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MyHealth360

For employees of former HCA entities, there is a dedicated page explaining your MyHealth360 benefits.

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MyHealth360 provides a comprehensive suite of health and wellbeing benefits including: two medical plans, prescription drug, dental and vision coverage, Flexible Spending Accounts (FSAs) and a Health Reimbursement Account (HRA). If eligible, you can select one of four coverage levels: Employee Only, Employee + Child(ren), Employee + Spouse/Domestic Partner or Family.

What to know

Piedmont Choice + HRA Medical Plan

In the Piedmont Choice + HRA Plan, your bi-weekly premiums are higher than the Piedmont Exclusive Plan because we’re offering you and your family more choice when it comes to providers and where you receive care.
Bi-Weekly Premiums for Coverage
MyHealth360 Medical Plan Coverage Summary
Summary of Benefits and Coverage (SBC)
Benefit Summary
Questions about our MyHealth360 medical plans?

If you have questions about our two medical plan options, contact Castlight at 855-545-5948 or email support@castlighthealth.com.

Provider Networks and Directories

The level of benefits you will receive depends on where you choose to receive care. In the Piedmont Choice + HRA Plan, you can choose to receive care in any of these three networks or tiers.

Piedmont Preferred Network (Tier One)

You will receive high-quality care at the most affordable price possible when you use Piedmont Preferred Network (Tier One) providers and services. This includes: All Piedmont Clinic physicians, Piedmont Healthcare facilities, Piedmont-branded urgent care centers, Children’s Healthcare of Atlanta (CHOA) facilities, The Children’s Health Network (TCHN) pediatricians, Kids First Health pediatricians, Middle Georgia Pediatrics, Primary Pediatrics and others, as well as emergency care.

To locate a provider, use one of the following options:

Note: Not all physician offices located on Piedmont campuses are in the Piedmont Clinic.

Cigna Open Access Plus (OAP) Network (Tier Two)

You will have higher out-of-pocket costs when seeing providers or receiving services at the Tier Two level, except for select services. Providers or facilities within the Cigna OAP Network include Emory, WellStar Health Systems and others.

To locate a provider, use one of the following options:

  • MyHealth360 members: Open the Castlight mobile app and select “Find Care.” If you do not have the mobile app, you can register online at mycastlight.com/piedmont.

 

Out-of-Network (Tier Three)

When you select an Out-of-Network (Tier Three) provider, you will incur the highest out-of-pocket expenses. Providers and facilities are those not included in Tier One or Tier Two.

Where can I get high-quality, low-cost care?—

Is support available for diabetes and nutrition issues?—

How the Piedmont Choice + HRA Plan Works

This example shows coverage using Piedmont Preferred Network (Tier One) providers:

What else should I know about the Piedmont Choice + HRA Plan?

Not sure which plan to choose? Scroll through these examples:

Meet William

Plan: Piedmont Exclusive Plan
Who’s Covered: Employee Only
Premium: $48.46 (full-time, bi-weekly)
Out-of-Network Coverage: Emergency Only
Deductible: $500 (Tier One: Piedmont Preferred Network)
Out-of-Pocket Maximum: $4,000 (Tier One: Piedmont Preferred Network)
HRA: None

Situation:

Since William’s doctor is in the Piedmont Preferred Network, the Piedmont Exclusive Plan offers lower costs across the board. William is on vacation and gets into an accident. His four-day, out-of-state hospital stay costs $900 in copays (emergencies are covered at the highest benefit level). William also needs a wheelchair for $800. He pays the $500 deductible (copays don’t count toward the deductible), and he and the plan split the remaining $300 (he pays 15% – $45).

Meet Martha

Plan: Piedmont Choice + HRA Plan
Who’s Covered: Employee + Spouse
Premium: $247.85 (full-time, bi-weekly)
Out-of-Network Coverage: Yes
Deductible: $8,550 (Tier Two: Cigna OAP Network)
Out-of-Pocket Maximum: $17,100 (Tier Two: Cigna OAP Network)
HRA: Earning points

Situation:

Martha is undergoing cancer treatment at Emory. She has seen the same doctor for two years, and she doesn’t want to switch. Martha chooses the Piedmont Choice + HRA Plan because she wants to continue receiving care from her cancer doctor, who is in the Cigna Open Access Plus (OAP) Network (Tier Two). Martha also wants to earn points that convert to HRA dollars to help fund her treatment. She knows that only the Piedmont Choice + HRA Plan allows her to earn HRA funding.

