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Medical What is Covered Flipbook PDF

Medical What is Covered


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BENEFITS AT A GLANCE At AAA Northeast, we are committed to providing you and your family with the best possible benefits. Our benefits package is a wellrounded program that supports overall quality of life and personal financial security, during both your work career and in retirement.

HEALTH AND WELLNESS BENEFITS • Medical: Basic, Plus, and Premier Options • Prescription Drugs: FREE select maintenance drugs; mailorder options • Dental: Basic and Premier Options • Vision: One plan; glasses and contacts • Flexible Spending Accounts: Health and Dependent Care • Health Savings Account: Available with Basic Medical Plan • Healthy Lifestyle (Rally) Programs: Web portal, health coaching, education sessions - FREE to Medical plan enrollees • Employee Assistance Program: 24/7 resources • Health Advocate: Advocacy for you and your family • Wellness Incentives: Up to $975/year o $125 ea. for Tobacco, Fitness, & Weight Loss Rebates o Up to $600: Health Survey (Spouses too!), Annual Physical, Dental Exam, Flu Shot, and many other qualifying activities • Livongo: Free diabetes program

FINANCIAL BENEFITS • 401(k) Retirement Plan: Auto-enrollment after 90 days • 401(k) Match: NEW for 2020 - up to 6% contribution match after 90 days of employment • Financial Consultation Services: Paid for by the club. • Life/AD&D Insurance: 100% club paid, 2x annual salary • Supplemental Life Insurance: optional for self, spouse, and children • Short-Term Disability Insurance: In CT, MA, NH, and NY; other states require mandatory enrollment in state plan • Long-Term Disability Insurance: 60% of earnings • Direct Deposit: Available for up to 3 accounts • Employment Referral Bonus Program • Employees' Child Scholarship Program • Transit and Parking Benefit: Pre-tax savings

OTHER PERSONAL BENEFITS • Matching Gifts: $250/year for charity of your choosing • Adoption Assistance: Up to $5,000/year • Car Seat Reimbursement: Up to $250 within one year of birth/ adoption; FREE expert installation • Life Planning Services: Estate planning and legal services • AAA Premier Membership: FREE - a $123/year value • Discounted AAA Memberships: Associate and Gifts • Employee Discounts: Travel commission, auto/consumer loans, insurance, battery service • Flexible Work Shifts: Work from home options • Online Employment and Income Verification through InVerify

LEARNING/DEVELOPMENT BENEFITS • Club Careers- Personal and Professional Development • Tuition/Education Reimbursement: Up to 90% tuition reimbursement • Employee Training: Personal development, business skills, functional skills, and software training programs • Management Training: Leadership development for all levels • Diversity, Equity, and Inclusion Resource Page

ENGAGEMENT BENEFITS • • • • • •

Recognition: Real Gems and Reward Zone programs Ask the President: Provide feedback directly to John Galvin Suggestion Program: Provide suggestions to improve the club Employee Newsletter: Monthly - The Northeast Connection Employee Engagement Survey: We gather your feedback! Employee Appreciation: May Day Breakfast, Employee Appreciation Day, Surprise Days, Service Awards, ad-hoc events • Charitable Initiatives: Walks, fundraisers, drives • Discounted Logo Wear: 33% off of AAA logo wear • Sports and Entertainment Tickets: FREE raffles

TIME OFF • Vacation: Full/Part-Time employees earn up to 5 weeks based on length of service • Holidays: 11 paid holidays per year • Sick Time: Up to 64 hours per year • Volunteer Time: Up to 1 paid day per year • Day Off Before Wedding: 1 paid day • Leaves of Absence: Medical, Military, Personal, Crime Victim, Emergency Responder, Jury Duty, and Election/Voting • Bereavement Time: Up to 5 paid days

COMPETITIVE COMPENSATION • • • •

Base Earnings: Market-based Supplemental Earnings: Incentives, Bonuses, Commissions Annual Performance Evaluations and Merit Review Shift Differentials in Automotive Svcs.: Call Center & Fleet

Additional Resources: iEmployee | Employee Handbook | Benefits Guide | [email protected] | 866-294-4222

Your Medical Plan Benefits Below is a summary of In-Network benefit coverages and the costs for which you are responsible, dependent upon your choice of coverage, up to the out-of-pocket maximum. Out-of-Network information is available on page 9. Each medical plan has an Unlimited Lifetime Maximum Benefit.

In-Network Services

Basic Premium Provider

Plus

Non-Premium Provider

Premium Provider

Premier

Non-Premium Provider

Premium Provider

Non-Premium Provider

ANNUAL DEDUCTIBLE

Employee Only

$1,500

$750

$500

Employee + One*

$3,000

$1,500

$1,000

Employee + Family*

$3,000

$1,500

$1,000

OU T-OF-POCKET MAXIMUM (INCLUDING DEDUCTIBLE AND COPAYMENTS)

Employee Only

$2,500

$3,000

$1,800

$2,000

$1,500

$2,000

Employee + One*

$5,000

$6,000

$3,600

$4,000

$3,000

$4,000

Employee + Family*

$5,000

$6,000

$3,600

$4,000

$3,000

$4,000

PREVENTIVE CARE (PER STANDARDS)

Routine physicals, GYN exams, Mammograms, Colonoscopy, and Immunizations

No cost to you

No cost to you

No cost to you

PHYSICIAN’S OFFICE VISIT

Primary care Virtual visits Specialists X-rays, MRI, Lab work, etc.

15%, after deductible

20%, after deductible

No cost, after deductible 15%, after deductible

20%, after deductible

No charge if preventative; otherwise, 20%, after deductible

10%, after deductible

15%, after deductible

$10 copay

No cost to you 10%, after deductible

15%, after deductible

$20 copay

No cost to you $20 copay

No charge if preventative; otherwise, 15%, after deductible

$30 copay

No charge

HOSPITAL CARE

Inpatient treatment, Outpatient facility and Physician services

10%, after deductible **

Pre-admission testing Ambulance services

10%, after deductible 20%, after deductible

15%, after deductible

$50 copay

Emergency room services

$200 copay

Urgent care

$50 copay BEHAVIORAL HEALTH, MENTAL HEALTH, AND SUBSTANCE ABUSE

Inpatient treatment

20%, after deductible

15%, after deductible

10%, after deductible

Outpatient treatment

15%, after deductible

10%, after deductible

$10 copay

PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPIES

Office visits, Treatments, Chiropractic services (12 visits per year)

20%, after deductible

15%, after deductible

10%, after deductible

* For the Healthcare Basic plan, the deductible is cumulative. (Total deductible must be satisfied before any member receives coverage for services.) ** Physician and surgeon services fees are covered at 100%.