Check out the key features of our PPOPreferred Provider Organization: A provider contracted within a network. By choosing a preferred provider, the member's out-of-pocket expenses will be less than if he or she chooses a physician outside the network. and HSA plan designs below.
Click on deductible amount to see benefit summary for that plan.
| Rates Beneficial Plan - Preferred Provider Organization (PPO) | ||
| The Beneficial plan is best for those looking for a higher level of benefits and a lower total out-of-pocketA specified amount of applicable claims expenses in a plan year that must be met before benefits are paid in full. Once the member has met his or her out-ofpocket maximum, the plan begins covering eligible expenses at 100 percent. The out-of-pocket maximum starts over every plan year. cost. | ||
| Deductible Choices | Office Visit | Pharmacy |
|---|---|---|
| $1000 / $2500 (individual) $3000 / $7500 (family) |
First 4 at $20 | 20% |
| Rates Beneficial Choice - Preferred Provider Organization (PPO) | ||
| The Beneficial plan is best for those looking for a higher level of benefits and a lower total out-of-pocketA specified amount of applicable claims expenses in a plan year that must be met before benefits are paid in full. Once the member has met his or her out-ofpocket maximum, the plan begins covering eligible expenses at 100 percent. The out-of-pocket maximum starts over every plan year. cost. | ||
| Deductible Choices | Office Visit | Pharmacy |
| $5000 / $7500 (individual) $15000 / $22500 (family) |
First 2 at 30% | 30% |
| Rates Preferred Plan - Preferred Provider Organization (PPO) | ||
| The Preferred plan is suited to individuals shopping for a lower premium cost. | ||
| Deductible Choices | Office Visit | Pharmacy |
| $5,000 / $7,500 (individual) $15,000 / $22,500 (family) |
20% | 20% |
| Rates Health Savings Account (HSA) Choice | ||
| HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare expenses that must be paid by the member in a given year before the insurance plan will start paying for treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met. More about HSAs | ||
| Deductible Choices | Office Visit | Pharmacy |
| $1,200 (individual) $2,400 (family) |
20% | 30% |
| Rates Health Savings Account (HSA) Select | ||
| $2,800 (individual) $5,600 (family) |
50% | 50% |
| Rates Health Savings Account (HSA) Value | ||
| $5,000 (individual) $10,000 (family) |
0% | 30% |
The following services are provided to ODS plans at no additional cost.
With myODS (available to all ODS & Delta Dental members), our customized member website, you can:
The following services are provided to ODS medical plans at no additional cost.
Improve your health and reduce your healthcare costs.
eDocAmerica (included with all fully insured ODS medical programs and available as an option for self-insured medical programs) provides unlimited communication with board certified physicians via secure e-mail. This service gives you access to physicians who can answer questions about and assist you with healthcare choices.
The Registered Nurse Advice Line (packaged with eDoc America) provides 24/7 access to a registered nurse (RN) who can answer your healthcare questions regarding symptoms, medications, medical tests, procedures and staying healthy.
Personal Health Rx (included with all ODS pharmacy programs) gives members online access to detailed claims history, benefit information and tax reports.