{"id":11379,"date":"2024-03-14T15:25:44","date_gmt":"2024-03-14T15:25:44","guid":{"rendered":"https:\/\/commpart.com\/renovo\/?page_id=11379"},"modified":"2025-07-07T22:48:10","modified_gmt":"2025-07-08T03:48:10","slug":"medical-plan-comparison","status":"publish","type":"page","link":"https:\/\/commpart.com\/renovo\/medical-plan-comparison\/","title":{"rendered":"Medical Plan Comparison"},"content":{"rendered":"\t\t
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Medical Plan Comparison <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tHMO Choice Plus Network<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Plan Features<\/strong><\/th>\n<\/tr>\n
Alliance HMO (California)<\/strong><\/th>\nHarmony HMO (California)<\/strong><\/th>\n<\/tr>\n
Choice Plus Network<\/th>\nChoice Plus Network<\/th>\n<\/tr>\n
In-Network Only<\/th>\nIn-Network Only<\/th>\n<\/tr>\n<\/thead>\n
Annual Deductible*<\/strong> Individual\/Family<\/td>\n$500 \/ $1,000<\/td>\n$500 \/ $1,000<\/td>\n<\/tr>\n
Annual Out-of-Pocket Maximum*<\/strong> Individual\/Family<\/td>\n$3,500 \/ $7,000<\/td>\n$3,500 \/ $7,000<\/td>\n<\/tr>\n
Renovo Annual HSA Contribution<\/strong> Individual\/Family<\/td>\nN\/A<\/td>\nN\/A<\/td>\n<\/tr>\n
\u00a0<\/td>\nYou pay:<\/td>\nYou pay:<\/td>\n<\/tr>\n
Preventive Care<\/strong><\/td>\nCovered in full<\/td>\nCovered in full<\/td>\n<\/tr>\n
Telemedicine<\/strong><\/td>\n$0<\/td>\n$0<\/td>\n<\/tr>\n
Primary Care <\/strong><\/td>\n$20<\/td>\n$20<\/td>\n<\/tr>\n
Specialist<\/strong><\/td>\n$40<\/td>\n$40<\/td>\n<\/tr>\n
Lab & X-ray<\/strong><\/td>\n$20<\/td>\n$20<\/td>\n<\/tr>\n
Urgent Care<\/strong><\/td>\n$20<\/td>\n$20<\/td>\n<\/tr>\n
Emergency Room<\/strong><\/td>\n$300<\/td>\n$300<\/td>\n<\/tr>\n
Outpatient Hospital<\/strong><\/td>\nCovered in full, deductible waived<\/td>\nCovered in full, deductible waived<\/td>\n<\/tr>\n
Inpatient Hospital <\/strong><\/td>\n30% after deductible<\/td>\n30% after deductible<\/td>\n<\/tr>\n
Retail Prescription Drugs <\/strong>(30-day supply)<\/td>\n<\/tr>\n
Generic<\/strong><\/td>\n$10<\/td>\n$10<\/td>\n<\/tr>\n
Preferred Brand<\/strong><\/td>\n$50<\/td>\n$50<\/td>\n<\/tr>\n
Non-Preferred Brand<\/strong><\/td>\n$100<\/td>\n$100<\/td>\n<\/tr>\n
Specialty**<\/strong><\/td>\nUp to $250<\/td>\nUp to $250<\/td>\n<\/tr>\n
Mail Order Prescription Drugs <\/strong>(90-day supply)<\/td>\n<\/tr>\n
Generic<\/strong><\/td>\n$25<\/td>\n$25<\/td>\n<\/tr>\n
Preferred Brand<\/strong><\/td>\n$125<\/td>\n$125<\/td>\n<\/tr>\n
Non-Preferred Brand<\/strong><\/td>\n$250<\/td>\n$250<\/td>\n<\/tr>\n
Specialty**<\/strong><\/td>\nN\/A<\/td>\nN\/A<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*The annual deductible for the HMO plans is embedded. An embedded deductible has a limit that one person can contribute before they meet their individual deductible. This also counts towards the family deductible, meaning the family deductible will kick in after the combination of individual deductibles adds up to the family deductible.<\/p>\n

