Medical Plans
When it comes to choosing the plan best for you and your family, you have the choice between three medical plans offered through Anthem BlueCross BlueShield.
All three plan options:
- Use the same broad network of Anthem BlueCross BlueShield providers and facilities
- Cover in-network preventive care at 100%
- Cover all in-network services at 80% after deductible
- Include prescription drug coverage through CVS/Caremark
- Have the same medical and prescription drug out-of-pocket maximum
- This is the middle plan when it comes to deductibles
- This plan has copays* for office visits and most prescription drugs
- You can set aside money in a tax-advantaged Health Care Flexible Spending Account (FSA) to pay for IRS-approved out-of-pocket medical expenses
- This plan has the lowest deductibles for individuals and families
- This plan has copays* for office visits and most prescription drugs
- You can set aside money in a tax-advantaged Health Care Flexible Spending Account (FSA) to pay for IRS-approved out-of-pocket medical expenses
- This plan has the highest deductibles for individuals and families
- All in-network services are covered 80% after you meet the deductible
- You pay the cost of services and prescriptions until you meet the deductible
- You can set aside money in a tax-advantaged Health Savings Account (HSA) to pay for IRS-approved out-of-pocket medical expenses
*Copays do not apply toward your deductible but apply toward your out-of-pocket maximum.
Contact Information
Medical Plan Details
| Blue PPO Plan 1 | Blue PPO Plan 2 | Blue HDHP 3 | ||||
|---|---|---|---|---|---|---|
| Medical Annual Deductible | ||||||
| Individual | $1,500 | $3,000 | $750 | $1,500 | $3,300 | $6,600 |
| Family* | $3,000 | $6,000 | $1,500 | $3,000 | $6,600 | $13,200 |
| Medical and Prescription Drug Out-of-Pocket Maximum | ||||||
| Individual | $5,500 | $11,000 | $5,500 | $11,000 | $5,500 | $11,000 |
| Family | $11,000 | $22,000 | $11,000 | $22,000 | $11,000 | $22,000 |
| Coinsurance | ||||||
| You Pay | 20% | 40% | 20% | 40% | 20% | 40% |
| Company HSA Contributions | ||||||
| Individual/Family | N/A | N/A | $800 / $1,600 | |||
| Common Services | ||||||
| LiveHealth Online | $25 copay | 40% | $25 copay | 40% | 20% | 40% |
| Preventive Care | Covered 100% | 40% | Covered 100% | 40% | Covered 100% | 40% |
| Primary Physician Office Visit | $25 copay | 40% | $25 copay | 40% | 20% | 40% |
| Specialist Office Visit | $40 copay | 40% | $40 copay | 40% | 20% | 40% |
| Urgent Care | $40 copay | 40% | $40 copay | 40% | 20% | 40% |
| Emergency Room | $200 copay/20% | $200 copay/20% | 20% | 40% | ||
| X-Ray and Lab | 20% | 40% | 20% | 40% | 20% | 40% |
| Inpatient/Outpatient Hospital Services | 20% | 40% | 20% | 40% | 20% | 40% |
*The family deductible is embedded. This means when an individual covered by a family plan meets their individual deductible, the plan will cover the coinsurance portion of the expense (80% in-network). The individual does not have to meet the family deductible.
Virtual Care Solutions
Virtual Primary Care
Through Anthem’s virtual care you have convenient, hassle-free access to doctors and specialists in your plan’s network, so it’s easier to fit a visit into your busy schedule. You can access a virtual care team from your mobile phone, 24/7, including weekends and holidays.
Using Anthem’s Sydney Health app, you can make an appointment for routine care, prescription refills, and lab tests. Your virtual care team can also work with you to create personalized care plans if you have a chronic condition, such as asthma, diabetes, or high blood pressure.
| Medical Plan | Service | Cost |
|---|---|---|
| All Modine Medical Plans | Preventive | $0 |
| Blue PPO Plan 1 and Blue PPO Plan 2 | Medical Diagnosis | $25 Copay |
| Blue HDHP Plan 3 | Medical Diagnosis | Subject to deductible, then 20% coinsurance |
Telemedicine with LiveHealth Online
If you are enrolled in a Modine medical plan, use LiveHealth Online to visit with a doctor on your smartphone, tablet, or computer — anytime, anywhere. Appointments aren’t needed for most services, and you can usually see a board-certified doctor in minutes. LiveHealth Online doctors will assess your condition, provide a treatment plan, and send a prescription to your pharmacy, if needed.
Consider using LiveHealth Online for common conditions such as:
- Allergies
- Cold and flu
- Fever
- Sore throat
- Skin conditions (rash or insect bites)
- Licensed therapists for anxiety, depression, grief, and panic attacks
Sign up for LiveHealth Online at livehealthonline.com or call 888.548.3432 from 7 a.m. to 7 p.m., seven days a week to schedule an appointment. Download the app on the App Store or Google Play