***********************************************
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.
If you have questions about our two medical plan options, contact Cigna at 877-601-3835 or visit mycigna.com.
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.
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:
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:
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.
This example shows coverage using Piedmont Preferred Network (Tier One) providers:
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.
This website is not inclusive of all situations and is provided for informational purposes only. It is not intended to be an official legal document. If there are conflicts between the website and IRS regulations, the member handbook, or the Summary Plan Description (SPD), IRS regulations, the member handbook, and the SPD will govern.
If you are a PRN employee, there is a separate Open Enrollment window to review and make changes to your current medical election. Please watch your email for information to come soon. If you have questions, contact the Piedmont HR Service Center at 678-503-1900.
Yes. MyHealth360 members (regardless of what medical plan they choose) can attend unlimited pre-diabetes and diabetes education classes and counseling sessions and three nutrition consultations per year—with all costs covered by the plan. A referral from your primary care physician is required.
In the Piedmont Choice + HRA Plan, you can:
For non-emergency care, get a virtual visit on your computer or smartphone from anywhere. You have 24/7 access to board-certified doctors for a copay. Also, get same-day care for minor injury or illness at all Piedmont-branded urgent care centers for a copay. Most locations are open seven days a week with extended hours.
Brand-Name – Example |
|
---|---|
One 90-day supply |
$350 |
Three refills (for a one-year supply) |
$600 (3 x $200) |
Total Costs |
$950 |
Generic – Example |
|
One 90-day supply filled through mail order or at Walgreens |
$0 |
Three refills (for a one-year supply) |
$0 |
Total Costs |
$0 |
Annual Savings |
$950 ($950–$0 = $950) |