MEDICAL
Resources
Oatey offers the choice between two comprehensive medical plan options through Aetna to meet the individual needs of you and your family.
- Basic Plan (PPO) has a $500 deductible per individual or $1,000 per family. You will have copays when visiting a primary care physician, specialists, Teladoc visits, Urgent care, and the Emergency Room that will apply toward your deductible accumulation. Once you meet your deductible, you will then be responsible for 20% of the expenses for care received up to the out-of-pocket maximum.
- High Deductible Health Plan (HDHP) has a $1,600 deductible per individual or $3,200 deductible per family. In this plan, you’ll pay for all expenses up to the deductible, and then coinsurance will kick in between the deductible and out-of-pocket maximum. With HDHP enrollment, you may set aside tax-free dollars into a Health Savings Account to use toward these expenses, and Oatey will contribute to it as well! See below and in the following sections for further details.
Refer to the Medical Benefits Overview on the following pages for a brief outline of the plans. For complete plan details, refer to the summaries of benefit coverage and summary plan details on the company intranet.
The cost to enroll in these plans is a pre-tax benefit that is shared by you and Oatey.
Note for HDHP Participants: If you enroll in the High Deductible Health Plan, do NOT forget to set-up your Health Savings Account (HSA) with Fidelity. You MUST open a Health Savings Account to receive Oatey’s HSA contribution.
Oatey will contribute up to $1,440 to your HSA if you’re enrolled in single only coverage, and up to $2,880 if you’re enrolled in family coverage (the amount is prorated for new hires based on hire date).
If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a Federal law gives you more choices about your prescription drug coverage. Refer to the notices for further details.
Medical Bi-weekly Associate Contributions
(26 pays per year)
Basic Plan
High Deductible Health Plan
Aetna Basic Plan (PPO)
Policy #466092
* Medical and Pharmacy expenses apply to the maximum out-of-pocket limit.
Aetna High Deductible Health Plan (HDHP)
Policy #466092
Oatey’s employer contribution to your HSA covers the majority of your HDHP deductible when you open your account with Fidelity.
* Medical and Pharmacy expenses apply to the maximum out-of-pocket limit.