TOWN OF CARY Benefits Handbook Page 10
Medical Insurance
MEDICAL – HIGH DEDUCTIBLE HEALTH PLAN (HDHP) OVERVIEW
The second option that is available is the Medical – High Deductible Health Plan (HDHP).
OVERVIEW
The Medical – High Deductible Health Plan (HDHP) covers preventive care services for free.
All other services are subject to the deductible and coinsurance. If you enroll in this plan,
you will pay the full cost of service until you've reached the deductible and out-of-pocket
maximum of $3,200 for an individual and $6,400 for family.
Once you've reached the deductible and out-of-pocket, the plan will then pay for covered
medical services at 100%, meaning you do not pay for services for the rest of the plan year.
The out-of-pocket maximum does include pharmacy costs.
When enrolling in the HDHP, you are eligible to enroll in Cary's new Health Savings Account
(HSA). Cary will contribute the $3,500 benefit into the HSA. Funds in the HSA can be used for
eligible expenses. Cary's contribution is available on July 1 or when the first payroll report is
transmitted. Employee contributions are available as deducted per paycheck. If you enroll
in the HDHP, you cannot enroll in the Voluntary Medical Flexible Spending Account (FSA).
CURRENT RATES PER PAYCHECK
If you enroll in the HDHP, below are the current rates per paycheck:
STANDARD RATE REWARD RATE
Employee Only
$67.47 $17.00
Employee + Spouse/Domestic Partner $169.97 $99.36
Employee + Child(ren) $137.01 $64.88
Employee + Family $230.69 $141.75
You can pay the Reward rate by completing the Healthy Rewards
Program. To
continue earning the reward rate in 2025, employees must complete an annual
physical with a primary care provider AND complete a dental exam with cleaning AND
submit the two forms (physician form and dental form) to WakeMed before December
15, 2024.
If you elect to cover a domestic partner, any amount/rate for the domestic partner and/or the
domestic partner's child(ren) will be paid post-tax and reflected as such on your paycheck.
HEALTH
SAVINGS
ACCOUNT
When you enroll in
the HDHP, you are
eligible for an HSA,
which is an employee
spending account that
has tax advantages
and investment
options, but also
spending limitations.
HELPFUL INFO
Benefits Videos
Blue Cross and Blue
Shield of NC (BCBSNC)
BCBSNC Provider Search
Healthy Rewards
Program
Out of Network
Claim Form
Preventive Care list
Waiver of Other
Coverage Form
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