Medical
About the EPO Plan
About the CDHPs
Hawaii residents
Your medical plan options cover a range of services to meet everyday needs, such as preventive care, doctor visits and prescription drugs, more serious care, including hospitalization, surgery and other medical services. They also offer specialized services that include fertility and family planning benefits and digital therapy for back and joint pain. These plans give you the opportunity to balance the level of benefits you receive and the payroll deduction for these benefits. Please note, if you live in Hawaii, information about your benefits is provided below.
Canon Medical Systems offers an Exclusive Provider Organization (EPO) medical plan and three consumer-driven health plans (CDHPs) through Aetna:
The EPO plan provides coverage exclusively within the Aetna Premier Care Network Plus (APCN+) network, which means there are no benefits for out-of-network care. You pay a flat dollar copay for doctor visits and prescription drugs. For all other services, you pay the full amount of the service until you meet the annual deductible, then you pay your percentage share of coinsurance, up to the out-of-pocket maximum.
A CDHP is a high deductible medical plan that comes with an individual health account. Like traditional medical plans, CDHPs have an annual deductible and coinsurance (the percentage that you and the plan both pay for covered expenses). All the plans use the same PPO network and have the same prescription drug coverage.
The consumer feature comes from having a health account. The purpose of the health account is to help you pay for eligible medical expenses you would normally pay out of your own pocket. You will receive a Health Savings Account (HSA) if you meet the HSA eligibility requirements. If you're not eligible for an HSA, the Company will establish a Health Reimbursement Account (HRA) for you instead.
Here’s a quick look at the differences between HSAs and HRAs:
| |
Health Savings Account
(HSA) |
Health Reimbursement Account
(HRA) |
| Purpose |
An employer-funded health account to help you pay your annual deductible and coinsurance while saving tax-free money for future health care expenses |
An employer-funded health account to help you pay your annual medical deductible and medical or prescription drug coinsurance |
| Who can have a health account? |
Participants in a Company medical plan who meet the HSA eligibility requirements |
Participants in a Company medical plan who aren't eligible for an HSA |
| Can I contribute my own pre-tax dollars in addition to the employer contribution? |
Yes, subject to annual IRS maximums |
No, only the Company is permitted to make HRA contributions |
| What expenses can be paid through the account? |
Medical, prescription drug, dental,
and vision expenses, as well as other expenses in retirement |
Only medical and prescription drug expenses, NOT dental or vision expenses |
| Who owns the money in my account? |
You |
The Company |
| Can I choose when to use the money in my account? |
Yes, you can choose to use your HSA for current eligible expenses, or let it grow to pay for future health care expenses |
No, Aetna will automatically use your HRA to pay your medical deductible and medical/Rx coinsurance until it is depleted |
| Do unused account balances roll over at the end of the year? |
Yes |
Yes, but the following rules apply:
- You remain enrolled in your Company medical plan
- HRA balances are subject to a two-year rollover maximum
|
| Can I take the money in my account if I leave the Company? |
Yes |
No |
Hawaii residents have the choice of three medical plans through HMSA:
See your share of costs on the Hawaii Health & Welfare Rate Sheet.