THE HCRA PLAN

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.


The HCRA is a unique medical plan that combines the essential elements of traditional plans with an important innovative feature, the HCRA Fund, a health reimbursement account. If you haven’t yet considered this plan, take time during this year’s Open Enrollment to review this option.

The HCRA provides you with medical and prescription drug coverage like all of the Price Rite plans — including the same extensive network of providers through Aetna. You will pay more when you need care (higher deductible and larger share of coinsurance).

In addition, the HCRA Fund can be used to pay for qualified health care expenses with before-tax dollars. And, you receive an annual contribution to your HCRA Fund to help offset your out-of-pocket expenses.

The HCRA, together with the HCRA Fund, encourages you to take a more active role in your health care spending, and to be a more cost- conscious health care consumer. The plan involves three features working together:

Deducible
You pay this amount before your medical plan begins to pay for eligible expenses. (Please note: prescription drug expenses are not subject to the deductible).

  • The in-network deductible is $2,250 single or$4,500 family and the out-of-network deductible is $4,000 single or $8,000 family.
  • The full out-of-network deductible (depending on coverage level) must be met before the medical plan begins to pay.

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

Health Plan
Once you meet your deductible, your medical plan pays 90% for in-network medical services and 60% for out-of-network medical services (up to the Medicare reimbursement level).

  • You will pay 10% for in-network services.
  • You will pay 40% plus any amount that exceeds the reimbursement level for out-of-network services.
  • Prescriptions drug expenses are subject to the applicable copays.

The HCRA Fund
Helps you pay for eligible out-of-pocket expenses, such as your deductible.

  • The HCRA Fund amount is $1,500 single and $3,000 family, and is paid by the Company.
  • The remaining balance rolls over each year. This means if you were enrolled for single coverage in 2026 and have a balance of $200 at the end of the year, your 2027 HCRA Fund would increase by this amount and would be $1,700

Know Before You Go
Planning ahead can help you be an informed health care consumer — saving you time and money! When you enroll in the HCRA, you have an HCRA Fund funded by Price Rite that is used to pay for a portion of your deductible. By finding out the facts before you go for medical treatment, you can compare doctor’s rates and clinical performance to help you:

  • Understand your cost for the medical services you need;
  • Be prepared for out-of-pocket costs before you visit the doctor;
  • Plan for health care expenses so you can manage your funds; and
  • Make health care purchasing decisions based on overall value.

Since you are responsible for paying some or all of your health care expenses, it’s important to do your research and review your options — both price and quality — before you go! Compare doctor’s rates, specialist’s quality indicators, and more at www.aetna.com.

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