{"id":16449,"date":"2023-05-23T15:23:27","date_gmt":"2023-05-23T19:23:27","guid":{"rendered":"https:\/\/marymount.edu\/?page_id=16449"},"modified":"2024-02-26T11:11:36","modified_gmt":"2024-02-26T16:11:36","slug":"medical-plans","status":"publish","type":"page","link":"https:\/\/marymount.edu\/faculty-and-staff\/human-resource-services\/benefits-2\/medical-plans\/","title":{"rendered":"Medical Plans"},"content":{"rendered":"

2024 Coverage<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n\n
 <\/p>\n

COVERAGE<\/b><\/p>\n<\/td>\n

 <\/p>\n

BlueChoice Advantage<\/b><\/p>\n

High PPO<\/b><\/td>\n

 <\/p>\n

BlueChoice\u00a0 Advantage HSA\u00a0<\/b><\/td>\n

CareFirst HMO\u00a0<\/b><\/p>\n

BlueChoice<\/b><\/td>\n<\/tr>\n

In-Network<\/b><\/td>\nOut-of- Network<\/b><\/td>\nIn-Network<\/b><\/td>\nOut-of- Network<\/b><\/td>\nIn-Network Only<\/b><\/td>\n<\/tr>\n
Annual Deductible<\/b><\/p>\n
    \n
  • \u00a0Individual<\/span><\/li>\n
  • \u00a0Family<\/span><\/li>\n<\/ul>\n<\/td>\n
 <\/p>\n

$600<\/span><\/p>\n

$1,200<\/span><\/td>\n

 <\/p>\n

$1,200<\/span><\/p>\n

$2,400<\/span><\/td>\n

 <\/p>\n

$1,600<\/span><\/p>\n

$3,200<\/span><\/td>\n

 <\/p>\n

$3,200<\/span><\/p>\n

$6,400<\/span><\/td>\n

 <\/p>\n

None<\/span><\/td>\n<\/tr>\n

Out-of-Pocket Max<\/b><\/p>\n
    \n
  • \u00a0Individual<\/span><\/li>\n
  • \u00a0Family<\/span><\/li>\n<\/ul>\n<\/td>\n
 <\/p>\n

$3,000<\/span><\/p>\n

$6,000<\/span><\/td>\n

 <\/p>\n

$6,000<\/span><\/p>\n

$12,000<\/span><\/td>\n

 <\/p>\n

$3,500<\/span><\/p>\n

$7,000<\/span><\/td>\n

 <\/p>\n

$7,000<\/span><\/p>\n

$14,000<\/span><\/td>\n

 <\/p>\n

$3,500<\/span><\/p>\n

$6,000<\/span><\/td>\n<\/tr>\n

 <\/p>\n

Office Visits<\/b><\/td>\n

 <\/p>\n

$25 PCP\u00a0\u00a0<\/span><\/p>\n

$40 SP<\/span><\/td>\n

 <\/p>\n

Deductible, then 40%<\/span><\/td>\n

 <\/p>\n

Deductible, then 20%<\/span><\/td>\n

 <\/p>\n

Deductible, then 40%<\/span><\/td>\n

 <\/p>\n

$25 PCP\/$40 SPC<\/span><\/p>\n

$200 Hospital<\/span><\/td>\n<\/tr>\n

Well-Child Care<\/b><\/td>\nNo charge<\/span><\/td>\nNo charge<\/span><\/td>\nNo charge<\/span><\/td>\n<\/tr>\n
 <\/p>\n

Preventive Care<\/b><\/td>\n

 <\/p>\n

No charge<\/span><\/td>\n

 <\/p>\n

Deductible, then 40%<\/span><\/td>\n

 <\/p>\n

No charge<\/span><\/td>\n

 <\/p>\n

20%<\/span><\/td>\n

 <\/p>\n

No charge<\/span><\/td>\n<\/tr>\n

 <\/p>\n

Emergency Room<\/b><\/td>\n

 <\/p>\n

Deductible, then $150 copay<\/span><\/td>\n

 <\/p>\n

Deductible, then 20%\u00a0<\/span><\/td>\n

 <\/p>\n

$150 per visit<\/span><\/td>\n<\/tr>\n

Urgent Care Center<\/b><\/td>\n$40 per visit<\/span><\/td>\nDeductible, then 40%<\/span><\/td>\nDeductible, then 20%<\/span><\/td>\nDeductible, then 40%<\/span><\/td>\n$40 per visit<\/span><\/td>\n<\/tr>\n
 <\/p>\n

