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Balance Health Benefits offers a variety of medical plans to meet the diverse needs of our employees. Our three plan options include the Copay Plan, HSA Plan, and HMO Plan. The Copay Plan offers a low monthly premium with minimal out-of-pocket costs.
The HSA Plan is a high-deductible health plan that is paired with a Health Savings Account, allowing employees to save for future healthcare expenses. The HMO Plan offers a network of providers with little to no out-of-pocket costs, but also has a higher monthly premium. Each of these plans has its own unique features and benefits, and we encourage you to review them to find the one that best fits your healthcare needs.
The Copay Plan is a traditional plan that offers low monthly premium with minimal out-of-pocket costs. Under this plan, you will have a copayment for doctor visits and prescription drugs, and there is also a small annual deductible that you’ll need to meet before your insurance kicks in. This plan covers preventive care, such as check-ups and vaccinations, at no additional cost. Additionally, it covers inpatient and outpatient hospital stays, lab tests, diagnostic imaging, and emergency services. The Copay Plan also offers a prescription drug benefit that covers most medications, with a low copayment for each prescription. This plan is a great option for those who want low monthly premium and want to minimize out-of-pocket expenses.
The HSA Plan is a high-deductible health plan that is paired with a Health Savings Account (HSA). Under this plan, you will have a higher annual deductible that you’ll need to meet before your insurance kicks in, but you’ll have lower monthly premium. The HSA is a personal savings account that you can use to pay for qualified medical expenses, including doctor visits, prescription drugs, and hospital stays. The money in the account belongs to you, even if you change jobs or leave the company. You can also invest the money in the account and let it grow tax-free. The HSA plan also covers preventive care, such as check-ups and vaccinations, at no additional cost. This plan is a great option for those who want to save money on monthly premium and want to save money on future medical expenses.
The HMO Plan is a health maintenance organization plan that offers a network of providers with little to no out-of-pocket costs, but also has a higher monthly premium. This plan requires you to choose a primary care physician and get referrals to see specialists. Under this plan, you will have access to a wide range of medical services, including preventive care, doctor visits, laboratory tests, diagnostic imaging, and prescription drugs. Inpatient and outpatient hospital stays are also covered under this plan. The HMO plan also covers preventive care, such as check-ups and vaccinations, at no additional cost. This plan is a great option for those who want low out-of-pocket costs and who prefer to have a primary care physician who coordinates their care.
Important!
Choose the plan that best fits your healthcare needs – consider coverage, costs, and network to ensure optimal health support!
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Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.
It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.
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Foundation offers a variety of medical plans to meet the diverse needs of our employees. Our three plan options include the Copay Plan, HSA Plan, and HMO Plan. The Copay Plan offers a low monthly premium with minimal out-of-pocket costs. The HSA Plan is a high-deductible health plan that is paired with a Health Savings Account, allowing employees to save for future healthcare expenses. The HMO Plan offers a network of providers with little to no out-of-pocket costs, but also has a higher monthly premium. Each of these plans has its own unique features and benefits, and we encourage you to review them to find the one that best fits your healthcare needs.
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.
It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.
It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus. Quisque commodo auctor magna eu sollicitudin. Proin sagittis euismod tortor vel fermentum. Morbi vitae ante condimentum, ultricies urna non, tristique justo. In justo libero, porttitor nec molestie non, iaculis at diam. Donec suscipit eu est sed scelerisque. Nunc aliquam tellus id urna bibendum consequat.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus commodo auctor magna eu sollicitudin:
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus. Quisque commodo auctor magna eu sollicitudin. Proin sagittis euismod tortor vel fermentum. Morbi vitae ante condimentum, ultricies urna non, tristique justo. In justo libero, porttitor nec molestie non, iaculis at diam. Donec suscipit eu est sed scelerisque. Nunc aliquam tellus id urna bibendum consequat.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus commodo auctor magna eu sollicitudin:
Lorem Ipsum is simply dummy text of the printing and typesetting industry.
Lorem Ipsum has been the industry’s standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged.
It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus. Quisque commodo auctor magna eu sollicitudin. Proin sagittis euismod tortor vel fermentum.
