Health & Wellness

National Suicide & Crisis Lifeline: 988

If you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis, you can contact the National 988 Suicide & Crisis Lifeline, available 24/7, to connect to free and confidential care with a trained crisis counselor. Call or text 988 or chat 988lifeline.org.

The Lifeline is comprised of a national network of over 180 local crisis centers, combining custom local care and resources with national standards and best practices. The existing National Suicide Prevention Lifeline number, 1-800-273-8255, will also continue to be available.

Employee Assistance Program (EAP)

Employee Assistance Program (EAP)

Significant changes in familiar routines and uncertainty about the future can lead to stress, anxiety or depression. Optum Live and Work Well, Allscripts’ Employee Assistance Program (EAP) provider, is ready to help with small issues, big problems and everything in between.

You and your family can access free support or get in touch with a licensed counselor anytime 24/7 by contacting the Live and Work Well EAP at 866.248.4094. Or go to www.liveandworkwell.com Access Code: 31003. For TDD/TTY: Dial 711 and enter the toll-free number listed above. Download the myliveandworkwell app through the Apple App Store or Google Play.

Talkspace

Talkspace

Along with its many EAP resources, Optum Live and Work Well offers Talkspace, which lets you connect with a licensed therapist via private texting and live video sessions. You also have access to psychiatrist services and other online resources.

To get started, call the EAP at 866.248.4094 to obtain an authorization code prior to registering (first visit only), choose a provider, and message anywhere, anytime. Find more information at talkspace.com/connect.

Sanvello App

Sanvello App

The Sanvello App provides on-demand help with stress, anxiety and depression. It is available to you at no extra cost as part of Allscripts EAP benefits. This top-rated self-help app uses clinically validated techniques such as cognitive behavioral therapy (CBT) – a type of psychotherapy that has been shown to be especially effective for individuals experiencing high levels of stress, or symptoms of anxiety and depression.

Visit liveandworkwell.com to download the Sanvello app. Enter the Allscripts company access code: 31003 and select the Sanvello tile under Popular tools.

MDLIVE for behavioral health care

MDLIVE for behavioral health care

If you are enrolled in an Allscripts medical plan, you have another resource to help with stress, depression, addiction or other mental health issues: MDLIVE behavioral health. You can see a counselor or psychiatrist using the MDLIVE website or mobile app through a secure, live video connection.

Contact MDLIVE: 888.726.3171 | www.mdliveforcigna.com

If you need immediate help

If you need immediate help

Don’t wait to get help If you or someone you know is in crisis or you are concerned about someone harming themselves or others, call 911 or go to the nearest emergency room.

Other resources include:

Optum Emotional Support Public Line

866.342.6892 (Free of charge; available to you and your family)

Addiction or substance abuse

Get 24/7 no-cost support from the Substance Use Disorder Helpline, which can provide education, guidance and resources.

855.780.5955
| www.liveandworkwell.com/recovery

Suicidal thoughts

Call the National Suicide Prevention Lifeline. Counselors are available 24/7 and can help you make a safety plan if you need help or if you’re worried about a family member or friend.

800.273.TALK (8255)
| www.suicidepreventionlifeline.org

Domestic abuse

Contact the National Domestic Violence Hotline by phone or live chat. Advocates are available to talk to you free of charge and can help you find a safe solution.

800.799.SAFE (7233)
| www.thehotline.org

Medical plan at a glance

Medical plan at a glance

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.

Medical plan comparison

Medical plan comparison

While all three options have characteristics in common, there are significant differences that you need to understand so you can choose the plan that will best meet your needs.

How they are similar:

  • All administered by Cigna
  • Require you to pay a premium
  • Include prescription drug coverage through Cigna
  • Cover in-network preventive care at 100% as defined by ACA and other government guidelines
  • Offer lower out-of-pocket expenses for in-network services
  • Share the cost of non-preventive services once you meet the deductible
  • Protect you with an out-of-pocket maximum, at which point the plan covers eligible expenses at 100%
  • Offer out-of-network coverage at a higher cost

How they are different:

  • Premium amounts.
  • Deductibles/copayments.
  • Coinsurance.
  • Out-of-pocket maximums.
  • Health reimbursement account (HRA).
  • Health savings account (HSA).
  • Limited (combination) vs general purpose healthcare flexible spending account (FSA) eligibility.
  • Preventive drug coverage
Preventive care

Preventive care

All Allscripts Medical Plans cover in-network preventive care services, such as annual check-ups, immunizations and age appropriate screenings at 100 percent.

You pay nothing for these services that help keep you healthy:

  • Well-adult exams
  • Well-child exams
  • Child immunizations
  • Age and gender-related screenings
  • Flu shot (once a year)

Preventive care services covered under the Affordable Care Act

Preventive care received out-of-network is subject to the out-of-network deductible and coinsurance.
What is preauthorization?

What is preauthorization?

Preauthorization is the determination of a medical necessity review, which is a review process that determines whether or not certain medical services or medications are necessary and will be covered by our plan. This determination for approval by Cigna is based on evidence-based medicine guidelines. Its primary purpose is to help assure you get the right care, at the right time, in the right place and at the right cost.

Your in-network provider is responsible for initiating the preauthorization process with Cigna.

