New Journē Access Premier. A debt-free health plan built to be affordable for employers and simple for employees.
This practical PPO option pairs nationwide network choice with an integrated gap benefit fully administered by the TPA. When care is coordinated through the plan, the integrated gap is designed to offset deductible and coinsurance exposure up to the maximum out-of-pocket, reducing the member’s net out-of-pocket costs to $0. The plan also includes ConnectedCare support, digital ID cards, 24/7 care navigation, provider search, claim and accumulator visibility, and virtual care access.
| DeductibleIndividual / Family | $0 / $0 when offset by gap |
|---|---|
| CoinsuranceMember / Carrier | 30% / 70% |
| Out-of-Pocket MaxIndividual / Family | $0 / $0 when offset by gap |
| PCP Copay | $25 |
| Specialist Copay | $50 |
| Inpatient Hospitalization | 30% Coinsurance |
| Outpatient Facility | 30% Coinsurance |
| Emergency Room | $500 Copay |
| Urgent Care | $50 Copay |
| Laboratory | 30% Coinsurance |
| X-Ray | 30% Coinsurance |
| Imaging (MRI/CT) | 30% Coinsurance |
| Prescription CoverageGeneric / Preferred / Non-preferred | $0 / $35 / $75 copay |
| Specialty Drugs | $200 copay |
This summary is for illustrative purposes only. Benefits and rates are subject to plan terms, conditions, exclusions, and carrier policies.
Built from the ground up to be affordable for employers and simple for employees.
The plan has a $0 policy deductible and a $0 out-of-pocket maximum. The TPA fully administers its integrated gap benefit, which offsets deductible and coinsurance costs. When care is coordinated through the plan, employees can pay $0 out of pocket.
Members can use two of the largest provider networks in the country:
Affordable benefits drive employee morale, retention and recruiting. This plan was designed to deliver all three, and more.
Round out your program with dental, vision and life insurance, all from one source.
$0 out-of-pocket applies when care is coordinated through the plan. See plan documents for full terms.
Powered by ConnectedCare. Download the full plan benefit summary (PDF)
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