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Who Is Eligible?

Medical and Prescription Drug
You have access to various benefit choices for you and your family — including four medical options designed to help you manage your health and budget. Understanding your choices is the first step to making a decision that will help you and your family.

Well-being Programs
We offer resources and tools to help you get and stay healthy. This includes 100% coverage for preventive care and free resources for living a healthy lifestyle. Special programs to help you get great care and save money too, such as Aetna Concierge Customer Service, Meru Health Mental Health Care, MSK Direct, Prudent Rx Copay Optimization Program, PinnacleCare health advisory services, and more.

Dental
We offer benefits to help pay for preventive, basic, and major dental services.


Your eligible dependents include:

  • Your spouse to whom you are legally married
  • Your same sex domestic partner (contact your Benefits Administrator for more details
  • Your dependent child(ren) until the end of the month he/she turns age 26. For example, if your child was born March 2, 1920, your child is eligible for medical, dental, and vision coverage until March 31, 2026.
  • Eligible dependent child(ren):
    — Does not need to be a full-time student
    — Is not required to live with you
    — Does not need to be an eligible dependent on the parent’s tax return
    — May be married or unmarried (your child’s spouse and children are not eligible)
  • Your unmarried children of any age who are permanently and totally disabled physically or mentally for whom you provide financial support. You must periodically provide medical documentation of such disability.

Vision
Our benefits help pay for eye exams and glasses/contacts. 

Basic Life Insurance

Price Rite Team Members are eligible for 1.5 times their annualized salary in basic life insurance.

Long-Term Disability
Take advantage of benefits that provide a portion of your salary in the event you become disabled and cannot work.

Additional Optional Life Insurance

Associates are eligible for up to 3 times their annualized salary in optional life insurance. They can purchase additional financial protection for their family at very competitive prices (subject to the insurer’s underwriting approval). 

Summary Plan Description

Individuals Eligible for Medicare
If you have Medicare, or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Please refer to the Notice of Creditable Coverage & Medicare Part D information located in the Legal Notices on your benefits website.

Individuals Not Eligible for Price Rite Medical Coverage
If you have a qualifying event and are offered continued coverage through COBRA, you may want to consider buying an individual health insurance plan through your state’s Marketplace. The Marketplace may offer you additional choices to better fit your budget and needs.

Notify your Benefits Administrator if You Lose Medicaid/CHIP Eligibility
If you or your dependents lose eligibility for Medicaid
or the Children’s Health Insurance Program (CHIP) coverage, or become eligible for a state’s premium assistance subsidy under Medicaid or CHIP, you will have 60 days from the date of that Medicaid/eligibility change to request enrollment in a Price Rite medical plan. Please refer to the Legal Notices on your benefits website for more details.

Individuals Planning to Retire or Leave Price Rite
If you are planning to retire, please contact your Benefits Administrator for information about your benefit options.

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