If you are eligible for Medicare

If you are eligible for Medicare

If you’re an active associate considering enrolling in Medicare, it’s important to understand how Medicare impacts medical coverage for you and your spouse or domestic partner:

  • If you and your spouse are both age 65 or older. If you continue medical coverage under Allscripts, Medicare pays secondary benefits to both you and your spouse. The Allscripts plan pays primary benefits. You’re not required to enroll in Medicare at age 65 because you already have employer-provided coverage in place.
  • If one of you (you and your spouse) is under age 65 and the other is over age 65. If you continue medical coverage under Allscripts, Medicare pays secondary benefits to the participant who is 65 or older. You’re not required to enroll in Medicare at age 65 because you already have employer-provided coverage in place.
  • If you’re under age 65 or over age 65, and your domestic partner is age 65 or older. If you continue medical coverage under Allscripts, Medicare pays primary benefits for your domestic partner. The Allscripts plan pays secondary benefits regardless of whether your domestic partner enrolls in Medicare. This means that the Allscripts medical plan will only pay secondary benefits after what Medicare would pay, regardless of whether your domestic partner is enrolled in Medicare.
  • If you’re age 65 or older and your domestic partner is under age 65. For you, if you continue medical coverage under Allscripts, Allscripts pay primary benefits for you and Medicare pays secondary benefits. For your domestic partner, the Allscripts plan continues to pay primary benefits.

Can you have COBRA as well as Medicare?

If you leave Allscripts and continue medical coverage through COBRA and are Medicare-eligible, COBRA benefits depend on when you become entitled to Medicare:

  • If your Medicare benefits (Part A or Part B) become effective on or before the day you elect COBRA coverage, you can continue COBRA coverage as well as having Medicare. This is true even if your Part A benefits begin before you elect COBRA but you don’t sign up for Part B until later. In this situation, Medicare is always primary to COBRA coverage.
  • If you become entitled to Medicare after you’ve signed up for COBRA, your COBRA benefits cease. (But if COBRA covers your spouse and/or dependent children, their coverage may be extended for up to 36 months because you qualified for Medicare.)
2022 Medical plan rates

2022 Medical plan rates

Coverage level Associate per-pay-period contribution
With All Well premium credit Without All Well premium credit
HRA Plus
Associate only $75.00 $137.50
Associate + spouse/DP $239.50 $302.00
Associate + child(ren) $136.00 $198.50
Associate + family $239.50 $302.00
HSA Base
Associate only $59.00 $121.50
Associate + spouse/DP $189.50 $252.00
Associate + child(ren) $107.00 $169.50
Associate + family $189.50 $252.00
HRA Value
Associate only $41.50 $104.00
Associate + spouse/DP $135.50 $198.00
Associate + child(ren) $75.00 $137.50
Associate + family $135.50 $198.00
Prescription drug program at a glance

Prescription drug program at a glance

Plan features HRA Plus HSA Base HRA Value
In-network Out-of-network In-network Out-of-network In-network Out-of-network
30-day supply through retail or mail order
Preventive* No copay 50% after deductible 0%, no deductible 50% after deductible No copay 50% after deductible
Generic $15 copay 50% after deductible 20% after deductible 50% after deductible $15 copay 50% after deductible
Preferred brand 30% up to $125 max 50% after deductible 30% after deductible
(up to $125 max)
50% after deductible 30% up to $125 max 50% after deductible
Non-preferred brand 40% up to $225 max 50% after deductible 40% after deductible
(up to $225 max)
50% after deductible 40% up to $225 max 50% after deductible
Accredo Specialty Pharmacy
Specialty
(limited to a 30-day supply)
40% up to $225 max 50% after deductible 40% after deductible
(up to $225 max)
50% after deductible 40% up to $225 max 50% after deductible
90-day supply through retail or mail order
Preventive No copay 50% after deductible 0%, no deductible 50% after deductible No copay 50% after deductible
Generic $37 copay 50% after deductible 20% after deductible 50% after deductible $37 copay 50% after deductible
Preferred brand 30% up to $312 max 50% after deductible 30% after deductible (up to $312 max) 50% after deductible 30% up to $312 max 50% after deductible
Non-preferred brand 40% up to $562 max 50% after deductible 40% after deductible (up to $562 max) 50% after deductible 40% up to $562 max 50% after deductible
Generics first

Generics first

Generic drugs usually cost less than brand name drugs.

Generic drugs are reviewed by the FDA to ensure that they work the same as the brand-name drug in dosage, safety, quality, performance, strength and usage.

To help keep prescription drug costs in check, prescriptions are automatically filled with a chemically equivalent generic drug, if available and appropriate. If you choose a brand drug when a generic is available, you will pay the difference between the brand medication and the generic, plus the coinsurance. However, if your doctor indicates “Dispense as Written” on your prescription because the brand is medically necessary, you will receive the brand drug and only pay the brand copay.

Note: If you choose a brand drug when a generic is available, you will pay the difference between the brand medication and the generic, plus the coinsurance.

Preferred brand drugs

Brand-name drugs on the preferred list are less expensive than using a non-preferred drug.

Non-preferred brand drugs

Brand-name drugs that are not on your preferred list may cost you more, even if they are recommended by your doctor.

Maintenance medications

Maintenance medications

Long-term medications, also known as maintenance drugs, are taken on a regular basis (three months or longer) to treat conditions such as high cholesterol, high blood pressure and asthma.

Maintenance medications are filled through Cigna 90 Now.

Cigna 90 Now

Specialty drugs

Specialty drugs

A specialty drug is a medication used to treat chronic, complex conditions like multiple sclerosis, hepatitis C and cancer. Specialty medications can include oral solids, or can be injected, infused or inhaled and may require special handling, such as refrigeration.

Accredo Specialty Pharmacy

Preventive medications

Preventive medications

There is no cost for medications on Cigna’s No Cost-Share Preventive Medication (ACA) list for all plan participants.

Additionally, for HSA Base Plan participants, when you purchase other preventive medications listed on Cigna’s 2022 Preventive Generics and Preferred Brands Drug list, you will pay 20% coinsurance, but no deductible applies.