Medical Insurance – Braketime Corner Market

Medical Health Insurance

We, proudly have worked along with Lucent Health for a better and a healthy lifestyle of our employees and have tried to create an opportunity to for our employees to avail this opportunity. Below are the details and breakdown for thepackages along with the contributions.

Lucent Health - Aetna Signature Network

Summary of Coverage

Plan Features	In Network
Deductibles (Individual / Family)	$1,250 / $3,750
Out-of Pocket Max (Individual / Family)	$4,500 / $9,000
Primary Care Visit	$30 Copay
Specialist Visit	$60 Copay
Diagnostic Lab & X-Rays	Deductible + 20%
Complex Images	Deductible + 20%
Outpatient Services (Surgical)	Deductible + 20%
Inpatient Services	Deductible + 20%
Emergency Room	$400 Copay + Deductible + 20%
Urgent Care	$30 Copay
Preventive Care	Covered at 100%
Prescription Deductible (Individual / Family)	None
Prescription Drugs – Retail	Non Speciality $10 / $20 / $70 / $120 / $150 / $250
Prescription Drugs – Mail Order	3x Copay

Lucent Health - Aetna Signature Network

Per Weekly Paycheck Rates

Medical	80/60 $1250 Ded.
Employee Only	$53.35
Employee & Child(ren)	$109.05
Employee & Spouse	$130.49
Employee & Family	$224.44

Utilizing Preventive Care Services

Wellness & Health Management

Understanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms and immunizations. Through the plans offered by Breaktime Corner Market LLC all covered individuals and family members are eligible to receive routine wellness services like these, at no cost; all copays, coinsurance, and deductibles are waived.

Which Preventive Care Services Are Covered?

The US Preventive Services Task Force maintains a regular list of recommended services that all Affordable Care Act (i.e. Health Care Reform) compliant insurance plans should cover at 100% for in-network providers. Below is a list of common services that are included in the plans offered this year:

Routine Physical Exam
Well Baby and Child Care
Well Woman Visits
Immunizations
Routine Bone Density Test
Routine Breast Exam
Routine Gynecological Exam

Screening for Gestational Diabetes
Obesity Screening and Counseling
Routine Digital Rectal Exam
Routine Colonoscopy
Routine Colorectal Cancer Screening
Routine Prostate Test
Routine Lab Procedures

Routine Mammograms
Routine Pap Smear
Smoking Cessation
Health Education/Counseling Services
Health Counseling for STDs and HIV
Testing for HPV and HIV
Screening and Counseling for Domestic Violence

Telemedicine

Access telehealth services to treat minor medical conditions.
Connect with a board-certified doctor via video or phone when where and how it works best for you.

Conditions Treated

Colds and flu
Rashes
Sore throats
Headaches
Stomachaches
Fever
Allergies
Acne
UTIs and more

Your Cost & Time

Convenience Care Clinic

Treats minor medical concerns. Staffed by nurse practitioners and physician assistants.
Located in retail stores and pharmacies. Often open nights and weekends.

Conditions Treated

Your Cost & Time

Doctor’s Office

The best place to go for routine or preventive care,
to keep track of medications, or for a referral to see a specialist.

Conditions Treated

Your Cost & Time

Urgent Care Center

For conditions that aren’t life threatening. Staffed by nurses and doctors and usually have extended hours.

Conditions Treated

Fever and flu symptoms
Minor cuts, sprains, burns, rashes
Headaches
Lower back pain
Joint pain
Minor respiratory symptoms
Urinary tract infections

Your Cost & Time

Emergency Room

For immediate treatment of critical injuries or illness. Open 24/7.
If a situation appears life-threatening, call 911 or go to the nearest emergency room.

Conditions Treated

Sudden numbness, weakness
Uncontrolled bleeding
Seizure or loss of consciousness
Shortness of breath
Chest pain
Head injury/major trauma
Blurry or loss of vision
Severe cuts or burns
Overdose