Your Health

At FreshRealm, our comprehensive benefits program is designed to support every aspect of your well-being, ensuring you have the resources needed to thrive both personally and professionally.

Medical

Your health benefits are an important part of your compensation. Plus, they give you and your family access to health and wealth services through Cigna. All eligible employees can choose between the three comprehensive medical plans through Cigna:

  • Cigna PPO Plan
  • Cigna Premium HSA Plan
  • Cigna Basic HSA Plan

Note: When selecting a medical plan, you’ll want to consider whether you want to pay more out of your paycheck and less when you receive care or less out of your paycheck and more when you actually receive care.

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Find a Doctor

Our medical plans have contracted with a network of providers, including physicians, hospitals, and other types of providers. In order to receive the highest level of benefits and pay the least amount out of your pocket, you need to access care from the providers who have elected to be a part of the network.

You can access the Cigna provider directory online at Cigna.com. Check to make sure your providers are in the appropriate network to avoid costly out-of-network expenses later.

ID Card

ID cards will be mailed out 2-3 weeks after you enroll. Visit mycigna.com to register to download your ID card digitally.

Find a Doctor

Our medical plans have contracted with a network of providers, including physicians, hospitals, and other types of providers. In order to receive the highest level of benefits and pay the least amount out of your pocket, you need to access care from the providers who have elected to be a part of the network.

You can access the Cigna provider directory online at Cigna.com. Check to make sure your providers are in the appropriate network to avoid costly out-of-network expenses later.

Kaiser HMO Plan (California Residents Only)

Employees residing in California have the option to enroll in the Kaiser HMO Plan. For more information on the Kaiser plan and to find an in-network provider, visit kp.org.

Understand the Medical Plan Lingo

We know not everyone understands the lingo, so here are some important terms to know as you decide which medical plan to choose, as well as how to use it during the year:

  • Copay: A copay is the fixed amount you pay for a covered health care service (e.g., primary care physician office visit or emergency room visit).
  • Annual Deductible: Your annual deductible is the amount you pay for office visits, prescription drugs and other covered services before your plan begins sharing the cost.
  • Coinsurance: Coinsurance is the percentage you and your plan each pay when you’re sharing costs. Coinsurance kicks in after you meet your annual deductible.
  • Out-of-pocket maximum: The most you pay in a year for health care services is called the out-of-pocket maximum. After you reach the out-of-pocket maximum, the plan covers 100% of eligible services for the remainder of the plan year.

For a full overview of the medical plans and employee payroll deductions, view the Benefits Guide.

Prescription Drugs

Prescription drug coverage is embedded within each of our medical plan options.

How the Prescription Drug Tiers Differ

The amount you pay for a prescription drug is based on the type of drug you fill, whether it’s a generic, preferred brand, non-preferred brand or specialty. Here’s how the costs compare based on the tier of drug you fill:

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Tier 1 – Generic

Lowest Copay Option. Always consider tier one medications if you and your doctor decide they are right for your treatment.

Tier 2 – Preferred

Middle Copay Option. Consider tier two medications if you and your doctor decide there are no tier one options appropriate to treat your condition.

Ask your doctor if there are tier one alternatives or over-the-counter brands that are equivalent to tier two medications. They may be used to treat the same condition but are less expensive.

Tier 3 – Non-Preferred

Highest Copay Option. If you are currently taking a medication in tier three, ask your doctor whether there are tier one or two alternatives appropriate for your condition.

Compounded medications containing one or more ingredients that are prepared on-site by a pharmacist are classified at the tier three level, provided that the individual ingredients used in compounding are covered under the pharmacy benefit.

Tier 4 – Specialty

Coinsurance Option. These are typically high-cost drugs used to treat complex or chronic conditions. If you are prescribed a specialty medication, ask your doctor whether there are tier one, two or three alternatives that may be clinically appropriate and more cost-effective.

Dental

You have two dental plan options through Delta Dental: The Basic Plan and the Premium Plan. Although you can use an out-of-network dentist, you will save the most money out of your pocket by using Delta Dental dentists who have agreed to give you discounted rates. To see what dentists are in the network, call 1-888-335-8227 or visit deltadentalins.com.

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ID Card

You don’t need a Delta Dental ID card when you visit the dentist. Just provide your name, birth date and enrollee ID or Social Security number. Have dependents on your plan? They’ll need to use your details.

Still want an ID card? See the Benefits Guide at FreshRealmBenefits.com to learn more.

For an overview of the benefits provided under each plan and to see employee payroll deductions, see the Benefits Guide.

Vision

Whether you have glasses, contacts, or even 20/20 vision, FreshRealm offers a comprehensive vision benefit provided through EyeMed, administered by Cigna. Vision insurance is the key to maintaining good eye health, as annual exams may detect early warning signs of various health conditions. There are twplans available to you: The Basic Plan and the Premium Plan. To see what providers are in the network, call 1-888-353-2653 or visit myCigna.com.

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ID Card

Although an ID Card is available to you, you do not need an ID Card to receive services.

For an overview of the benefits provided under each plan and to see employee payroll deductions, see the Benefits Guide.

Supplemental Health Benefits

Accident, Critical Illness and Hospital Indemnity Insurance

FreshRealm offers Supplemental Health benefits through Prudential to fill any gaps in your medical coverage if you have a critical illness, accident or hospital stay, providing you with added financial protection.

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Critical Illness Insurance

Critical Illness Insurance provides extra financial protection by paying a lump sum directly to you if you are diagnosed with a covered condition, such as heart attack, cancer or stroke—this way, you can focus on getting better, rather than worrying about how to cover your bills. Coverage is portable and available to you, your spouse and child(ren) to pay for your treatment costs or everyday living expenses, like housekeeping services, special transportation services and day care.

Accident Insurance

Accident Insurance pays a lump sum directly to you, based on your accident, and you choose how to spend it. Whether you break a bone or experience a more serious injury, you can use the money for medical bills, monthly expenses and other bills that you may have while you recover.

Hospital Indemnity Insurance

Hospital Indemnity Insurance pays cash directly to you when you have a hospital stay, which you can use to help pay medical costs, or even pay for everyday expenses, like grocery bills or mortgage payments.

Visit prudential.com/mybenefits or call 1-877-507-4778 to learn more. For details on coverage and benefit amounts, see the Benefits Guide.

Ready to Enroll?

Visit the Enroll page and learn how to enroll with confidence—online, on the go, or with expert support. Whether you prefer using a computer, mobile app, or speaking with a benefits advisor, FreshRealm makes it easy to enroll.