Meet Jill

Plan: Piedmont Exclusive Plan
Who’s Covered: Employee + Family
Premium: $254.77 (full-time, bi-weekly)
Out-of-Network Coverage: Emergency Only
Deductible: $1,000 (Tier One: Piedmont Preferred Network)
Out-of-Pocket Maximum: $6,850 (Tier One: Piedmont Preferred Network)
HRA: None

Situation:

Since the family’s doctors and pediatricians are in the Piedmont Preferred Network, the Piedmont Exclusive Plan offers lower costs across the board for Jill and her family, including most healthcare services being covered with copays. Even though Jill can’t earn HRA funds, she still participates in wellbeing activities to earn points and improve her wellbeing.

Prescription Drugs

Prescription drug coverage through Cigna is provided automatically when you enroll in one of Piedmont’s medical plan options. The coverage for your medications is the same regardless of the medical plan you choose.
When it comes to prescriptions, there are five easy guidelines to follow:
  1. Use generic drugs when you can. Be sure to ask your physician or pharmacist if a generic substitute is available—it could save you money!
  2. Take advantage of preventive medication at no cost to you. To help you maintain a steady treatment regimen, certain preventive medicines are paid at 100% with no deductible when you visit an in-network pharmacy. This includes many diabetes, cholesterol, blood pressure and other select medication categories.
  3. When you use the broad Cigna/Express Scripts network of retail pharmacies, including Piedmont pharmacies, Oconee Drugs, Walgreens, Kroger, and Walmart retail pharmacies, you can get a 90-day supply of your medication for just two times your 30-day copay amount.
  4. Consider using Cigna’s Home Delivery Pharmacy mail-order option for your maintenance medications—often at lower prices than at retail pharmacies. Review the Home Delivery FAQs for more details.
  5. Remember to explore drug options with your physician to avoid costly name-brand and specialty drug copays that may not be necessary. If you must use brand or specialty drugs, to help offset the cost, take advantage of manufacturer coupons and any available Health Reimbursement Account (HRA) funds.
Prescription Drug Coverage Summary
Prescription Drug Formulary
List of No-Cost Generic Medications
How the prescription drug deductible works:
  • You must meet a $150 (per member) annual deductible for brand-name prescriptions (preferred and non-preferred) before benefits begin.
  • This is a separate deductible from the medical plan deductible.
  • You will not need to meet this deductible for generic prescriptions.
  • You can use available HRA funds to offset your prescription costs.
Piedmont Direct Pharmacy

We now offer life-changing specialty pharmacy services designed to simplify every aspect of your care. From obtaining financial assistance, to navigating through your insurance benefits, coordinating with providers, and managing refills, Piedmont Specialty Pharmacy patient liaisons are ready to help you and your family.

Our team can answer and address insurance-related questions and conduct prior authorizations for complex, rare and chronic medical conditions that require specialized medication therapy.

For more information, visit Piedmont Direct Pharmacy, call 833-551-2024 (Monday through Friday, 8am – 4:30pm) or email piedmontdirect@piedmont.org.

Health Reimbursement Account (HRA)

Those enrolled in the Piedmont Choice + HRA Plan can earn points that convert to HRA dollars by completing specific wellbeing activities during the year. Then, use your HRA to pay for eligible out-of-pocket medical, dental, vision and prescription drug expenses for yourself and your eligible family members.
How the HRA works:
  • If you are enrolled in the Piedmont Choice + HRA Plan, as you complete wellbeing activities, you earn points that convert to dollars in your HRA (1,000 points = $100), up to the limits below:
    • If you elect Employee Only medical coverage in the Piedmont Choice + HRA Plan, you can earn up to $300 in your HRA in 2021.
    • If you elect Employee + Child(ren) medical coverage in the Piedmont Choice + HRA Plan, you can earn up to $600 in 2021 (Piedmont will match any points you earn up to $300).
    • For Employee + Spouse/Domestic Partner or Family medical coverage in the Piedmont Choice + HRA Plan, you and your covered spouse/partner can earn up to $600 combined in 2021 ($300 each).
HRA Support:
  • HRA Balance: Log in to your HealthEquity (WageWorks) account to view your HRA account balance.
  • Online: Use Piedmont’s online Knowledge Center to search by keyword for answers to all of your related questions. Or, visit healthequity.com/wageworks to chat with a live agent.
  • Call: HR Service Center, 678-503-1900 (Monday – Friday, 8:30 a.m. – 5 p.m.). Or, call WageWorks at 877-924-3967 (24 hours a day, 7 days a week).
Before You Enroll: HRA
Using Your HRA Guide

Other Benefits to Consider

Dental Coverage

Vision Coverage

Flexible Spending Accounts (FSAs)