Labs and X-rays<\/b><\/td>\n

 <\/p>\n

Non-Hospital: $20 PCP \/ $40 SPC<\/span><\/p>\n

Hospital: Deductible, then 20%<\/span><\/td>\n

 <\/p>\n

Deductible, then 40%<\/span><\/td>\n

 <\/p>\n

Deductible, then 20%<\/span><\/td>\n

 <\/p>\n

Deductible, then 40%<\/span><\/td>\n

 <\/p>\n

No Charge<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

2024 Costs<\/h2>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
COVERAGE<\/b><\/td>\n<\/td>\n2024 Bi-weekly Rates<\/b><\/td>\n<\/tr>\n
Salary Bands<\/b><\/td>\n<\/td>\nBand 1:\u00a0<\/b><\/p>\n

< $60,000<\/b><\/td>\n

Band 2:\u00a0<\/b><\/p>\n

$60,000-$120,000<\/b><\/td>\n

Band 3:<\/b><\/p>\n

> $120,000<\/b><\/td>\n<\/tr>\n

PPO<\/b><\/td>\nEmployee<\/span><\/td>\n$ 114.19<\/b><\/td>\n$116.90<\/b><\/td>\n$119.61<\/b><\/td>\n<\/tr>\n
<\/td>\nEmployee +1<\/span><\/td>\n$ 309.64<\/b><\/td>\n$316.98<\/b><\/td>\n$324.32<\/b><\/td>\n<\/tr>\n
<\/td>\nFamily<\/span><\/td>\n$ 425.68<\/b><\/td>\n$435.78<\/b><\/td>\n$445.87<\/b><\/td>\n<\/tr>\n
HSA<\/b><\/td>\nEmployee<\/span><\/td>\n$42.54<\/b><\/td>\n$43.55<\/b><\/td>\n$44.56<\/b><\/td>\n<\/tr>\n
<\/td>\nEmployee +1<\/span><\/td>\n$127.46<\/b><\/td>\n$130.48<\/b><\/td>\n$133.50<\/b><\/td>\n<\/tr>\n
<\/td>\nFamily<\/span><\/td>\n$175.23<\/b><\/td>\n$179.39<\/b><\/td>\n$183.54<\/b><\/td>\n<\/tr>\n
HMO<\/b><\/td>\nEmployee\u00a0<\/span><\/td>\n$71.49<\/b><\/td>\n$73.19<\/b><\/td>\n$74.88<\/b><\/td>\n<\/tr>\n
<\/td>\nEmployee +1<\/span><\/td>\n$189.38<\/b><\/td>\n$193.87<\/b><\/td>\n$198.36<\/b><\/td>\n<\/tr>\n
<\/td>\nFamily<\/span><\/td>\n$260.87<\/b><\/td>\n$267.05<\/b><\/td>\n$273.24<\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

