Participants in GuideStone’s Health Saver 2800 medical plan may be qualified for participation in a Health Savings Account. Below is a highlight of the plan's benefits:
Health Saver 2800 plan benefits:
|
In-network Benefits |
Health Saver 2800 Medical Plan |
|
Deductible for individual coverage |
$2,8001 |
|
Deductible for family coverage |
$5,600 |
| Plan coverage |
Plan pays 80%2 |
|
Annual out-of-pocket maximums: individual/family |
$3,000/$6,000
(after deductible) |
|
Primary care physician office visit/specialist office visit |
Plan pays 80%2 |
|
Hospital admission and
outpatient surgery |
Plan pays 80%2 |
|
Wellness and preventive care |
Plan pays 100% (no deductible) |
|
Emergency room |
Plan pays 80%2 |
|
Chiropractic services
(limited to 20 visits) |
Plan pays 80%2 |
|
Mental health — inpatient |
80% (30 days annually)2 |
|
Mental health — outpatient |
80%2 |
|
Maternity (after deductible) |
Plan pays 80%2 |
|
Lifetime maximum benefit |
Unlimited |
1Deductible for individual coverage applies only to persons with no dependents on their coverage.
2Your deductible is met by both medical and prescription drug expenses. Plan deductible must be met before benefits are paid.
Health Saver 2800 prescription benefits:
|
$2,800/$5,600
Plan Deductible1 |
Retail
(30-day supply) |
Home Delivery
(90-day supply) |
|
Generic drug |
Plan pays 80%
after deductible |
Plan pays 80%
after deductible |
|
Preferred drug2 |
Plan pays 80%
after deductible |
Plan pays 80%
after deductible |
|
Non-preferred drug2 |
Plan pays 80%
after deductible |
Plan pays 80%
after deductible |
|
Specialty drug2 |
Not available |
Plan pays 80%
after deductible
(30-day supply only) |
|
1The individual and family deductible is combined for both medical and prescription drug expenses. Plan deductible must be met before benefits are paid. |
|
2If a preferred or non-preferred drug is purchased when a generic is available, the cost difference between the cost of the preferred/non-preferred drug and the drug cost of its generic equivalent will not apply to the participant's deductible or out-of-pocket expenses. After the deductible is met, the participant must pay the cost difference between the preferred/non-preferred drug and its generic equivalent. |