Medical Plan

Medical options

Depending on the benefits offered by your employer, you may elect one of three medical options. All three options cover the same types of medical care and treatment except where otherwise noted.

Preferred provider organization (PPO)

Exclusive provider organization (EPO)

High deductible health plan (HDHP), which may be offered with a health savings account (HSA)

Here's a comparison of all three options.  

Medical Plan special features

In addition to providing benefits when you’re sick or injured, the Medical Plan through the Board of Pensions includes many features and resources to help you maintain and improve your health and well-being:   

Preventive care

Care navigation

Teladoc

Call to Health

Employee Assistance Plan

Vision exam benefit

Centers of Excellence

Livongo for Diabetes Program

Medical care during international travel

Nicotine-free living     

Using medical coverage

You can get the most from your medical coverage by choosing network providers, using the emergency room only when appropriate, and getting advance approval, when required, for non-urgent hospital admissions and certain tests.

Locating network providers

Emergency care and urgent care

Precertifying care      

Working with a Personal Care Guide nurse     

How to enroll in the Medical Plan

You and your eligible family members may enroll in the Medical Plan when you first become eligible or during annual enrollment in the fall.

Enrolling for medical benefits

Medical costs

Member couples

Waving medical coverage

Continuing coverage after eligibility is lost

If your coverage under the Medical Plan is ending, you and/or your eligible family members may be able to extend your coverage for a limited time.

Medical continuation

Transitional participation coverage