
To support your health and financial wellness, the Getty provides valuable benefits that help you and your family stay healthy and pay for care in the event of illness injury. See our current benefits summary for information.
Our benefits program includes medical plan options with a range of coverage levels and costs designed to meet the diverse needs of our employees.
Plan | Description |
---|---|
HMO — Signature Value Advantage Plan and Signature Value Plan Administered by: UnitedHealthcare | A Health Maintenance Organization plan with coverage for in-network care coordinated by your primary care provider. The Getty offers two HMO plans through UnitedHealthcare: the Signature Value Advantage Plan and the Signature Value Plan. |
Aetna HDHP/PPO Plan Administered by: Aetna | The Aetna plan is a high-deductible health plan that puts you in charge of your spending with a higher deductible and the option to enroll in a tax-free Health Savings Account (HSA). The plan offers cost sharing after you meet the plan deductible, and has a Preferred Provider Organization network. There are two separate deductibles, one for in-network services and one for out-of-network services. Both deductibles will need to be met whether you utilize an in-network or out-of-network provider. This means that if you meet the deductible with an in-network provider, and then decide to see someone outside the network, the deductible will start over for out-of-network services. |
Compare the plans |
All our medical plans provide:
UnitedHealthcare Signature Value Advantage HMO | UnitedHealthcare Signature Value HMO | Aetna HDHP In-Network | Aetna HDHP Out-of-Network | |
---|---|---|---|---|
UnitedHealthcare HMO Plans | Aetna HDHP/PPO Plan | |||
Signature Value Advantage | Signature Value | In-Network | Out-of-Network | |
Provider Network | UnitedHealthcare’s Signature Value Advantage Network | UnitedHealthcare’s Signature Value Network | Aetna Choice POS II | N/A |
Plan Provisions | You must choose a primary care physician/medical group from: UnitedHealthcare’s Signature Value Advantage Network | You must choose a primary care physician/medical group from: UnitedHealthcare’s Signature Value Network | You pay less if you choose a provider from the Aetna Choice POS II Network | |
Your Costs | ||||
Preventive Care Services | No Cost | No Cost | No Cost (deductible waived) | Member pays 30% |
Annual Deductible (applicable to medical care and prescription drug benefits) | None | None | $1,500 Per Person $3,000 Per Family | $1,700 Per Person $3,400 Per Family |
Payment Limit (includes deductible) | None | None | $3,300 Per Person $6,850 Per Family | $4,300 Per Person $11,800 Per Family |
Annual Out-of-Pocket | $1,500 Per Person $4,500 Per Family | $2,500 Per Person $5,000 Per Family | N/A | N/A |
Office Visits | $10 Copay Per Visit | $25 Copay Per Visit | Member Pays 10% | Member Pays 30% |
Specialist Office Visits | $10 Copay Per Visit | $40 Copay Per Visit | Member Pays 10% | Member Pays 30% |
Hospital Services | $250 Per Admission | $250 Per Day, applies to max of 3 days per stay | Member Pays 10% | Member Pays 30% |
Emergency Room Visits | $100 Copay (waived if admitted) | $150 Copay (waived if admitted) | Member Pays 10% | Member Pays 30% |
Out-Patient Surgery | No Copay | $200 Copay | Member Pays 10% | Member Pays 30% |
Eligibility for Tax Advantage Accounts | ||||
HSA Eligible | No | No | Yes. Getty Contributions: $750 employee-only. $1,500 employee + 1 or employee + family. | |
FSA Eligible | Yes | Yes | No | No |
Limited Purpose FSA Eligible | No | No | Yes | Yes |
Retail Prescriptions (your cost for a 30-day supply) | ||||
Generic Preventive Medications | $0 Copay | $0 Copay | $0 Copay | |
Generic | $15 Copay | $15 Copay | $15 Copay | |
Brand-Name Formulary | $35 Copay | $35 Copay | $35 Copay | |
Non-Formulary | $50 Copay | $50 Copay | $50 Copay | |
Mail Order Prescriptions (your cost for a 90-day supply) | ||||
Generic | $30 Copay | $30 Copay | $30 Copay | |
Brand-Name Formulary | $70 Copay | $70 Copay | $70 Copay | |
Non-Formulary | $100 Copay | $100 Copay | $100 Copay | |
2023 Cost For Coverage Per Bi-weekly Paycheck | ||||
Employee Only | $31.50 | $89.25 | $101.85 | |
Employee + One | $63.00 | $281.40 | $288.75 | |
Employee + Family | $94.50 | $399.00 | $357.00 |
Coverage information is subject to change. In the event of a conflict between this information and the insurance contract, the terms of the contract will prevail.
The UnitedHealthcare HMO Plans — Signature Value Advantage and Signature Value — provide coverage only when you receive care from providers within the HMO network. Your Primary Care Provider (PCP) will coordinate your care.
Your Primary Care Provider (PCP) will manage your care and provide referrals if you need to see a specialist. Find a Doctor >>.
You pay nothing for in-network preventive care — it’s covered in full.
Copay
You pay a small fee at the time of service for doctor visits and prescriptions.
Out-of-Pocket Maximum
You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.
Your Primary Care Provider (PCP) will manage your care and provide referrals if you need to see a specialist. Find a Doctor.
Take advantage of these resources to manage your care and your costs.
The HDHP is high-deductible medical coverage with a tax-free Health Savings Account (HSA) that helps you save up for future expenses. You may choose any in-network or out-of-network provider each time you receive care. But keep in mind: You will generally pay less when you use in-network providers.
You pay the plan premium from your paycheck to have coverage.
Copay
You pay a small fee at the time of service for doctor visits and prescriptions.
Deductible
For care that doesn’t charge a copay, such as hospital services, you pay 100% of the costs until you meet the annual deductible.
Coinsurance
After meeting the deductible, you and the plan share the cost of certain services, with the plan paying the majority.
Out-of-Pocket Maximum
You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.
Take advantage of these resources to manage your care and your costs.
When you enroll in one of the Getty’s medical plans, you automatically receive prescription drug benefits through your medical plan.
The cost of your prescription drugs depends on the tier of the medication:
For ongoing maintenance medication, you can take advantage of the convenience and cost savings of using the mail order program.
Start or refill a mail order prescription, compare costs, and more:
Get familiar with the urgent care and walk-in clinics in your neighborhood before you need them. Here’s how:
If your medical need is more than urgent — for example, characterized by chest pain, trouble breathing, bad bleeding or other symptoms that are serious or put your life at risk — you should go straight to your local ER.
Order or refill prescriptions, sign up for mail order, and more.
Seek medical advice from board-certified physicians who are available 24/7, 365 days a year to consult with you over the phone or through live video right from your mobile device or computer. LiveHealth Online physicians can provide fast, convenient diagnosis and treatment for many common conditions. Visit LiveHealth Online or call 888-548-3432 to enroll or learn more.
Get free, personalized assistance to help you navigate the health care system, from understanding claims to choosing providers and negotiating fees. Available to you and your family members, this service can save you time and money. To take advantage of these services, visit Health Advocate or call 866-799-2728.