**Call the phone number on the back of your member ID card or visit specialty.optumrx.com<\/a> to locate a designated specialty pharmacy for your medication.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tUMR Choice Plus Network<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\nPlan Features<\/strong>\n<\/th>\n\nUMR\/UHC Choice Plus Network<\/strong>\n<\/th>\n<\/tr>\n
\nPPO Choice Plus Low\n<\/th>\n\nPPO Choice Plus High\n<\/th>\n\nHSA Choice Plus Low\n<\/th>\n\nHSA Choice Plus High\n<\/th>\n<\/tr>\n
\nIn-Network\n<\/th>\n\nIn-Network\n<\/th>\n\nIn-Network\n<\/th>\n\nIn-Network\n<\/th>\n<\/tr>\n<\/thead>\n
\nAnnual Deductible*<\/strong>\nIndividual\/Family\n<\/td>\n\n$750 \/ $1,500\n<\/td>\n\n$2,000 \/ $4,000\n<\/td>\n\n$2,000 \/ $4,000\n<\/td>\n\n$5,000 \/ $10,000\n<\/td>\n<\/tr>\n
\nAnnual Out-of-Pocket Maximum*<\/strong>\nIndividual\/Family\n<\/td>\n\n$3,000 \/ $6,000\n<\/td>\n\n$5,000 \/ $10,000\n<\/td>\n\n$3,500 \/ $7,000\n<\/td>\n\n$5,000 \/ $10,000\n<\/td>\n<\/tr>\n
\nRenovo Annual HSA Contribution<\/strong>\nIndividual\/Family\n<\/td>\n\nN\/A\n<\/td>\n\nN\/A\n<\/td>\n\n$500 \/ $1,000\n<\/td>\n\nN\/A\n<\/td>\n<\/tr>\n
 \n\n<\/td>\n\nYou pay:\n<\/td>\n\nYou pay:\n<\/td>\n\nYou pay:\n<\/td>\n\nYou pay:\n<\/td>\n<\/tr>\n
\nPreventive Care<\/strong>\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n<\/tr>\n
\nTelemedicine<\/strong>\n<\/td>\n\n$40\n<\/td>\n\n$65\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nPrimary Care \u2013 First Stop Health (Virtual)<\/strong>\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n<\/tr>\n
\nPrimary Care \u2013 UHC Tier 1<\/strong>\n<\/td>\n\n$25\n<\/td>\n\n$50\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nPrimary Care \u2013 UHC Tier 2<\/strong>\n<\/td>\n\n$75\n<\/td>\n\n$100\n<\/td>\n\n40% after deductible\n<\/td>\n\n30% after deductible\n<\/td>\n<\/tr>\n
\nSpecialist<\/strong> \u00a0– First Stop Health (Virtual)<\/strong>\n<\/td>\n\n$0\n<\/td>\n\n$0\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n<\/tr>\n
\nSpecialist \u2013 UHC Tier 1<\/strong>\n<\/td>\n\n$40\n<\/td>\n\n$65\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nSpecialist \u2013 UHC Tier 2<\/strong>\n<\/td>\n\n$80\n<\/td>\n\n$120\n<\/td>\n\n40% after deductible\n<\/td>\n\n30% after deductible\n<\/td>\n<\/tr>\n
\nLab & X-ray<\/strong>\n<\/td>\n\n20% after deductible\n<\/td>\n\n30% after deductible\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nUrgent Care \u2013 First Stop Health (Virtual)<\/strong>\n<\/td>\n\n$0\n<\/td>\n\n$0\n<\/td>\n\nCovered in full\n<\/td>\n\nCovered in full\n<\/td>\n<\/tr>\n
\nUrgent Care<\/strong>\n<\/td>\n\n$75, then 20% after deductible\n<\/td>\n\n$150, then 20% after deductible\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nEmergency Room<\/strong>\n<\/td>\n\n$150\n<\/td>\n\n$150\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nOutpatient Hospital<\/strong>\n<\/td>\n\n20% after deductible\n<\/td>\n\n30% after deductible\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nInpatient Hospital <\/strong>\n<\/td>\n\n20% after deductible\n<\/td>\n\n30% after deductible\n<\/td>\n\n20% after deductible\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nGeneric<\/strong>\n<\/td>\n\n$10\n<\/td>\n\n$15\n<\/td>\n\n20% up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nPreferred Brand<\/strong>\n<\/td>\n\n$35\n<\/td>\n\n$50\n<\/td>\n\n20% up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nNon-Preferred Brand<\/strong>\n<\/td>\n\n$65\n<\/td>\n\n$100\n<\/td>\n\n20% up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nSpecialty<\/strong>\n<\/td>\n\n20% up to $250\n<\/td>\n\n20% up to $250\n<\/td>\n\n20% up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nGeneric<\/strong>\n<\/td>\n\n$20\n<\/td>\n\n$30\n<\/td>\n\n20% after deductible, up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nPreferred Brand<\/strong>\n<\/td>\n\n$70\n<\/td>\n\n$100\n<\/td>\n\n20% after deductible, up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nNon-Preferred Brand<\/strong>\n<\/td>\n\n$130\n<\/td>\n\n$200\n<\/td>\n\n20% after deductible, up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n
\nSpecialty<\/strong>\n<\/td>\n\n20% up to $250\n<\/td>\n\n20% up to $250\n<\/td>\n\n20% after deductible, up to $250\n<\/td>\n\n0% after deductible\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*The annual deductible for the HSA Choice Low plan is a True Family deductible which means a family can meet the deductible by pooling together expenses (there is no limit to the amount one member can pay toward the family deductible), all other accumulators are embedded. An embedded deductible has a limit that one person can contribute before they meet their individual deductible. This also counts towards the family deductible, meaning the family deductible will kick in after the combination of individual deductibles adds up to the family deductible.
\n**Must be filled through Script Care specialty pharmacy.\n <\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Get FREE In-Network Preventive Care!<\/h2>\n

