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The Standard Plan

The Standard Plan. SHBP Standard Plan for HRA, HMO and HDHP. The Standard Plan . Includes the HRA, HMO and HDHP Plan Options Covers the same services as the Wellness Plans EXCEPT No Promise (i.e., no biometric requirements) Higher premiums

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The Standard Plan

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  1. The Standard Plan SHBP Standard Plan for HRA, HMO and HDHP

  2. The Standard Plan • Includes the HRA, HMO and HDHP Plan Options • Covers the same services as the Wellness Plans EXCEPT • No Promise (i.e., no biometric requirements) • Higher premiums • Higher out-of-pocket expenses through co-payments, coinsurance, deductibles and out-of-pocket maximum • No preventive incentive for the HRA ($125 credit) • No DSM pharmacy copay waiver

  3. HRA Standard Credit Contribution

  4. Standard Plan Prescription Drug Coverage • Prescription Drug Coverage • The Pharmacy benefit will be the same under the Wellness and Standard HRA Plans • Pharmacy costs will no longer apply to the deductible or out-of-pocket limit (Starting day one member will always pay coinsurance amounts) • The benefit will change to a 3 Tier structure with a minimum and maximum out-of-pocket

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