MEDICAL
Your medical plan options
Banner Health offers three medical plan options through Banner|Aetna. All of Banner Health’s medical plan options offer three levels of coverage* based on the network you
choose, plus pharmacy benefits.
Banner Health Network coverage highlights are shown here. For complete plan details, click the buttons below.
Value Plan SBC
Premier Plan SBC
Choice Plan SBC
- Ask ALEX: myalex.com/bannerhealth
- MyHR|Workday: Use the search box or make a selection in the Benefits application
- MyBenefits Resource:
Center: 7 a.m. – 7 p.m. (MST),
Monday – Friday at 833-849-9825 - Banner|Aetna Concierge
Team: 855-788-5803
Embedded Deductible
The Banner Value Plan has a family deductible of $5,600, with an embedded deductible of $3,200 for plan year 2024. That means each of your dependents has his or her own individual deductible. Once somebody in the family meets his or her individual deductible, the plan will pay coinsurance for that person ONLY. Your family deductible is met when a combination of these individual deductibles reaches the family deductible amount.
For example, Vijay and his spouse Raji, are enrolled in the Value Family Plan. In April, Vijay reaches the embedded deductible amount of $3,200, so the plan begins to pay coinsurance for any additional claims he may have until the out-of-pocket maximum is met or the plan year ends. In September of the same year, Raji reaches the remaining deductible of $2,400 ($5,600-$3,200), so the plan begins paying coinsurance for her claims through the end of the plan year as well.
Understanding Network Tiers
You work for a health care organization, so it makes sense you’d get a discount on health care. Choosing Banner Health physicians, pharmacies and other facilities provides quality care for you and your family and supports the organization that supports you. Plus, you save money through lower copays or coinsurance. Here’s a look at the three levels of coverage available through the different network tiers.
» Banner Health Network: You will receive the most coverage at the lowest cost under the plan using the Banner Health Network with Banner Health providers.
» Aetna National Network: You can get care from Aetna network providers at a higher cost share than you would pay in the Banner Health Network. Wherever you are in the country, you’ll be able to find many excellent in-network options.
» Out of Network: You are free to go to any provider you choose, but if you choose a provider that is not contracted under the Banner Health or Aetna networks, your deductible and coinsurance will be higher, as these are out of network. Out-of-network claims are paid at a Medicare-based fee schedule.
Stay in Network to Avoid Balance Billing.
Out-of-network claims could expose you to balance billing, which is when a provider bills you for the difference between the provider’s charge and the allowed amount.