Morbi vitae ante condimentum, ultricies urna non, tristique justo. In justo libero, porttitor nec molestie non, iaculis at diam. Donec suscipit eu est sed scelerisque. Nunc aliquam tellus id urna bibendum consequat.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus commodo auctor magna eu sollicitudin:
Foundation offers a variety of medical plans to meet the diverse needs of our employees. Our three plan options include the Copay Plan, HSA Plan, and HMO Plan. The Copay Plan offers a low monthly premium with minimal out-of-pocket costs. The HSA Plan is a high-deductible health plan that is paired with a Health Savings Account, allowing employees to save for future healthcare expenses. The HMO Plan offers a network of providers with little to no out-of-pocket costs, but also has a higher monthly premium. Each of these plans has its own unique features and benefits, and we encourage you to review them to find the one that best fits your healthcare needs.
|
Features |
PPO |
PPO+ |
|---|---|---|
|
Annual Deductible |
$XXX/individual $XXXX/family |
$XXXX/individual; $XXXX/family* |
|
Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual |
|
Total Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual; |
|
Preventive Care |
||
|
Exam |
XXX%, no deductible |
XXX%, no deductible |
|
Non-Urgent Services |
$XXX copayment |
XX%, after deductible |
|
Routine Care |
||
|
Primary Care visits |
$XX copayment |
XX%, after deductible |
|
Specialist |
$XX copayment |
XX%, after deductible |
|
Features |
PPO |
PPO+ |
|---|---|---|
|
Annual Deductible |
$XXX/individual $XXXX/family |
$XXXX/individual; $XXXX/family* |
|
Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual |
|
Total Out-of-Pocket Limit |
$XXXX/individual |
$XXXX/individual; |
|
Preventive Care |
||
|
Exam |
XXX%, no deductible |
XXX%, no deductible |
|
Non-Urgent Services |
$XXX copayment |
XX%, after deductible |
|
Routine Care |
||
|
Primary Care visits |
$XX copayment |
XX%, after deductible |
|
Specialist |
$XX copayment |
XX%, after deductible |
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus. Quisque commodo auctor magna eu sollicitudin.
Proin sagittis euismod tortor vel fermentum. Morbi vitae ante condimentum, ultricies urna non, tristique justo.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus. Quisque commodo auctor magna eu sollicitudin.
Proin sagittis euismod tortor vel fermentum. Morbi vitae ante condimentum, ultricies urna non, tristique justo.
Nam ullamcorper bibendum dapibus. Cras ultrices in mi eget luctus. Quisque commodo auctor magna eu sollicitudin.
Proin sagittis euismod tortor vel fermentum. Morbi vitae ante condimentum, ultricies urna non, tristique justo.
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Here are recommendations based on your selections.
We’ll prioritize plans with low maternity/delivery costs and robust pediatric networks.
We’ll focus on standard coverage options for your current household size.
We’ll look for plans with fixed co-pays for brand-name or maintenance medications.
A balance of moderate premiums and fair prescription coverage is likely best.
A plan with a lower ‘Out-of-Pocket Maximum’ will likely save you the most money overall.
A plan with a lower ‘Out-of-Pocket Maximum’ will likely save you the most money overall.
You can likely opt for a lower-cost plan and save the difference in an HSA.
High-Deductible Health Plans (HDHP) offer lower premiums and tax-advantaged savings.”
A PPO plan offers more predictable costs, even if the monthly premium is higher.”
We recommend plans with low co-pays for specialist visits to keep costs predictable.
A standard mid-tier plan offers a balance of cost-sharing and monthly savings.
A ‘Catastrophic’ or HDHP plan might be the most cost-effective way to get coverage.
You are a great candidate for an HSA-eligible plan to grow your wealth tax-free.
We recommend a plan with a lower deductible to protect you from high unexpected costs.
We’ll show you ‘Premier’ dental and vision buy-up options for higher coverage limits.
A ‘Basic’ preventive plan will cover your annual cleanings and exams at the lowest cost.
You could save up to 30% on care costs by using a pre-tax Dependent Care FSA.
We will exclude the Dependent Care FSA from your recommended tax-savings strategy.
We’ll display our group discount rates for accident and illness coverage for your furry friends.
No problem—we’ll skip these voluntary benefits in your final summary.
We’ll highlight ‘Catch-up Contributions’ and Medicare transition resources for you.
We’ll focus on long-term growth strategies and maximizing your employer match.
