The Aqua Allowance: First-Dollar Health Coverage.
Each covered employee or family begins the year with an allowance: $500 (single) and $1,000 (family). This money can be used for all eligible medical expenses.
How it Works.
At the beginning of the plan year, there is a $500 (single) or $1000 (family) Aqua Allowance. This money may be used for any covered medical expense, for example – adult annual exams, x-rays, eye exams, lab tests, and physician office visits. (Pharmacy falls into another category).
Aqua Network of Providers.
You may use your Aqua Allowance for both in-network and out-of-network providers. (You get the most value for your dollar when you use in-network providers.)
Cost of Care.
When using your Aqua Allowance, you don’t pay any money out-of-pocket for routine or emergency care. If you have no on-going medical issues, you may use the Aqua Allowance for:
- Preventive care – routine physicals or health screening
- Urgent or emergency care – a sprained ankle.
- The following year – you can carry over up to $1000
The choice and the responsibility are yours.
Your health dollars will go further if you receive care within the large Aqua Network and take full advantage of the discounted rates that have been negotiated on your behalf, but you may choose to receive your care wherever you prefer.
Costs and Copays.
When using your Aqua Allowance, there are no copays or coinsurance for covered medical expenses.
In-network hospitalization is covered in full with no deductible so there are no large financial surprises. (Out-of-network hospitalization requires a 50% coinsurance and is subject to the deductible). Well-child visits also are covered in full.
Annual Plan Bonus.
The Aqua Allowance is an annual benefit that begins as soon as your plan starts. Unused Allowance money may be rolled over to the next year up to $500 (single) or $1000 (family). You might even roll over the full amount!
