When do I receive a medical ID card?
After your enrollment is processed, it could take up to three weeks to receive your new ID card. If you need an ID card prior to this time, please contact Anthem or print a temporary card from the Anthem website. You can also download a digital ID card from most provider websites.
How can I compare the medical plan options?
Review the medical plan and prescription drug plan comparison charts. A Summary of Benefits and Coverage (SBC) is also available for each GXO medical plan. SBCs provide standard information, making it easier to compare medical coverage on an “apples to apples” basis. The SBCs can be found on myGXO Portal. You may request a free paper copy of the SBCs by calling the GXO Benefit Center.
You can also Ask Emma.
Why do we have deductibles and copays in the medical plans?
Deductibles and copays help control costs. GXO will continue to subsidize a large portion of your medical coverage costs as well as pay 100% of in-network preventive care.
How is the family deductible met in the HSA 5000 plan?
The HSA 5000 deductible for Employee + One or More coverage is $10,000 in-network. All eligible in-network and out-of-network expenses from covered family members apply toward the deductible. For example, if just one family member has $10,000 in eligible in-network expenses, the deductible is considered met for all family members for in-network expenses. Remember, no coinsurance applies in the HSA 5000 until the family deductible is met.
How is the family deductible met in the HSA 2000 plan?
The HSA 2000 deductible for Employee + One or More coverage is $4,000 in-network. All eligible in-network and out-of-network expenses from covered family members apply toward the deductible. For example, if just one family member has $4,000 in eligible in-network expenses, the deductible is considered met for all family members for in-network expenses. Remember, no coinsurance applies in the HSA 2000 until the family deductible is met.
How is the deductible met in the PPO 1500 plan if I cover myself and one dependent?
The PPO 1500 deductible for Employee + One coverage is $3,000 in-network. All eligible in-network and out-of-network expenses from covered family members apply toward the deductible. Each family member has their own individual $1,500 deductible and a $3,000 family deductible. To meet the family deductible, each of two family members will need to incur $1,500 or a family of two would need to incur a total of $3,000 of claims before coinsurance applies.
How is the deductible met in the PPO 750 plan if I cover myself and one dependent?
The PPO 750 deductible for Employee + One coverage is $1,500 in-network. All eligible in-network and out-of-network expenses from covered family members apply toward the deductible. Each family member has their own $750 deductible and a $1,500 family deductible. To meet the family deductible, each of two family members will need to incur $750 or a family of two would need to incur a total of $1,500 of claims before coinsurance applies.
How is the family deductible met in the Kaiser HMO (California only)?
The Kaiser HMO deductible for Employee + One or More coverage is $3,000 in-network. (There is no coverage out-of-network.) All eligible in-network expenses from covered family members apply toward the deductible. Each family member has their own individual deductible and a family deductible, and coinsurance begins when either of those have been met.
How is the out-of-pocket maximum met in the PPO 1500 plan if I cover myself and one dependent?
All eligible in-network and out-of-network expenses from covered family members apply toward the in-network $10,000 out-of-pocket maximum. However, an individual family member will not be required to meet more than $5,000 of the family maximum before that individual’s claims are covered at 100%. To meet the out-of-pocket maximum, each family member will need to incur $5,000 or a family of two would need to incur a total of $10,000 of claims.
How is the out-of-pocket maximum met in the PPO 750 plan if I cover myself and one dependent?
All eligible in-network and out-of-network expenses from covered family members apply toward the in-network $6,000 out-of-pocket maximum. However, an individual family member will not be required to meet more than $3,000 of the family maximum before that individual’s claims are covered at 100%. To meet the out-of-pocket maximum, each family member will need to incur $3,000 or a family of two would need to incur a total of $6,000 of claims.
How is the family out-of-pocket maximum met in the HSA 5000 plan?
All eligible in-network and out-of-network expenses from covered family members apply toward the in-network $15,000 out-of-pocket maximum. However, an individual family member will not be required to meet more than $7,150 of the family maximum before that individual’s claims are covered at 100%.
How is the family out-of-pocket maximum met in the Kaiser HMO?
All eligible in-network expenses from covered family members apply toward the in-network $8,000 out-of-pocket maximum. (There is no coverage out-of-network.) However, an individual family member will not be required to meet more than $4,000 of the family maximum before that individual’s claims are covered at 100%.
How is the family out-of-pocket maximum met in the HSA 2000 plan?
All eligible in-network and out-of-network expenses from covered family members apply toward the in-network $10,000 out-of-pocket maximum. However, an individual family member will not be required to meet more than $7,150 of the family maximum before that individual’s claims are covered at 100%.
How often can I use preventive care services?
You are able to use preventive care services once per calendar year.
How are prescription drugs covered under the HSA plans?
Prescription drugs are subject to the deductible first, which means you pay 100% out of pocket until you meet the deductible. After that, coinsurance applies to prescription drugs, except for generic preventive drugs (as defined by CVS Caremark), which are not subject to the deductible. Find details here.
Anthem administers the medical plan and CVS Caremark administers prescription drug benefits. Does that mean I have a separate deductible for medical and prescription drugs?
There is one deductible for all covered expenses in the HSA plans. Anthem and CVS Caremark will exchange data each day to coordinate information on claims to ensure your benefits are paid properly.
With the PPO and Kaiser HMO plans, you don’t have a deductible for prescription drug benefits. You will pay a copay or coinsurance when you fill a prescription.
Is the tobacco-user surcharge going to continue?
Yes. When you enroll online, you’ll be asked about tobacco use. Tobacco users will have a $100 monthly surcharge added to their medical contributions to offset potential increased medical costs from tobacco use. The surcharge currently applies if you or one of your covered family members uses tobacco products.
Does GXO offer a tobacco cessation program?
Yes. GXO offers a free tobacco cessation plan through your medical plan, which is free and available to employees, spouses and dependent children over age 18. If you complete an approved program, you will qualify for non-tobacco rates at the time of completion, and your contributions will be adjusted for the remainder of the plan year. Learn more here.