Stay on top of your health with annual checkups! Use your FREE in-network preventive care benefits each year to take care of yourself and your family. Preventive care visits can catch health issues early and prevent them from becoming chronic conditions. And again, they\u2019re FREE!<\/p>\n

First Stop Health: FREE Virtual Care<\/h2>\n

All PPO and HSA plan members can access FREE virtual care through First Stop Health<\/a>. Speak with a primary care physician, specialist, or mental health expert at no cost to you.<\/p>\n

UMR Members Save with Tier 1 Providers!<\/h2>\n

You have choices when you access care. UMR members who see an in-person primary care doctor or specialist can pay less and receive a higher level of care when visiting a Tier 1 provider. Tier 1 providers are proven to have better outcomes, reduced wait times, and better follow-up with their patients. We encourage you to Spot the Dot and visit a Tier 1 doctor when possible. To find out if your provider is Tier 1, visit umr.com<\/a>.<\/p>\n\n\n\n\n\n\n\n\n\n
UMR Tier 1\/Tier 2 Provider Plan Costs<\/strong><\/th>\n<\/tr>\n
Plan<\/strong><\/th>\nPPO Low<\/strong><\/th>\nPPO High<\/strong><\/th>\nHSA Low<\/strong><\/th>\nHSA High<\/strong><\/th>\n<\/tr>\n<\/thead>\n
Primary Care Physician \u2013 Tier 1<\/strong><\/td>\n$25 copay<\/td>\n$50 copay<\/td>\n20% after deductible<\/td>\n0% after deductible<\/td>\n<\/tr>\n
Primary Care Physician \u2013 Tier 2<\/strong><\/td>\n$75 copay<\/td>\n$100 copay<\/td>\n40% after deductible<\/td>\n30% after deductible<\/td>\n<\/tr>\n
Specialist \u2013 Tier 1<\/strong><\/td>\n$40 copay<\/td>\n$65 copay<\/td>\n20% after deductible<\/td>\n0% after deductible<\/td>\n<\/tr>\n
Specialist \u2013 Tier 2<\/strong><\/td>\n$80 copay<\/td>\n$120 copay<\/td>\n40% after deductible<\/td>\n30% after deductible<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Mail Order Prescriptions<\/h2>\n

