ဆေးဘက်ဆိုင်ရာ
Comprehensive, affordable medical coverage for you and your family — with plan details that depend on where you work.
Your medical plan options
You can enroll yourself and your eligible dependents in medical coverage if you are an active full-time employee working at least 30 hours per week.
You can choose from two Consumer Directed Health Plans (CDHP) and one Preferred Provider Organization (PPO) plan:
- CDHP ၁TP၄T၃,၅၀၀
- CDHP ၁TP၄T ၂,၀၀၀
- PPO $850
၂၀၂၇ ခုနှစ် ဇန်နဝါရီလ ၁ ရက်တွင် ထွက်ရှိမည်။
For 2027, the National and Indiana plans keep the same deductibles, out-of-pocket maximums and copays. Medical premiums go up about 3.5%, and the Dallas and Tyler, Texas plans are changing. ၂၀၂၇ အတွက် ဘာတွေပြောင်းလဲနေလဲ ကြည့်ပါ။.
Plan details depend on where you work
Coverage details and provider networks for each plan differ by location. Choose yours:
- National medical plans — all locations except Dallas and Tyler, Texas. Anthem network with Open Access hospital coverage.
- Indiana medical plans — if you work in Indiana, you can choose the National plans or the Local Indiana plans with Parkview Health, Tier 1 and Tier 2.
- Texas medical plans — Dallas and Tyler, Texas only. Imagine Health, Tier 1 and Tier 2.
How medical coverage works
၏ premium is the amount deducted from each paycheck to have medical coverage.
၏ deductible is the amount you pay before the plan starts to pay. The out-of-pocket maximum is the most you will pay for covered expenses each plan year.
Once you meet the deductible, the plan shares the cost of care with you. You pay either a percentage of the cost, called coinsurance, or a fixed fee, called a copay.
If you meet the out-of-pocket maximum, the plan pays 100% of eligible costs for the rest of the plan year. Deductibles and out-of-pocket maximums reset on January 1.
Plan highlights
All three plans include prescription drug coverage and cover 100% of in-network preventive care — annual checkups, screenings, exams and vaccinations.
- CDHP $3,500 and CDHP $2,000 have lower premiums and higher deductibles. You pay less each paycheck but more out of pocket before the plan begins to pay. Both can be paired with a Health Savings Account that Dexter contributes to. A good fit if you and your dependents are generally healthy.
- PPO $850 has higher premiums and lower deductibles. You pay more each paycheck but less out of pocket. A good fit if you expect regular health care use and prefer predictable copays.
- On both CDHP plans there are no copays — you pay the full cost of care until you meet the deductible, excluding preventive exams and maintenance prescriptions.
Cost for coverage
You pay premiums for medical and prescription drug coverage through paycheck deductions. What you pay depends on the plan you choose, who you cover, and whether you earned the wellness credit.
Medical premiums are the same regardless of your work location.
Want added protection?
Consider enrolling in supplemental medical plans that help you pay for expenses not covered by your medical plan.
Using your medical plan
Find in-network providers
Provider search differs by location:
- All locations except Dallas and Tyler, Texas — Anthem
- Additional options for Indiana only — Parkview Health
- Dallas or Tyler, Texas — Imagine Health, Partners Direct Health and HealthSmart
Prescription drug
ဆရာဝန်ညွှန်ကြားဆေးဝါးအာမခံ is administered through Rightway for every plan.
Health care coordination
ကွမ်တမ် ကျန်းမာရေး is your first call for health care guidance and benefits questions, whether you are choosing a doctor, scheduling an appointment, figuring out a bill or understanding a diagnosis. Available to all Dexter employees, regardless of whether you enroll in a Dexter medical plan.
Medical plan programs
Programs included with your plan:
- Virtual primary care with TextCare
- Digbi Health for weight, diabetes and digestive health
- Carrum Health for surgery and cancer support
Paying for health care expenses
Tax-advantaged accounts can be used to pay eligible health care expenses such as your deductible and copays. Which account you can use depends on your plan.
| Account | CDHP ၁TP၄T၃,၅၀၀ | CDHP ၁TP၄T ၂,၀၀၀ | PPO $850 |
|---|---|---|---|
| ကျန်းမာရေးသက်သာစေရန်စုဆောင်းအကောင့် (HSA) | ဟုတ်ကဲ့ | ဟုတ်ကဲ့ | No |
| ကျန်းမာရေးစောင့်ရှောက်မှု FSA | No | No | ဟုတ်ကဲ့ |
| ကန့်သတ်ရည်ရွယ်ချက် FSA | ဟုတ်ကဲ့ | ဟုတ်ကဲ့ | No |
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