If you enroll in the Meritain Copay plan, a Health Reimbursement Account (HRA) will be opened for you and completely funded by PayPal. Grades 15–19: Health Reimbursement Account for Meritain Copay Plan Participants Health Reimbursement Account (Grades 15–19)
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Questions about the Meritain Copay Plan? Visit the Accolade member portal, or download the mobile app to speak with a Health Assistant. This includes prescriptions to treat diabetes, high blood pressure, and high cholesterol when you get them filled by in-network pharmacies. Under the PayPal health plans, certain medications are covered at 100%. You pay more if you use out-of-network pharmacies. You pay a copay ($10–$40) for generic, brand, and non-brand prescriptions at in-network pharmacies. Pharmacy benefits are provided by CVS Caremark. Once your medical and prescription drug bills hit the out-of-pocket maximum, the plan pays 100% of the costs for covered services for the rest of the year. You’re protected against big medical bills with the out-of-pocket maximum. But you’ll always pay less when you use in-network providers. You’ll also pay the copay and coinsurance for prescription drugs.
Once you meet the deductible, the plan pays 90% of most in-network covered services, and you pay the rest until you reach the out-of-pocket maximum. You and any covered family members must meet the deductible before the plan pays its portion of covered services. Low copays for covered services and prescription drugs when you see an in-network provider or use an in-network pharmacy. That includes services like screenings, immunizations, and exams. How it worksįree in-network preventive care. If you see an out-of-network provider, you're responsible for any billed charges that exceed customary and reasonable charges. The Meritain Copay Plan gives you the flexibility to see any provider, anywhere, but you pay less when you see in-network providers. Dependent Care Flexible Spending Account.Optional Long-Term Care with Life Insurance.
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