Script Care partners with Prescription Mart to get your medications delivered right to your home for less than you pay at the pharmacy! Sign up at presmartinc.com<\/a>.<\/p>\n

New Prescriptions<\/h2>\n

Pharmacy benefits for the PPO and HSA plans will be administered through Script Care. Ask your doctor to e-prescribe a 90-day prescription through presmartinc.com<\/a> or call the number on your card, and they\u2019ll contact your doctor for you.<\/p>\n

Existing Prescriptions<\/h2>\n

Transfer retail prescriptions to home delivery by clicking “Add to Cart” and then check out. You can also refill and renew prescriptions.<\/p>\n

Add a Cost-Saving Rx Tool to Your Belt<\/h2>\n

Rx Savings Solutions is your personal money-saving sidekick. It checks your medications and suggests affordable options. Simply sign up for an online account to compare prices, get alerts when you’re overspending on prescriptions, and get recommendations for changing to a less expensive prescription.<\/p>\n

Rx Savings Solutions<\/a> will handle all the details so you can just sit back and enjoy the savings.<\/p>\n

Save on Premiums<\/h2>\n

Looking to save on your medical coverage? Here\u2019s the scoop: With the Medical Premium Discount<\/a>, PPO & HSA Plan participants can earn a 15% (or more!*) discount on medical premiums by registering with Quantum Health,<\/a> engaging with Rx Savings Solutions<\/a> (click to learn how!), and completing a virtual primary care visit with First Stop Health<\/a>.<\/p>\n

Complete all Medical Premium Discount<\/a> requirements by September 15, 2025, to receive the rate starting October 1, 2025.<\/p>\n

Note: <\/strong>The premium discount is awarded on a quarterly basis. You must have met Medical Premium Discount requirements by the 15th<\/sup> of the month, prior to the new quarter, to be eligible.<\/p>\n

Additionally, your Medical Premium Discount won\u2019t appear in ADP. After meeting the requirements, you\u2019ll see a \u201cMED INCENTIVE\u201d credit under Deductions, on your first paycheck after the effective date.<\/p>\n

*HSA Choice Plus High plan members can save up to 35%, if they are enrolled in Employee Only coverage.<\/i><\/span><\/p>\n

Questions?<\/h3>\n

Connect with a Quantum Health Care Coordinator at 866-920-1980<\/strong>.<\/p>\n

Wondering if it\u2019s worth it?<\/h3>\n

Check out the charts below to see the difference between Standard Rates and Medical Premium Discount Rates.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n
Standard Rates vs. Medical Premium Discount Rates<\/span>
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You must register with Quantum Health, engage with Rx Savings Solutions (click here<\/a><\/span> to learn more!), and complete a virtual primary care visit with First Stop Health to receive the 15% (or more!*) premium discount.<\/p>\n

Complete all Medical Premium Discount requirements by September 15, 2025, to receive the rate starting October 1, 2025.
(Available only to PPO and HSA plan participants.)<\/p>\n

*HSA Choice Plus High plan members can save up to 35%, if they are enrolled in Employee Only coverage.<\/i><\/span><\/p>\n<\/th>\n<\/tr>\n

