2023 Lion Advantage (formerly PPO Savings plan)

2023 Lion Advantage (formerly PPO Savings plan) - Coverage - Faculty & Staff
Health Savings Account Seed Money
Salary Range < = $45,000 $45,001 - $60,000 $60,001 - $90,000 >$90,000
Individual $800 $600 $400 $200
Family $1,600 $1,200 $800 $400
Deductible
Individual $1,600
Family $3,200
Coinsurance Maximum
Individual $1,975
Family $3,950
Member Coinsurance (after deductible)
Percentage 10%
Services

Preventive Care

Highmark Preventive Schedule

Covered at 100%
Office Visits Deductible and Coinsurance
Specialist Deductible and Coinsurance
Urgent Care Deductible and Coinsurance
Emergency Room (waived if admitted) Deductible and Coinsurance
Prescription (after deductible) 

Preventive drugs

2023 Preventive Medications List

Generic Drugs 10% Coinsurance
Preferred Brand Drugs 20% Coinsurance
Non-Preferred Brand Drugs 40% Coinsurance
Retail (30-day supply)
Generic Drugs 10% Coinsurance
Preferred Brand Drugs 20% Coinsurance
Non-Preferred Brand Drugs 40% Coinsurance
mail (90-day supply)
Generic Drugs 10% Coinsurance
Preferred Brand Drugs 20% Coinsurance
Non-Preferred Brand Drugs 40% Coinsurance
Specialty Medications
Preferred Brand Drugs 20% Coinsurance, $65 Minimum
Non-Preferred Brand Medications 40% Coinsurance, $100 Minimum
Out-of-Pocket Maximums Integrated with Medical

Faculty, Staff, & Technical Service Coverage Grid