High Deductible Health Plan (HDHP)
Regenexx Benefits
Network:
Alliance Select
Group Number:
56851-0319 GreenState PPO
56851-0419 GreenState HDHP
56851-0309 Insurance PPO
56851-0409 Insurance HDHP
56851-0329 Trust PPO
56851-0429 Trust HDHP
Website:
Support:
1.800.524.9242
Claim Submission Address:
Wellmark BC/BS of IA
Station 39
636 Grand Avenue
Des Moines, IA 50309-2565
With the High Deductible Health Plan (HDHP), you pay a low monthly premium in exchange for a high deductible. One feature that makes the HDHP special is that it's compatible with a Health Savings Account. A Health Savings Account (HSA) is like a savings plan for your healthcare. The combination of the HDHP and an HSA gives you greater flexibility and control over how you pay for and save for health care.
The Basics
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The HDHP is a preferred provider organization health plan. This means you can choose to see any provider you want, but higher benefits are paid when you go to a network provider.
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The HDHP generally covers the same services as GreenState's Traditional PPO Plan, but there are important differences in how the HDHP works that will change how you pay for medical, prescription drug, mental health and substance abuse benefits under this plan. Be sure to read about these important differences before you enroll.
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The HDHP is the only medical plan GreenState offers that is compatible with a Health Savings Account (HSA).
BENEFITS
PPO
HDHP
Deductible
$1,500 Single
$3,000 Family
$3,200 Single
$6,400 Family
Coinsurance
80/20%
0%
Out of Pocket
Maximum
$3,000 Single
$6,000 Family
$3,200 Single
$6,400 Family
Office Visits
PCP: $20 copay
Specialist: $40 copay
Doctor on Demand: $40 Copay
PCP: Deductible applies
Specialist: Deductible applies
Doctor on Demand: $49 Copay
Preventative Services
Covered at 100%
Covered at 100%
Emergency Room
20% after deductible
Deductible applies
Urgent Care
$20 copay
Deductible applies
Inpatient Hospital
20% after deductible
Deductible applies
Outpatient Hospital
20% after deductible
Deductible applies
Prescription Drug
Walgreens is no longer a covered pharmacy effective 01/01/2024
$100/$200 deductible
(waived for Tier 1)
Non-preferred Pharmacy Copay
(CVS)
$20 / $45 / $60 / $200
All Other Pharmacies Copay
$4 / $25 / $40 / $200
Deductible applies
Prescription Drug Out of Pocket Maximum
$3,000 Single
$6,000 Family
All prescription expenses apply to the Medical OPM.
There is no separate OPM.
Review the Benefits enrollment presentation slides covering HDHP/HSA basics.
Review this FAQ for answers to some commonly asked questions about HDHPs and HSAs.
Want to dig a little deeper and learn more about how the High Deductible Health Plan and Health Savings Account can help you take control of your health care costs by keeping more money in your pockets? Check out the below video!
Health Savings Account Compatible
One feature that makes the HDHP special is that it's compatible with a health savings account. A health savings account – or HSA – is like a savings plan for your health care. Visit the Health Savings Account page to learn more about this special account.