A look at our medical plan BlueCross BlueShield of Alabama—alabamablue.com or 800-292-8868 If you want health care in 2019, choose the BEK BCBS Medical Plan which includes: In-network preventive care + + + Coverage for children up to age 26 Rx coverage 30% coinsurance for in-network care PLAN FEATURES BEK BCBS MEDICAL PLAN FOR IN-NETWORK CARE, YOU PAY: Preventive care $0—the plan pays 100% Deductible $400 individual / $1,200 family Coinsurance 20% Out-of-pocket $1,500 individual / $4,500 family Doctor office visits $40 copay per visit Prescription drugs Use a Prime Participating Pharmacy Network for maintenance medications • $15 generic • $40 for non-preferred generics • $55 copay for preferred brand-name • Pre-authorization required for certain specialty medications Working spouse surcharge If your spouse is currently working and eligible for medical coverage through his or her employer, you will pay a $100 monthly surcharge in addition to the medical costs per pay period. This surcharge only applies to medical coverage. Tobacco surcharge You’ll pay $100 more per month for Ben E. Keith medical coverage if you use tobacco in any form—cigarettes, e-cigarettes, cigars, pipes, snuff or chewing tobacco. If you use tobacco but want to quit, call QuitLogix at 855-372-0040. If you are unable to participate in the tobacco cessation program because your doctor has determined that it would be medically inadvisable, Ben E. Keith will work with you to provide an alternative for you to avoid the $100 per month surcharge. Surcharge applies only to enrolled employees—not your spouse or children. MEDICAL ID CARD You will receive a medical ID card within two weeks of your eligibility date.