How the Plans Work
You have two high-deductible medical options with an HSA — the Premium and the Standard plan. Both cover the same services and include prescription drug coverage through SmithRx. The only differences between the plans are whether Stimson makes an annual HSA contribution and the monthly premium. Here’s an overview of how the plans work:
- The Premium and Standard plans include a Health Savings Account (HSA), which allows you to set aside money on a pre-tax basis to pay for eligible expenses now or in the future.
- Premium plan: Stimson will make automatic quarterly contributions to your HSA based on your pay and who you cover under the plan. You can also make pre-tax contributions to your HSA up to IRS limits.
- Standard plan: You can make pre-tax contributions to your HSA up to IRS limits.
- With both medical plan options, Stimson will contribute to your HSA when you (and your spouse/domestic partner) participate in the wellness program.
- You can use any provider you want, but you’ll pay less when you use in-network providers. Go to the RGA Provider Directory to find in-network providers (enter your location and search by your doctor’s name).
- Preventive care from an in-network provider is covered 100% with no deductible.
- You pay for most other services, including prescription drugs, until you meet the annual deductible. Then you pay 10%, and the plan pays the balance. Once you meet the out-of-pocket maximum, the plan pays 100% of covered expenses.
- You have access to telemedicine through MDLive. For details, go to Medical Services.
Eligibility
All regular full-time employees are eligible to enroll in medical coverage. You can also cover your eligible dependents. If you are a new hire, review Benefits Eligibility.
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In-Network Providers
A group of providers, such as hospitals and physicians, who have agreed to charge negotiated rates for most of the services they provide. You will save money if you visit an in-network provider.
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Annual Deductible
The amount of eligible expenses you pay out-of-pocket each year before the plan begins to contribute to your health care expenses.
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Eligible Dependents
Eligible dependents include your spouse/domestic partner, as defined by state law, your biological and stepchildren up to age 26 (unless disabled and approved to be covered on the plan as an adult dependent), and your legally adopted children and children placed with you in the process of adoption.
Get the RGA App
Manage your RGA health and medical benefits.
Note: Before downloading the app, create an account on the Regence Group Administrators’ website.
