Gila River Health Care: Employee Benefits.

Employee Benefit Highlights: Benefit Choices to Fit Your Lifestyle

As an employee of Gila River Health Care, you and your dependents can take advantage of a wide range of Employee Benefits. This page will give you an overview of your benefits.

Scroll down for easy-to-read charts that highlight the Gila River Health Care, medical, dental, long-term disability, short-term disability, accidental death and dismemberment and life insurance plan coverages. For more detailed information, please refer to your Official Plan Documents when available or consult with your Human Resources Representative.

This web page presents only the highlights of the benefits provided by the Gila River Health Care. Complete details are contained in the Official Plan Documents and Insurance Certificates. If there are any conflicts between the wording here and the Official Plan Documents and/or Insurance Certificates, the wording in the Plan Documents and/or insurance Certificates govern.

For more detailed benefits information, visit the Alliant website. Enter in the password "gilahr" to access the information.

Medical Insurance

Deductible (PPO)
Individual and Family $0

Non-PPO
Individual $500
Family $1,000

Out-Of-Pocket Maximum
Per person, excluding deductible

PPO
N/A

Non-PPO
$10,000

Lifetime Benefit Maximum
$2,000,000 (For PPO and Non-PPO)

Coinsurance
(PPO) 100% after applicable copays

Non PPO
50% of covered charges

Prescription Drugs
Generic (34 day supply)
Name Brand (34 day supply)
Non-Formulary (34 day supply)

Non PPO
$7
$15
$25
Mail Order (90 day supply)(PPO)
$14/$30 (Non-PPO)

Eligible Medical Expenses
100% (PPO)
50% (Non PPO)

Office Visits
$15 copay (PPO)
50% (Non PPO)

Preventative Care
$15 copay (PPO)
50% (Non PPO)

Hospitalization
$100 copay (PPO)
50% (Non PPO)

Emergency Room Treatment
$50 copay (PPO and Non PPO)

Ambulance
100% (PPO and Non PPO)

Outpatient Surgery
$50 copay (PPO)
50% (Non PPO)

Behavioral/Mental Health/Substance Abuse
Outpatient (20 visits per calendar year) $15 copay (PPO)
Outpatient (20 visits per calendar year) $15 copay (Non PPO)
Inpatient(30 days per calendar year) $100 copay (PPO)
50% (Non PPO)

Other Services
See plan document

To receive maximum plan benefits use providers that have a Preferred Agreement with BCBSAZ. See your plan documents for specific details.

Dental Insurance

Calendar Year Deductible (Class II and III only)
Individual $50
Family $150

Calendar Year Maximum Benefits(Class I, II, and III)
$1500 per individual

I. Preventive Care (no deductible)(i.e. oral exams, cleanings, x-rays)
100%

II. Basic Care (Periodontic, endodontic, fillings and extractions)
80%

III. Major Care (inlays, onlays, crowns and bridges)
50%

IV. Orthodontic Care (for children only through age 19/25)
50%, $1,500 lifetime maximum

Long-Term Disability Insurance

Long-term disability (LTD) insurance continues a portion of your pay if an illness or injury leaves you unable to work. LTD benefits begin after you have been totally disabled for 180 days. They continue until you reach age 65, recover from your disability or die. Long-term disability is available to all eligible employees.

Monthly Benefit
60% of basic monthly earnings

Maximum Monthly Benefit
$6000

Minimum Monthly Benefit
The greater of 10% or $100

Definition of Disability
24 months Own occupation

Survivor Benefit

Short-Term Disability Insurance

Short-term disability (STD) is a benefit designed to replace a portion of your weekly earnings while you are disabled by a non-occupational event. This benefit is available to all eligible employees.

Maximum Weekly Benefit
60% of base salary
$500

Minimum Weekly Benefit
$25

Benefits Begin
Accident 15th day
Sickness 15th day

Maximum Benefit Period
6 months

Life and AD&D Insurance

All eligible employees will be provided with Life and Accidental Death and Dismemberment (AD&D) Insurance at no cost to you.

Benefit Amount
1x’s salary to $100,000

Definition of Earnings
Annual earnings excluding overtime, bonuses, commissions

Reduction Schedule
At age 70 65%
At age 75 50%

Vision Insurance

PPO Exam 100%
PPO Lenses (except progressive) 100%
PPO Frames 100% to $100
Exam, Lens & Frame Frequency Once every 12 months
Non-PPO Exam $35 Allowance
Non-PPO Lenses $25/40/50/80 Allowance
Non-PPO Frames $45 Allowance

401(k) Plan

All eligible employees may participate in a tax-deferred investment opportunity which offers a company match.

Voluntary Life Insurance

All eligible employees may purchase additional life insurance for themselves and dependents with convenient payroll deductions.

Employee Assistance Program

All eligible employees will be provided with an EAP plan at no cost to you.

Benefit
Five face-to-face sessions with Master’s Level Counselors to assist in the areas of workplace and personal challenges.

Flexible Benefit Accounts

FSA’s allow you to set aside pre-tax dollars from your paycheck to pay for eligible health care and dependent care expenses that aren’t paid from other sources.