YOUR HEALTH

Medical Plan

You and Powell share the cost of this benefit.  You have the option of three Medical plans, all through BlueCross BlueShield of Texas.  You have the choice of selecting a traditional PPO Plan, or one of two Consumer Driven Health Plans (CDHPs), the Premier and Basic.  All three plans give you access to the same in- and out-of-network doctors and hospitals, prescription plan and preventive care services like yearly wellness exams and well-baby care as well as a $25 copay for Telemedicine with MDLIVE including behavioral health and musculoskeletal rehabilitation with Airrosti.

Getting a health checkup has never been easier!  Powell has partnered with Catapult Health to bring you VirtualCheckup™.  As part of your medical plan, you and your dependents (18 years or older) can do preventative health screenings through a home kit.

Here’s how it works!  Just 7 easy steps to complete your biometric screening and preventive visit all from the comfort of your home.

  1. ORDER YOUR VirtualCheckup™ KIT 
  2. KIT ARRIVES AT YOUR HOME – Everything you need to collect vital information is included.
  3. MEASURE YOURSELF – Check your blood pressure, measure your abdominal circumference, and stick your finger with the easy-to-use spring-loaded lancet.
  4. MAIL RESULTS TO LAB – Pack everything up in the postage paid envelope and drop it in the mail.
  5. SCHEDULE AN APPOINTMENT – When notified that your lab work is complete, schedule an appointment with a Catapult Nurse Practitioner.
  6. COMPLETE HEALTH QUESTIONNAIRE – Answer a few questions about your health history and health behaviors just minutes before connecting with the Catapult Nurse Practitioner.
  7. REVIEW RESULTS AND DEVELOP AN ACTION PLAN – Have a private consultation with a Catapult Nurse Practitioner using your device (phone, computer, tablet), in a place that is comfortable for you.

       

      Powell Medical Plans

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      PPO Plan
      Plan Highlights PPO Plan
      In-Network Out-of-Network
      Powell HRA Contributions Employee Only n/a n/a
      Employee + Spouse
      Employee + Child(ren)
      Family
      Annual Deductible Individual $2,000 $4,000
      Family $4,000 $8,000
      Annual Out-of-Pocket Maximum Individual $4,000 $8,000
      Family $8,000 $16,000
      MDLIVE Telemedicine w/ Behavioral Health $25 copay n/a
      Airrosti Musculoskeletal Rehabilitation $25 copay n/a
      Doctor’s Office Visit PCP: $30 Copay Specialist: $50 Copay 50% after Deductible
      Preventative Care Covered at 100% No Deductible 50% after Deductible
      Urgent Care Services 20% after Deductible 50% after Deductible
      Emergency Room Services 20% after Deductible
      Inpatient/Outpatient Services 20% after Deductible 50% after Deductible
      Radiation, Dialysis, Chemotherapy Treatment 20% after Deductible 50% after Deductible
      Outpatient Diagnostic Services CT Scans, Pet Scans, MRI & Nuclear Medicine, etc. 20% after Deductible 50% after Deductible
      Independent Lab & X-Ray Coverage $25 copay 50% after Deductible
      Premier CDHP Plan
      Plan Highlights Premier CDHP Plan
      In-Network Out-of-Network
      Powell HRA Contributions Employee Only $750
      Employee + Spouse $1,000
      Employee + Child(ren)
      Family $1,500
      Annual Deductible Individual $2,500 $5,000
      Family $5,000 $10,000
      Annual Out-of-Pocket Maximum Individual $5,000 $10,000
      Family $10,000 $20,000
      MDLIVE Telemedicine w/ Behavioral Health $25 copay n/a
      Airrosti Musculoskeletal Rehabilitation $25 copay n/a
      Doctor’s Office Visit 20% after Deductible 50% after Deductible
      Preventative Care Covered at 100% No Deductible 50% after Deductible
      Urgent Care Services 20% after Deductible 50% after Deductible
      Emergency Room Services 20% after Deductible
      Inpatient/Outpatient Services 20% after Deductible 50% after Deductible
      Radiation, Dialysis, Chemotherapy Treatment 20% after Deductible 50% after Deductible
      Outpatient Diagnostic Services CT Scans, Pet Scans, MRI & Nuclear Medicine, etc. 20% after Deductible 50% after Deductible
      Lab Coverage 20% after Deductible 50% after Deductible
      Basic CDHP Plan
      Plan Highlights Basic CDHP Plan
      In-Network Out-of-Network
      Powell HRA Contributions Employee Only $500
      Employee + Spouse $750
      Employee + Child(ren)
      Family $1,000
      Annual Deductible Individual $3,500 $7,000
      Family $7,000 $14,000
      Annual Out-of-Pocket Maximum Individual $7,000 $14,000
      Family $14,000 $28,000
      MDLIVE Telemedicine w/ Behavioral Health $25 copay n/a
      Airrosti Musculoskeletal Rehabilitation $25 copay n/a
      Doctor’s Office Visit 40% after Deductible 60% after Deductible
      Preventative Care Covered at 100% No Deductible 60% after Deductible
      Urgent Care Services 40% after Deductible 60% after Deductible
      Emergency Room Services 40% after Deductible
      Inpatient/Outpatient Services 40% after Deductible 60% after Deductible
      Radiation, Dialysis, Chemotherapy Treatment 40% after Deductible 60% after Deductible
      Outpatient Diagnostic Services CT Scans, Pet Scans, MRI & Nuclear Medicine, etc. 40% after Deductible 60% after Deductible
      Lab Coverage 40% after Deductible 60% after Deductible


      2024 & 2025 Medical Monthly Costs
      View Large Table | Download PDF

      Medical Plan PPO Premier CDHP Basic CDHP
      Employee Premiums
      Weekly Semi-Monthly Weekly Semi-Monthly Weekly Semi-Monthly
      Employee Only $69.23 $150.00 $43.15 $93.50 $26.54 $57.50
      Employee + Spouse $125.77 $272.50 $81.00 $175.50 $59.54 $129.00
      Employee + Child(ren) $107.77 $233.50 $72.23 $156.50 $50.54 $109.50
      Employee + Family $158.77 $344.00 $106.15 $230.00 $77.54 $168.00

      Medical Plan Resources

      www.bcbstx.com

      1(800) 521-2227
      Group #: 079163
      Network: Blue Choice PPO

      www.MDLIVE.com

      1(888) 680‐8646
      Group #: 079163

      www.Airrosti.com

      1(800) 404‐6050
      Group #: 079163


      1(855) 509-1211

      US Benefits Overview 2024-25
       
      Understanding Powell’s Medical Plans


      2024 Benefits Overview Presentation