The EPO plan provides benefits only when care is received from providers within the EPO network. When you receive care from your PCP, you receive the highest level of benefits at the lowest cost to you. To receive the highest level of benefits you must obtain services through network providers. After you've met your deductible, the plan pays 80 percent of the reasonable and customary charges for most covered services. When you enroll in a PeopleFlex medical plan, you automatically receive prescription drug benefits.
All medical plans offer the same prescription drug benefits.
When you use a network retail pharmacy to purchase a 30-day supply, you'll pay only a copayment. Basic services, such as fillings, root canals, and extractions, are covered at 90 percent. Major services, such as bridges, crowns, and dentures, are covered at 60 percent. The standard plan does not provide orthodontia coverage. Basic services, such as fillings, root canals, and extractions, are covered at 90 percent.