Pharmacy
Prescriptions are managed by Navitus . Navitus provides you with a large network of pharmacies throughout the nation . Mail Order is available for 90-day prescriptions and provided by Birdi . The Specialty Drug Program is provided by Lumicera . The Prescription Drug List and the Preventive Drug List are updated bi-annually and posted on our Benefits Portal .
Wellness
Our Wellness Program is called Wellness for Life . If you participate in the wellness program you receive a $ 20 discount on your biweekly premium . That ' s a savings of $ 520 per year ! The Wellness Program consists of participation in medical screenings , medical visits , educational classes , and certain activities . Please refer to the Wellness Form on our Benefits Portal for detailed information and instructions .
Employees enrolled in a Medical Plan must self-report as a tobacco user if they have used tobacco an average of four or more times per week within the past 12 months . Tobacco users pay an extra $ 25 towards their medical premium . Enrolled employees have access to $ 0 copay tobacco cessation products under the prescription program . If you participate in a Tobacco Cessation Program , you may submit documentation to stop the $ 25 surcharge . And you ’ ll also earn Wellness Points !
Dental
Dental Insurance is provided by Delta Dental . Delta Dental ' s customer service team can assist you with finding dentists , clarifying coverage and understanding your bill . The City offers three ( 3 ) plans - the DeltaCare USA DHMO , the Low Option PPO , and the High Option PPO . The DeltaCare USA DHMO Plan uses a smaller Texasbased network and requires that you select a primary dentist within the network . The PPO Plans provide you with a larger network of dental providers throughout the nation . Please see below for the Dental Plan Summary :
Key Dental Benefits |
DeltaCare USA DHMO |
Low Option PPO |
High Option PPO |
Dental Coinsurance Class A - Preventive Services |
refer to fee schedule |
20 % |
$ 0 |
Class B - Basic Services |
refer to fee schedule |
40 % after deductible |
20 % after deductible |
Class C - Major Services |
refer to fee schedule |
50 % after deductible |
50 % after deductible |
Class D - Orthodontia |
refer to fee schedule |
none |
50 % |
Dental Deductibles Class A - Preventive Services |
none |
none |
none |
Class B - Basic Services |
none |
$ 50 per indiv . / $ 150 family max |
$ 50 per indiv . / $ 150 family max |
Class C - Major Services |
none |
$ 50 per indiv . / $ 150 family max |
$ 50 per indiv . / $ 150 family max |
Class D - Orthodontia |
none |
none |
none |
Dental Maximums Class A + B + C |
none |
$ 750 per indiv . / per plan year |
$ 1,750 per indiv . / per plan year |
Class D |
none |
none |
$ 1,000 per indiv . / per lifetime |
Waiting Periods Class A + B + C + D |
none |
none |
none |