Medical benefits

The Medical Plan provides high-quality coverage for enrolled employees and their eligible family members. It includes comprehensive benefits, including preventive care; hospital, medical/surgical, and behavioral health benefits; prescription drug coverage; and special features to improve your health and well-being. The following information is intended to help plan members understand and use their medical benefits.​

Alert: Benefits updates related to COVID-19

Read about updates to Medical Plan benefits in response to COVID-19.

Medical coverage options

Depending on the benefits offered by your employer, you may elect one of three medical coverage options. All three options cover the same types of medical care and treatment except where otherwise noted.

Preferred provider organization (PPO)

Exclusive provider organization (EPO)

High deductible health plan (HDHP), which may be offered with a health savings account (HSA)

Medical coverage special features

In addition to providing benefits when you’re sick or injured, medical coverage through the Board includes many features and resources to help you maintain and improve your health and well-being:   

Preventive care

Teladoc

Call to Health

Employee Assistance Program

Vision exam benefit

Centers of Excellence

Livongo for Diabetes Program

Medical care during international travel

Nicotine-free living     

Using medical coverage

You can get the most from your medical coverage by choosing network providers, using the emergency room only when appropriate, and getting advance approval, when required, for non-urgent hospital admissions and certain tests.

Locating network providers

Emergency care and urgent care

Precertification     

Case management     

How to enroll in medical coverage

You and your eligible family members may enroll in medical coverage when you first become eligible or during annual enrollment in the fall.

Enrolling for medical benefits

Medical costs

Member couples

Waving medical coverage

Continuing coverage after eligibility is lost

If your coverage under the Medical Plan is ending, you and/or your eligible family members may be able to extend your coverage for a limited time.

Medical continuation

Transitional participation coverage