Medical Benefits

We are happy to announce that DRAW will continue offering health benefits through BCBS for the new plan year beginning January 1, 2025. If you did not enroll when it was initially offered to you, you can enroll now during Open Enrollment without a qualifying event.

You will have the option to choose from an HSA plan, and 2 PPO Plans. See options below.

Services	In-Network	Out-of-Network
Deductible (Individual/Family)	$3,000/$6,000	$3,000/$6,000
Member Coinsurance (Member pays/Plan pays)	0% / 100%	20% / 80%
Out-of-Pocket Max (Individual/Family)	$3,000/$6,000	$6,000/$12,000
Preventive Care (Annual Check-up)	Covered at 100%	20% after Deductible
Primary Care Visit	$40 copay	20% after Deductible
Specialist Visit	$40 copay	20% after Deductible
Virtual Visits	No Member Cost Share	20% after Deductible
Inpatient Hospital	Deductible	20% after Deductible
Outpatient Hospital	Deductible	20% after Deductible
Urgent Care	$40 copay	20% after Deductible
Emergency Room	Deductible	Deductible

Prescription Drugs	In-Network	Out-of-Network
Retail (Up to 34-days)	$15 / $70 / $110	Copay + 50% coinsurance
Specialty (Up to 34 days)	$15 / $110 / $200	Copay + 50% coinsurance
Mail Order (35-102 days)	$37.50 / $175 / $275	Copay + 50% coinsurance

	Employee Cost Per Pay Period
Employee Only	$0
Employee + Spouse	$314.43
Employee + Child(ren)	$228.67
Employee + Family	$657.43

Downloads

Summary of Benefits

You will have the option to choose from an HSA plan, and 2 PPO Plans. See options below.

Services	In-Network	Out-of-Network
Deductible (Individual/Family)	$3,300/$6,600	$3,300/$6,600
Member Coinsurance (Member pays/Plan pays)	0% / 100%	20% / 80%
Out-of-Pocket Max (Individual/Family)	$3,300/$6,600	$6,600/$13,200
Preventive Care (Annual Check-up)	Covered at 100%	20% after Deductible
Primary Care Visit	Deductible	20% after Deductible
Specialist Visit	Deductible	20% after Deductible
Virtual Visits	No Member Cost Share	20% after Deductible
Inpatient Hospital	Deductible	20% after Deductible
Outpatient Hospital	Deductible	20% after Deductible
Urgent Care	Deductible	20% after Deductible
Emergency Room	Deductible	Deductible

Prescription Drugs	In-Network	Out-of-Network
Retail (Up to 34-days)	Deductible, then No Cost Contraceptives – No member cost share	Deductible + 50% coinsurance
Specialty (Up to 34 days)	Deductible, then No Cost	Deductible + 50% coinsurance
Mail Order (35-102 days)	Deductible, then No Cost	Deductible + 50% coinsurance

	Employee Cost Per Pay Period
Employee Only	$0
Employee + Spouse	$295.93
Employee + Child(ren)	$215.23
Employee + Family	$618.77

Downloads

Summary of Benefits

You will have the option to choose from an HSA plan, and 2 PPO Plans. See options below.

Services	In-Network	Out-of-Network
Deductible (Individual/Family)	$3,000/$6,000	$3,000/$6,000
Member Coinsurance (Member pays/Plan pays)	0% / 100%	20% / 80%
Out-of-Pocket Max (Individual/Family)	$3,000/$6,000	$6,000/$12,000
Preventive Care (Annual Check-up)	Covered at 100%	Deductible + 20%
Primary Care Visit	$40 Copay	Deductible + 20%
Specialist Visit	$40 Copay	Deductible + 20%
Virtual Visits	No Member Cost Share	N/A
Inpatient Hospital	Deductible	Deductible + 20%
Outpatient Hospital	Deductible	Deductible + 20%
Urgent Care	$40 Copay	Deductible + 20%
Emergency Room	Deductible	Deductible

Prescription Drugs	In-Network	Out-of-Network
Retail (Up to 34-days)	$15 / $70 / $110 Copay	$15 / $70 / $110 Copay
Specialty (Up to 34 days)	$15 / $110 / $200 Copay	$15 / $110 / $200 Copay
Mail Order (35-102 days)	$37.50 / $175 / $275 Copay	$37.50 / $175 / $275 Copay