Medical Plans

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Your medical plans are provided by Florida Blue, with prescription drug coverage through Express Scripts.

You have two plan options: the HSA 1500 plan and the PPO 1500.

Need help deciding what plan to choose?  Take a deep dive into at a few employee cost scenarios that may help you determine which plan is best for you.

2022 Medical Plan Details

 HSA 1500 Medical Plan PPO 1500 Medical Plan
IN-NETWORKOUT-OF-NETWORK IN-NETWORKOUT-OF-NETWORK
Calendar Year Deductible
Employee Only /
Employee + Dependent(s)
$1,500 / $3,000 *$3,000 / $6,000 * $1,500 / $3,000$3,000 / $6,000
Coinsurance
Plan Pays / Member Pays
80% / 20%70% / 30% 70% / 30%70% / 30%
Primary Care Office Visit20% after CYD30% after CYD $30 copay30% after CYD
Specialist Office Visit20% after CYD30% after CYD $60 copay30% after CYD
Routine / Preventative
Exams
100%
CYD does not apply
30% after CYD 100%
CYD does not apply
30% after CYD
Teladoc Visit20% after CYD
($55 before deductible
has been met, $11 after)
N/A $15 copayN/A
Urgent Care Visit20% after CYD30% after CYD $80 copay30% after CYD
Emergency Room Visit20% after CYD20% after CYD $300 copay20% after CYD
Inpatient Services20% after CYD30% after CYD 30% after CYD30% after CYD
Outpatient Services20% after CYD30% after CYD 30% after CYD30% after CYD
Independent Diagnostic Labs20% after CYD30% after CYD 30% after CYD30% after CYD
Prescriptions
Generic / Preferred Brand / Non-Preferred Brand
CYD
then $10 / $35 / $60
N/A $10/$50/$80N/A
Calendar Year Out-of-Pocket Maximum
Individual / Family
$6,000 / $12,000$12,000 / $24,000 $6,000 / $12,000$12,000 / $24,000

* Note: If you cover any family members on the HSA 1500 plan, the Employee Only deductible does not apply.  The $3000 deductible would have to be met prior to coinsurance kicking in.

Prescription Plan Details

Your pharmacy benefit is administered through Express Scripts (ESI). You can manage your medications anywhere, any time with the Express Scripts mobile app, or on express-scripts.com.

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Choose Generic Medication When Possible

Choosing a generic medication is a great way to help save on costs. Ask your doctor if there is a generic option for any medication you are currently taking, or the next time the doctor is writing you a new prescription.

You can also use your pharmacist as a resource to uncover possible generic substitutes.

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Save With Home Delivery

By choosing a 90-day supply of your long-term maintenance medication, you will save both time and money. No-cost home delivery can save you time with fewer trips to the pharmacy. Prior to your medicine shipping, a pharmacist will review all prescriptions to ensure they are accurate.  All medication arrives in a private, tamper-resistant package.

Make Sure To Use Doctors and Providers That Are in Our Plan's Network

It will significantly reduce your out-of-pocket medical expenses and ensure any costs you incur are applied towards your plan's deductible and out-of-pocket maximum (out-of-network costs don't count).

To find an in-network medical provider

  • Visit Florida Blue's My Health Toolkit Provider Search
  • Enter the first 3 letters of our plan's network, which is KYY and click or tap continue
  • You'll be prompted to enter the location you want to find a provider in and click or tap continue
  • Now just search for the people, places, services, or treatments you're looking for

To find an in-network pharmacy

Medical Plan Rates

Full-Time Employee

Rates shown are per pay period for 24 pay periods (you will have 2 pay periods without a contribution).

 IP/OP/Halifax/Corporate
HSA 1500 & PPO 1500
Homecare & Aging
HSA 1500 & PPO 1500
Employee Only$37.50$22.50
Employee & Spouse$212.50$212.50
Employee & Child(ren)$172.50$172.50
Employee & Family$305.00$305.00

Part-Time Employees

Rates shown are per pay period for 24 pay periods (you will have 2 pay periods without a contribution).

 IP/OP/Halifax/Corporate
HSA 1500 & PPO 1500
Homecare & Aging
HSA 1500 & PPO 1500
Employee Only$80.00$80.00
Employee & Spouse$387.00$387.00
Employee & Child(ren)$339.00$339.00
Employee & Family$556.00$556.00

HSA Funding - for HSA 1500 Medical Plan ONLY

An HSA is an employee-owned, tax-advantaged savings account which can be used to pay for qualified medical, prescription, dental and vision care. You can contribute to your HSA to pay for eligible expenses throughout the year. The funds roll-over from year to year and stay with you, even if you were to leave Brooks.

Brooks will add funds to your HSA every January and July for those enrolled in the plan on January 1st and/or July 1st. For employees hired between January 1, 2022 and September 30, 2022, Brooks will contribute a prorated amount to your HSA.

ElectionJanuaryJuly
Employee Only$375$375
Employee & Child(ren)$500$500
*Employee & Spouse
*Employee & Family
$375$375

*When your covered spouse completes the Health Assessment, you will earn the extra $250.

Month Benefits
Become Effective
Initial Employer
HSA Contribution
Initial Employer HSA Contribution
Employee + Child(ren)
January 2022$375$500
February 2022$312.50$416.67
March 2022$250$333.33
April 2022$187.50$250
May 2022$125$166.67
June 2022$62.50$83.33
July 2022$375$500
August 2022$312.50$416.67
September 2022$250$333.33
October 2022$187.50$250

Downloadable Resources

PDF

Prescription/OTC COVID Test Reimbursement Form

Download now
Benefits Guide

2022 Benefits Guide

This booklet is an overview of the comprehensive benefits package offered to you by Brooks

Download now
PDF

2022 Medical Plan Summary of Benefits and Coverage (SBC) – HSA Plan

Download now
PDF

2022 Medical Plan Summary of Benefits and Coverage (SBC) – PPO Plan

Download now
FAQs

Did you know, you can have your prescriptions mailed directly to your door?

Download now
Flyer

You’ve Got Teladoc

Learn how you can access quality care at your fingertips using Teladoc.

Download now
PDF

Purchase Eligible Products on Amazon with Your HSA or FSA

This Know Your Benefits article discusses how you can purchase eligible medical products with your flexible spending account (FSA) or health savings account (HSA) on Amazon.

Download now

Stay Connected With Your Medical Benefits On-the-Go

My Health Toolkit

My Health Toolkit

Download your ID card, check the balance of your HSA, and access Rally to take your Health Assessment Survey to earn wellness points and rewards

Express Scripts icon

Express Scripts

Access Rx card, refill mail service prescriptions, and check drug coverage and cost under your plan

PlanSource app

PlanSource

View your current FSA balance and take photos of your receipts to file a claim right in the app.

Learn the Basics of How to Use Your Benefits With These Short Videos

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FAQs About Your Medical Plan

Can the Funds in an HSA Be Invested?

Yes, you can invest the funds in your HSA. The…

Learn the answer

Can I Use the Money in My HSA to Pay for My Dependents’ Medical Expenses Tax-Free?

You can use your HSA money to pay for the…

Learn the answer

What Happens to My HSA Dollars if I Leave Brooks?

The funds are yours to keep. You may elect one…

Learn the answer
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Have a question about your benefits? We're here to help.