National Medical Plans
Plan details for employees outside Dallas and Tyler, Texas.
If you work in Indiana, you can choose between the National medical plans on this page or the Local Indiana plans.
If you work in Dallas or Tyler, Texas, view your location-specific plan details instead.
Para obtener información general sobre los requisitos de elegibilidad, la inscripción, cómo funciona la cobertura médica y los programas de atención médica disponibles a través de nuestros planes médicos, visite Médico.
This page reflects in-network coverage only.
Provider networks
Open Access providers, sometimes called out-of-network providers, do not have set prices with the Dexter plan. To make sure you do not pay too much, the plan uses Price Protection — every claim is reviewed and payment is based on the fair price of the service.
You will carry two ID cards:
- One for professional and ancillary services plus prescriptions
- A second for in or outpatient hospital and facility services plus prescriptions
Both cards carry Quantum Health and pharmacy details.
Search the Anthem network for doctors, specialists and ancillary providers near you. Hospital and facility care is Open Access — you can use any hospital, and the plan protects you on price.
| Service type | Network |
|---|---|
| Profesional / auxiliar | Anthem |
| Hospital / facility, in or outpatient | Open Access |
| Surgery centers of excellence | Carrum Health |
Lo que pagas cuando recibes atención médica — dentro de la red
How the family deductible works
- CDHP $3,500 and PPO $850: each covered family member must meet the individual deductible until the overall family deductible has been met.
- CDHP $2,000: the overall family deductible must be met before the plan begins to pay.
| Tú pagas | CDHP $3,500 | CDHP $2,000 | PPO $850 |
|---|---|---|---|
| Aportación anual a la cuenta de ahorros para gastos médicos (HSA) de Dexter (individual / familiar) | $250 / $500 | $500 / $1,000 | N/A |
| Deducible anual (individual / familiar) | $3,500 / $6,000 | $2,000 / $4,000 | $850 / $2,550 |
| Máximo anual de gastos de bolsillo (individual / familiar) | $6,000 / $12,000 | $5,250 / $10,500 | $3,600 / $7,200 |
| Atención preventiva | $0 | $0 | $0 |
| Consulta virtual de TextCare | $0 | $0 | $0 |
| Atención primaria | 20%¹ | 20%¹ | $25 |
| Especialista | 20%¹ | 20%¹ | $50 |
| Laboratorio y rayos X | 20%¹ | 20%¹ | 20%¹ |
| Atención de urgencia | 20%¹ | 20%¹ | $50 |
| Sala de urgencias | 20%¹ | 20%¹ | $300 emergency / $500 non-emergency |
| Hospital de atención ambulatoria | 20%¹ | 20%¹ | 20%¹ |
| Hospital para pacientes hospitalizados | 20%¹ | 20%¹ | 20%¹ |
| Salud mental ambulatoria | 20%¹ | 20%¹ | 20%¹ |
¹ Una vez que se haya alcanzado el deducible del plan.
¡Importante!
If you or a covered dependent need bariatric, spine or joint surgery, you must receive care through the Carrum Health network. Call 888-855-7806 o visita carrum.me/dexter. Surgery of these types performed outside Carrum will not be covered.
Contacto:
Red de proveedores