|
Level 1
|
Level 2
|
Level 3
|
|
CORE MEDICAL PLAN - a higher deductible is purchased from Wellmark |
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|
Network
|
Iowa POS (Point-of-Service)
Designated PCP Only
|
Iowa POS (Point-of-Service)
formerly known as Blue Choice
|
Out-of-Network
Outside the state of Iowa
|
|
Deductible
(Individual / Family)
|
$5,750 / $11,500 | $7,000 / $14,000 | |
|
Out-of-Pocket Maximum
(Individual / Family)
|
$8,000 / $16,000 | $14,000 / $28,000 | |
CEDAR COUNTY MEDICAL - buydown plan with Midwest Group Benefits |
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|
Network
|
Iowa POS (Point-of-Service)
Designated PCP Only
|
Iowa POS (Point-of-Service)
formerly known as Blue Choice
|
Out-of-Network
Outside the state of Iowa
|
|
Deductible
(Individual / Family)
|
$500 / $1,000
|
$500 / $1,000
|
$2,500 / $5,000
|
|
Out-of-Pocket Maximum
(Individual / Family)
|
$2,000 / $4,000
|
$2,000 / $4,000
|
$9,000 / $18,000
|
|
Coinsurance
|
20% | 20% | 40% |
|
Office Visits to Primary Care
|
$15 copayment
|
$20 copayment
|
40% coinsurance after deductible
|
|
Office Visits to Specialists
|
N / A | $40 copayment | 40% coinsurance after deductible |
|
Preventive Services
|
Covered at 100% | Covered at 100% | No Coverage |
|
Emergency Services
If admitted, see Facility Services
|
$250 copayment
|
||
|
Facility Services
|
N/A
|
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
X-Ray and Laboratory Services
Outpatient (non routine/preventive)
|
N/A
|
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
X-Ray and Laboratory Services
Independent Lab (non routine / preventive)
|
N/A
|
$40 copayment
|
40% coinsurance after deductible
|
|
Chiropractic Care
|
N/A
|
$20 copayment
|
40% coinsurance after deductible
|
|
Mental Health & Substance Abuse
|
N/A
|
$20 copayment
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
Physician Services
|
N/A
|
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
Home Health Care
|
N/A
|
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
Maternity Care
|
N/A
|
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
Durable Medical Equipment
|
N/A
|
20% coinsurance after deductible
|
40% coinsurance after deductible
|
|
PRESCRIPTION DRUG COVERAGE
Wellmark Drug List: Blue Rx Complete
|
|||
|
Deductible
(Individual / Family)
|
N/A
|
$100 / $200
|
$100 / $200
|
|
Retail Copay
Tier 1
Tier 2
Tier 3
Tier 4
|
N/A
|
$8 Copay
$35 Copay
$50 Copay
$50 Copay
|
$8 Copay
$35 Copay
$50 Copay
$50 Copay
|
|
Specialty (CVS Only)
Generic/Preferred
Non-Preferred Specialty
|
N/A
|
$250 Copay
$500 Copay
|
Not Covered
|
Benefits Showcase
Employee Benefits
Employee benefits are more valuable than ever and are a significant part of your total compensation package. The resources and videos here are designed to provide you the information you need so you can identify which offerings are the best for you and your family.
Take some time to review the information provided on this website. The videos provide a general overview of the benefits provided, while the documents go into more detail.
Open Enrollment Benefits Webinar

- Your legal spouse
- Children under the age of 26

Qualifying Events
Changing Benefits after Open Enrollment
During the year, you cannot make changes to your benefits unless you have a Qualifying Life Event.
If you do not make changes to your benefits within 30 days of the Qualifying Life Event, you will have to wait until the next annual Open Enrollment period to make changes (unless you experience another Qualifying Life Event).
Compliance Resources
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