Results for Medical

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Medical Benefits

Rockwell Automation offers two medical options: the Health Savings Account (HSA) option and the Health Reimbursement Account (HRA) option.

Both the HSA and HRA options offer financial protection for you and your family when you need medical care. Here are a few other ways they are similar. Both options provide:

  • Coverage for the same services (like doctor visits, hospital care and lab work).
  • Fully covered in-network preventive care, even before you’ve met your deductible.
  • ˜˜A health account that comes with a company contribution.
  • An extensive provider network (the Choice Plus network).
  • Prescription drug coverage provided by CVS/caremark.
  • The UnitedHealth Tier 1 Designation Program, which helps you find quality, cost-effective care.
  • ˜˜Best Doctors, an informed decision-support service to help you evaluate medical treatment options.
HSA Option HRA Option
The HSA option has lower premiums but a higher deductible. This means you pay less for coverage throughout the year but pay more when you use care. Some other benefits of the HSA option are that it:

  • Comes with a Health Savings Account (HSA) that has a company contribution to help offset your deductible. You can contribute your own money, pre-tax, to this account to help pay for eligible medical expenses. Plus, any money in your HSA is yours to keep even if you leave the company. For more information about the HSA, click here.
  • Requires that you meet your medical deductible before Rockwell Automation starts sharing your non-preventive prescription drug costs.
The HRA option has higher premiums but a lower deductible. This means you pay more for coverage throughout the year but pay less when you use care. Some other benefits of the HRA option are that it:

  • Comes with a Health Reimbursement Account (HRA) that has a company contribution to help offset your deductible. You cannot contribute any of your own money to this account. If you leave the company or change medical options, you forfeit your remaining HRA balance.
  • Doesn’t require that you meet a deductible before you and Rockwell Automation share costs for prescription drugs.
 HSA In-NetworkHSA Out-of-NetworkHRA In-NetworkHRA Out-of-Network
Deductible

You
$2,000

You + one
$3,000

You + family
$5,000

You
$4,000

You + one
$6,000

You + family
$10,000

You
$1,500

You + one
$2,250

You + family
$3,750

You
$3,000

You + one
$4,500

You + family
$7,500

Money from Rockwell Automation

You
$200
You + one
$400
You + family
$600

You
$200
You + one
$400
You + family
$600

You
$500
You + one
$1,000
You + family
$1,500

You
$500
You + one
$1,000
You + family
$1,500

The Plan Pays: Preventive Care

100% no deductible

60% after deductible

100% no deductible

60% after deductible

The Plan Pays: Doctor Office Visits

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

The Plan Pays: Urgent Care Clinic

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

The Plan Pays: Emergency Room

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

The Plan Pays: Hospital Stay

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

80% after deductible

85% (after deductible) for Tier 1 providers and Freestanding Facilities

60% after deductible

Out-of-Pocket Maximum

You
$3,000

You + one
$4,500

You + family
$7,500

You
$6,200

You + one
$9,400

You + family
$15,600

You
$3,000

You + one
$4,500

You + family
$6,000

You
$6,500

You + one
$10,000

You + family
$13,500

You + One Definition: You + One means You + Spouse/Domestic Partner or You + Children

Reasonable and Customary Charges: A charge is considered “reasonable and customary” (R&C) if it matches the general cost of that service within your geographic area. If your health care provider charges above the reasonable and customary charge, you may have to pay the difference between the R&C charge and how much your provider charges.

A Note About Out-of-Pocket Maximums: Under the Affordable Care Act (ACA), the in-network out-of-pocket maximum for an individual can't exceed $7,150, even if the individual is covered under a family tier.

Using Tier 1 Providers and Freestanding Facilities

Using Tier 1 providers and Freestanding Facilities is optional. The Tier 1 designation helps you find providers known for offering the best combination of quality and cost. (The availability of Tier 1 providers varies by location.) Freestanding Facilities are outpatient, diagnostic or ambulatory centers, or independent laboratories in the Choice Plus network that perform services and submit claims as freestanding entities and not as hospitals.

Provider Network

Find the Tier 1 Provider you need by searching the Choice Plus network. Look for the Tier 1 icon next to a provider’s name.

Out-of-Pocket Maximum

Once your expenses reach a certain amount, Rockwell Automation will pay 100% of all remaining eligible costs for the rest of the year. You may pay additional amounts out of pocket for prescription drugs in the HRA option.

HMO Option

Health Maintenance Organizations, or HMO options, are available in select locations. If an HMO option is available in your area, it will show as an option when you enroll.