Do you want to pay lower premiums in exchange for higher out-of-pocket costs? The LivingWell HDHP may be the plan for you.
This is a catastrophic-type of health plan, with higher deductibles and lower premiums.
It is recommended for those who expect to have lower overall healthcare expenses and only need preventive care.
If you have a Health Savings Account (HSA), you can use it with this plan. HSAs are not available through KEHP.
You don't have to have an HSA to elect this plan.
All covered services, except for qualified preventive care are subject to the deductible.
Unlike other KEHP plan offerings, the HDHP does not have separate single and family deductibles accumulating simultaneously; only one deductible will apply ("single" if single-only coverage or the higher "family" deductible if any other option is elected).
Once you meet the deductible, the plan will pay 70% of covered expenses and you will pay a 30% co-insurance.
Both your medical and pharmacy expenses apply to the deductible and the maximum out-of-pocket.
Once your maximum out-of-pocket is met, your covered medical and pharmacy claims will be paid at 100%.
Many complementary benefits offered under the other three health plan options are not covered under the HDHP, including:
Carrum Health
Hinge Health
LivingWell Health Clinics
LiveHealth Online
UK Acupuncture
However, some of the above services may be available to you once your deductible for the plan year is met.