MMC Employees ONLY Rates<\/h2>\n

Marymount Management Company<\/p>\n\n\n\n\n\n\n\n
 <\/p>\n

2024 MMC HMO BlueChoice Bi-Weekly Rates<\/strong><\/p>\n<\/td>\n<\/tr>\n

Coverage<\/span><\/td>\nSalary Band 1:<\/span><\/p>\n

< $60,000<\/span><\/td>\n

Salary Band 2:<\/span><\/p>\n

$60,000 – $120,000<\/span><\/td>\n

Salary Band 3:<\/span><\/p>\n

> $120,000<\/span><\/td>\n<\/tr>\n

Employee<\/span><\/td>\n$63.29<\/span><\/td>\n$64.79<\/span><\/td>\n$66.30<\/span><\/td>\n<\/tr>\n
Employee + 1<\/span><\/td>\n$158.09<\/span><\/td>\n$161.85<\/span><\/td>\n$165.61<\/span><\/td>\n<\/tr>\n
Family<\/span><\/td>\n$217.33<\/span><\/td>\n$222.49<\/span><\/td>\n$227.66<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Marymount University helps look after the health and welfare of you and your family with comprehensive and flexible medical insurance provided by CareFirst BlueCross BlueShield<\/strong>.\u00a0 Prescription Rx coverage is provided by CVS Caremark<\/strong>.\u00a0 Your plan gives you access to broad provider networks, and generous benefits.<\/p>\n

Eligibility Information<\/h2>\n

As a full-time employee, 30+ hours per week, you, your spouse, and dependent children up to age 26 are eligible for Medical, Dental, and Vision insurance benefits.\u00a0\u00a0 Coverage begins the first day of the following month after your hire date.<\/p>\n

Employees must <\/em><\/strong>enroll in benefits before the end of their 30th calendar day of employment, otherwise they are not eligible and will have to wait until annual Open Enrollment.\u00a0 Enroll through your Workday account.<\/p>\n

Marymount Services Company (MMC)<\/strong> employees are only eligible for the CareFirst HMO BlueChoice option<\/p>\n

Changes During the Year<\/h2>\n

Generally, you can only change your benefit elections during the annual benefits Open Enrollment period.\u00a0 An exception is made for any Qualified Life Event (QLE), such as marriage, divorce, birth, or adoption.<\/p>\n

You must notify Human Resources within 30 days of any QLE to make changes.\u00a0 Otherwise, you will have to wait until the next enrollment period.\u00a0 Any changes you make to your benefit choices must be directly related to the Life Event. You must enclose documentation of the event and the documentation must show the date of the event (example: a marriage license or birth certificate).\u00a0 Do this through your Workday account.<\/p>\n

When Coverage Ends<\/h2>\n

Medical plan benefits end at the last day of the month following your last day worked.\u00a0 However, you may be able to purchase continued medical and\u00a0dental, on an individual basis, for a period of time under a federal law known as the Consolidated\u00a0Omnibus Budget Reconciliation Act of 1985 (COBRA).<\/p>\n

Find a Doctor, Contact and Plan Information<\/h2>\n

Access CareFirst<\/a> to find doctors, manage your health plan and access health and wellness resources.<\/p>\n\n\n\n\n\n
BluePreferred PPO\/HD<\/td>\n(800) 321-3497<\/td>\nwww.member.carefirst.com<\/td>\n<\/tr>\n
CareFirst BlueChoice HMO<\/td>\n(866) 520-6099<\/td>\nwww.member.carefirst.com<\/td>\n<\/tr>\n
CareFirst Health Plan<\/td>\n(877) 691-5856<\/td>\nwww.carefirst.com\/marymount<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

2024 Coverage   COVERAGE   BlueChoice Advantage High PPO   BlueChoice\u00a0 Advantage HSA\u00a0 CareFirst HMO\u00a0 BlueChoice In-Network Out-of- Network In-Network Out-of- Network In-Network Only Annual Deductible \u00a0Individual \u00a0Family   $600 $1,200   $1,200 $2,400   $1,600 $3,200   $3,200 $6,400   None Out-of-Pocket Max \u00a0Individual \u00a0Family   $3,000 $6,000   $6,000 $12,000   $3,500 $7,000 […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":222,"featured_media":0,"parent":16443,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/left-sidebarpage.php","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","ngg_post_thumbnail":0,"footnotes":""},"acf":[],"yoast_head":"\nMedical Plans - Marymount University<\/title>\n<meta name=\"description\" content=\"Medical Plans. Click here to learn more.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/marymount.edu\/faculty-and-staff\/human-resource-services\/benefits-2\/medical-plans\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical Plans\" \/>\n<meta property=\"og:description\" content=\"Medical Plans. 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