Mountaire offers two options when it comes to medical plans for employees depending on their needs. And, those needs can change, such as after the birth of a child, or marriage, so it’s important to review your benefits every year and make necessary changes during open enrollment at the end of the year.
Both plans access the Blue Cross Blue Shield network of providers. Once enrolled, you will have access to their website and mobile app to find providers, get access to your Medical/RX ID Card, check your deductible, and more!
For those employees enrolled in a Mountaire medical plan, all visits to a Mountaire Health and Wellness Center are FREE!
Highlights of the Plan A In-Network benefits include:
Primary Care Office & Telehealth Visits: $40 co-pay
Mental Health & Substance Abuse Office & Telehealth Visits: $10.00 co-pay
Deductible: $700 Individual or $2,100 Family
Hospital, Specialist, Out-Patient services, & Lab Work: 80% paid by the plan after deductible
Annual Out-of-Pocket Maximum: $5,000 Individual $10,000 Family
Other Services Include: Emergency Room visits, bariatric surgery, smoking cessation program, and a robust Diabetic Management Program.
Employee’s portion of Plan A costs:
Single Coverage: $78.16/semi-monthly or $36.07/week
Family Coverage: $205.11/semi-monthly or $94.66/week
Highlights of Plan B, ( in-network only) benefits include:
Office visits: 70% paid by the Plan after deductible.
Mental Health & Substance Abuse Office & Telehealth Visits: $20.00 co-pay
Deductible: $1,600 Individual $4,800 Family.
Hospital, Specialist, Out-Patient services, & Lab Work: 70% paid by the plan after deductible
Annual Out-of-Pocket Maximum: $7,100 Individual $14,200 Family
Other Services Include: Emergency Room visits, bariatric surgery, smoking cessation program, and a robust Diabetic Management Program.
Employee’s portion of Plan B costs:
Single Coverage: $31.25/semi-monthly or $14.42/week
Family Coverage: $74.26/semi-monthly or $34.27/week
Both Plan A & B include Prescription Drug coverage. Highlights Include:
Generic Drugs: $15.00 Co-pay for 30 day supply
$30.00 for 90 day supply
Deductible for Preferred & Non-Preferred Drugs: $50.00
Preferred Brand Name Drugs: 25% up to $45 for 30 day supply
25% up to $90 for a 90 day supply
Non-Preferred Brand Name Drugs: 40% up to $65 for 30 day supply
40% up to 130 for 90 day supply
Diabetic Management Program: $10.00 insulin for a 30 day supply, free meter, supplies and medications.
$5.00 Over-The-Counter Medication Program
Please contact your Benefits Team at any time or during open enrollment with questions about which plan might be best for you and your family.