WoodmenLife Associates at the Gym

Health Insurance

Compare HRA and HSA

D/C  = Deductible/Coinsurance

Benefit Summary In-Network Out-of-Network In-Network Out-of-Network
Deductible/Coinsurance Aggregate Aggregate
Associate $1,500 $3,000 $2,000 $4,000
Associate Plus $3,000 $6,000 $4,000 $8,000
Coinsurance 25% 40% 30% 50%
Out-of-Pocket Maximum (includes Deductible, Coinsurance and Copays)
Associate $3,000 $6,000 $4,500 $9,000
Associate Plus $6,000 $12,000 $9,000 $18,000
WoodmenLife HSA or HRA Contributions
Associate $500 $1,000
Associate Plus $1,000 $2,000
Office Visit
Primary Care D/C D/C $30 Copay D/C
Specialist D/C D/C D/C D/C
Other Office Visit Services D/C D/C Included in Copay D/C
Preventive Care 100% D/C 100% D/C
Virtual Doctor D/C D/C $15 Fee D/C
Urgent and Emergency Care
Physician D/C D/C $55 Copay D/C
Other Urgent Care Services D/C D/C Included in Copay D/C
Emergency Care D/C Same as In-Network $175 Copay + D/C Same as In-Network
Prescription Drug Retail 30-day supply
Generic D/C In-Network + 25% $15 Copay In-Network + 25%
Formulary D/C In-Network + 25% 30%, $37.50 min to $150 max In-Network + 25%
Non-Formulary D/C In-Network + 25% 30%, $62.50 min to $250 max In-Network + 25%
Specialty D/C Not covered 30%, $75 min to $300 max Not covered
Prescription Drug Retail 90-day supply
Generic D/C Not covered $37.50 Copay Not covered
Formulary D/C Not covered 30%, $93.75 min to $375 max Not covered
Non-Formulary D/C Not covered 30%, $156.25 min to $625 max Not covered

View 2018 Compare HRA and HSA

Pre-Tax Premiums

Total health insurance cost, paid by you and WoodmenLife, is based on actual claims over the prior two years, projected claims, administrative expenses for the upcoming year, the plan and level of coverage you select, and your salary/earnings as of Sept. 30.

Managing Costs

Visit Nebraskablue.com online or with your mobile device or tablet to access details including:

  • Claims and benefts
  • Health care spending
  • Who’s covered
  • Medical cost estimates
  • Prescription Drug Tools

Benefits of an HSA

To help understand the benefits of a Health Savings Account, click here.

Traveling Abroad?

With your Blue Cross Blue Shield Nebraska health insurance, you have access to medical assistance services, doctors and hospitals around the world. Click here to search for doctors outside the U.S.

Preventive Care

Preventive care services are covered at 100% when they are obtained from a network provider, as long as no diagnosis is made. Click here for recommended preventive services. 

The services listed are general recommendations. Your doctor may recommend different frequency or timing based on your personal or family history

Tax Reporting

Click here for tax information related to health insurance.