Results for Medical

Medical Benefits

Rockwell Automation offers the Health Savings Account (HSA) option and the Broad Access Plan option. If you are a benefits-eligible employee living in Eastern Wisconsin, you have a third medical option—the High-Performance Plan. Choose from the categories below to learn more about each option and how they compare. Our options offer financial protection for you and your family when you need medical care. Here are a few other ways they are similar:

  • 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.
  • Prescription drug coverage provided by CVS Caremark.
  • Informed decision-support services to help you evaluate medical treatment options.
HSA Option Broad Access Plan 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 Broad Access Plan 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:

  • Doesn’t require that you meet a deductible before you and Rockwell Automation share costs for prescription drugs.
High-Performance Plan Option
The High-Performance Plan offers predictable health care costs (set copays) in exchange for moderate premiums, and:

  • No deductible for in-network care.
  • Doesn’t require you meet a deductible before you and Rockwell Automation share prescription drug costs.
  • $0 primary care provider visits
  • Lower out-of-pocket maximums.
 HSA In-NetworkHSA Out-of-NetworkBroad Access Plan In-NetworkBroad Access Plan Out-of-NetworkHigh-Performance Plan In-Network
(for employees in Eastern Wisconsin)
Deductible

You
$2,000

You + family
$4,000

You
$4,000

You + family
$8,000

You
$1,250

You + family
$2,500

You
$2,500

You + family
$5,000

None

Money from Rockwell Automation

You
$500

You + family
$1,000

You
$500
You + family
$1,000

 

N/A

None

N/A

The Plan Pays: Preventive Care

100% no deductible

60% after deductible

100% no deductible

60% after deductible

100% when you see your primary care physician

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

$0 primary care
(required)

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

100% after your $50 copay

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

100% after your $250 copay

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

100% after your $100 copay (no surgery)
or 100% after your $800 copay (with surgery)

Out-of-Pocket Maximum

You
$4,000

You + family
$8,000

You
$8,000

You + family
$16,000

You
$3,000

You + family
$6,000

You
$6,000

You + family
$12,000

You
$2,000

You + family
$4,000

Note: The premiums above are for full-time employees who work 40 hours per week and part-time employees who work 32 to 39 hours per week. Costs are approximately double for part-time employees who work 20 to 31 hours per week. These annual amounts will be taken out of your paycheck pre-tax throughout the year. 1 In addition you pay 50% in coinsurance for out-of-network ER and urgent care visits.

Reasonable and Customary Charges: The plan pays up to reasonable and customary (R&C) charges for out of network care. You are responsible for any cost difference if your expenses are more than the R&C limits.

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.

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 Broad Access Plan and High-Performance Plan options.