $0.975 per $1,000
65 - 69 $1.800 per $1,000 $1.800 per $1,000
70 & Over $2.967 per $1,000 $2.967 per $1,000
Note - All plans are subject to change.
Millennium Medicals Solutions Inc. medicalsolutionscorp.com 855-***-**** Summary of Dental Plan Benefits 2022
Summary of Vision Plan Benefits 2022
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