Bi-Weekly<\/span>
Standard Rate \/ Medical Premium Discount Rate<\/span><\/th>\n<\/tr>\n
Plan<\/th>\nEmployee Only<\/th>\nEmployee + Spouse<\/th>\nEmployee + Child(ren)<\/th>\nEmployee + Family<\/th>\n<\/tr>\n<\/thead>\n
PPO Low<\/strong><\/td>\n$188.48 \/ $160.20<\/td>\n$405.48 \/ $344.65<\/td>\n$413.86 \/ $351.78<\/td>\n$727.06 \/ $618.00<\/td>\n<\/tr>\n
PPO High<\/strong><\/td>\n$156.60 \/ $133.11<\/td>\n$329.97 \/ $280.48<\/td>\n$341.16 \/ $289.98<\/td>\n$617.44 \/ $524.82<\/td>\n<\/tr>\n
HSA Low<\/strong><\/td>\n$144.29 \/ $122.65<\/td>\n$325.5 \/ $276.67<\/td>\n$316.55 \/ $269.07<\/td>\n$587.24 \/ $499.15<\/td>\n<\/tr>\n
HSA High<\/strong><\/td>\n$54.92 \/ $35.65<\/td>\n$160.14 \/ $136.12<\/td>\n$195.93 \/ $166.54<\/td>\n$281.58 \/ $239.35<\/td>\n<\/tr>\n
Harmony HMO<\/strong>
CA Only<\/td>\n		$51.66<\/td>\n$237.75<\/td>\n$172.15<\/td>\n$385.35<\/td>\n<\/tr>\n
Alliance HMO<\/strong>
CA Only<\/td>\n		$72.32<\/td>\n$306.12<\/td>\n$226.30<\/td>\n$485.40<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n\n\n\n\n\n
Annual Savings with Medical Premium Discount<\/span><\/th>\n<\/tr>\n
Plan\u00a0<\/th>\nEmployee Only<\/th>\nEmployee + Spouse<\/th>\nEmployee + Child(ren)<\/th>\nEmployee + Family<\/th>\n<\/tr>\n<\/thead>\n
PPO Low<\/strong><\/td>\n$735.06<\/td>\n$1,581.35<\/td>\n$1,614.07<\/td>\n$2,836.53<\/td>\n<\/tr>\n
PPO High<\/strong><\/td>\n$640.73<\/td>\n$1,286.89<\/td>\n$1,330.52<\/td>\n$2,408.02<\/td>\n<\/tr>\n
HSA Low<\/strong><\/td>\n$562.74<\/td>\n$1,269.44<\/td>\n$1,234.55<\/td>\n$2,290.24<\/td>\n<\/tr>\n
HSA High<\/strong><\/td>\n$501.36<\/td>\n$624.54<\/td>\n$764.13<\/td>\n$1,098.18<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Tools of the Trade<\/h2>\n

Script Care<\/h3>\n

scriptcare.com<\/a>
800-880-9988<\/p>\n

Rx Savings Solutions<\/h3>\n

myrxss.com<\/a>
800-268-4476<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Documents<\/h2>\n

Please activate your license first<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Medical Plan Comparison HMO Choice Plus Network Plan Features Alliance HMO (California) Harmony HMO (California) Choice Plus Network Choice Plus Network In-Network Only In-Network Only Annual Deductible* Individual\/Family $500 \/ $1,000 $500 \/ $1,000 Annual Out-of-Pocket Maximum* Individual\/Family $3,500 \/ $7,000 $3,500 \/ $7,000 Renovo Annual HSA Contribution Individual\/Family N\/A N\/A \u00a0 You pay: You […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-11379","page","type-page","status-publish","hentry"],"yoast_head":"\nMedical Plan Comparison - Benefits Powered by Renovo Home Partners<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/commpart.com\/renovo\/medical-plan-comparison\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical Plan Comparison - 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