Medical plan at a glance
Consider different variables when choosing your medical plan. For example, would you prefer to pay less each month from your paycheck and pay more when you receive care—or vice versa? This high-level comparison of Allscripts plans can help:
| Plan features | HRA Plus | HSA Base | HRA Value | |||
|---|---|---|---|---|---|---|
| Type of account | Health reimbursement account (HRA) |
Health savings account (HSA) |
Health reimbursement account (HRA) |
|||
| Allscripts contributions to health account | ||||||
| Associate only | Up to $500 annually | Up to $500 annually | Up to $500 annually | |||
| Associate & spouse/ domestic partner or associate & child(ren) | Up to $750 annually | Up to $750 annually | Up to $750 annually | |||
| Family | Up to $1,000 annually | Up to $1,000 annually | Up to $1,000 annually | |||
| What you pay when you receive services | ||||||
| In-network | Out-of-network | In-network | Out-of-network | In-network | Out-of-network | |
| Deductible | $1,500 person $3,000 family |
$4,500 person $9,000 family |
$1,750 person $3,500* family |
$5,250 person $10,500* family |
$2,250 person $4,500 family |
$6,750 person $13,500 family |
| Coinsurance | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Out-of-pocket maximum | $4,500 person $9,000 family |
$9,000 person $18,000 family |
$5,250 person $10,500 family |
$10,500 person $21,000 family |
$6,650 person $13,300 family |
$13,300 person $26,600 family |
| Preventive care visit | Fully covered | 50% after deductible | Fully covered | 50% after deductible | Fully covered | 50% after deductible |
| Primary care physician office visit (General practice, family practice, internal medicine, Pediatricians, Obstetrics/Gynecologists) |
20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Specialist office visit (Specialist such as Allergist, Cardiologist, Orthopedist, Physical Therapist) |
20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Chiropractic or acupuncture (30 visits combined) |
20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Urgent care | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Outpatient surgery | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Outpatient lab & X-ray | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| X-ray scans (CT, PET, MRI) |
20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Hospital facility charge | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Physician charge in hospital | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Outpatient mental health & substance abuse | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
| Inpatient mental health & substance abuse | 20% after deductible | 50% after deductible | 20% after deductible | 50% after deductible | 25% after deductible | 50% after deductible |
*Under the HSA Base Plan, if more than one individual is enrolled, the family deductible must be met. Once the family deductible has been met, the plan will pay each enrolled family member’s covered expenses based on the co-insurance level. However, one individual may satisfy the per person out-of-pocket maximum.