FREQUENTLY ASKED QUESTIONS

Here are the answers to a few of the most frequently asked questions about Open Enrollment.

Medicamentos médicos y de prescripción
Usted tiene acceso a varias opciones de beneficios para usted y su familia — incluyendo cuatro opciones médicas diseñadas para ayudarle a gestionar su salud y presupuesto. Comprender tus opciones es el primer paso para tomar una decisión que te ayude a ti y a tu familia.

Programas de bienestar
Ofrecemos recursos y herramientas para ayudarle a obtener y mantenerse saludable. Esto incluye 100% cobertura para la atención preventiva y recursos gratuitos para vivir un estilo de vida saludable. Programas especiales para ayudarle a obtener gran cuidado y ahorrar dinero también, como Aetna Concierge Customer Service, Meru Health Mental Health Care, MSK Direct, Prudent Rx Copay Optimization Program, PinnacleCare health advisory services, and more.

Dental
Ofrecemos beneficios para ayudar a pagar servicios preventivos, básicos y dentales importantes.


What is an annual Open Enrollment period?
It’s the time of year that you may add, drop or change your level of coverage for certain pre-tax benefit options. This year’s Open Enrollment period is from November 3, 2025 – November 24, 2025.

How do I obtain detailed information about the plans offered by Price Rite?
Refer to your “Summary of Benefits and Coverage” (SBC), available on your benefits website.

Why should I see a Network Provider?
Network Doctors have agreed to a discount of their fees. You may pay lower out-of-pocket expenses when you use an in-network provider.

How do I know if my provider is in the network?
Check the website or call the insurance provider directly.

What is an Explanation of Benefits (EOB)?
A statement provided to the member explaining how and why a claim was or wasn’t paid. Always review your EOB statements for accuracy. If you have a question about an EOB, or see an error, contact the provider directly.

When can I continue coverage under COBRA?
You and/or your dependents are eligible to continue group health care under COBRA if coverage is lost because:

  • You leave Price Rite for any reason other than “gross misconduct”.
  • Your work hours are reduced.
  • You die.
  • You become entitled to and enroll in Medicare prior to electing COBRA
  • You divorce.
  • Your dependent loses dependent status.

Visión
Nuestros beneficios ayudan a pagar exámenes oculares y gafas/contactos.

Seguro básico de vida

Price Rite Team Los miembros son elegibles para 1,5 veces su salario anual en seguro básico de vida.

Discapacidad a largo plazo
Aproveche los beneficios que proporcionan una parte de su salario en caso de que se desactive y no pueda trabajar.

Seguro de vida opcional adicional

Los asociados son elegibles para hasta 3 veces su salario anual en seguro de vida opcional. Pueden comprar protección financiera adicional para su familia a precios muy competitivos (sujeto a la aprobación de la subescritura del asegurador).

Resumen del plan

How can I receive additional or replacement ID cards?
Call the benefit providers directly.

How do I add my dependents?
Team Members have up to 30 days to make an election through Fidelity NetBenefits.

What if I get married, divorced or have a new child in my family during the plan year?
Team Member must a change through Fidelity NetBenefits within 30 days of any Qualified Life Event. Otherwise, you will have to wait until the next enrollment period to change your benefit options or coverage levels. You are also required to show official documentation as proof of the change such as a marriage certificate, birth certificate or court documents.

Why do I pay for some benefits with pre-tax money?
Paying for certain optional benefits with pre-tax money lowers the amount of your pay that is taxable; therefore, you pay less in taxes.

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