Surest Plan
[Administered by: UnitedHealthcare]
A plan that provides in-network coverage only and gives you predictable costs upfront, with flat copays for services and no deductible to meet before the plan begins to pay.
To support your health and financial wellness, Commvault provides valuable benefits that help you and your family stay healthy, and provide you with financial security by paying for care in the event of illness or injury.
Our benefits program includes medical plan options with a range of coverage levels and costs designed to meet the diverse needs of our Vaulters.
[Administered by: UnitedHealthcare]
A plan that provides in-network coverage only and gives you predictable costs upfront, with flat copays for services and no deductible to meet before the plan begins to pay.
[Administered by: UnitedHealthcare]
A consumer-driven health plan (CDHP) that puts you in charge of your spending with lower premiums and a higher deductible if you need care, compared to the Choice Plus Preferred and Choice Exclusive plans, and a tax-free Health Savings Account (HSA).
[Administered by: UnitedHealthcare]
A traditional Preferred Provider Organization (PPO) plan that has a lower deductible than the Choice Plus Savings Plan and gives you the flexibility to see an in-network or out-of-network provider.
[Administered by: UnitedHealthcare]
An Exclusive Provider Organization (EPO) plan with in-network coverage only through an exclusive network of providers and no annual deductible.
[Administered by: Kaiser Permanente]
Generally covers the same services as the other plans but is available from in-network providers only. Available in CA only.
All our medical plans provide:
that fulfills the requirements of the health care reform law.
with services such as annual physicals, recommended immunizations, and routine cancer screenings covered at 100%. See more covered preventive services.
included with each medical plan.
through annual out-of-pocket maximums that limit the amount you’ll pay each year.
Surest Plan (in-network benefits only) | Choice Plus Savings Plan | Choice Plus Preferred (PPO) Plan | Choice Exclusive (EPO) Plan (in-network benefits only) | Kaiser HMO (CA only) (in-network benefits only) | |
---|---|---|---|---|---|
HSA eligible | No | Yes | No | No | No |
Your costs | |||||
Preventive doctor’s visit | No cost to you when you see in-network providers — covered at 100% in-network | ||||
Individual/family deductible | No deductible |
In-network: $2,500/5,000
Out-of-network: $4,000/$8,000
|
In-network: $500/$1,000
Out-of-network: $1,000/$2,000
|
In-network: $250/$500
Out-of-network: N/A
|
In-network: $250/$500
Out-of-network: N/A
|
Individual/family out-of-pocket maximum | In-network: $3,000/$6,000 Out-of-network: N/A |
In-network: $4,000/$8,000
Out-of-network: $7,000/$14,000
|
In-network: $3,000/$6,000
Out-of-network: $6,000/$12,000
|
In-network: $3,000/$6,000
Out-of-network: N/A
|
In-network: $3,000/$6,000
Out-of-network: N/A
|
Your coinsurance | In-network: 0% Out-of-network: N/A |
In-network: 15% after deductible
Out-of-network: 40% after deductible
|
In-network: 15%
Out-of-network: 30%
|
In-network: 0%
Out-of-network: N/A
|
In-network: 15%
Out-of-network: N/A
|
Office visit | In-network: flat copays, providers with higher quality ratings have lower copays Out-of-network: N/A |
In-network: 15% after deductible
Out-of-network: 40% after deductible
|
In-network: $25 primary care; $50 specialist
Out-of-network: 30% after deductible
|
In-network: $20 primary care; $40 specialist
Out-of-network: N/A
|
In-network: $20 primary care; $20 specialist
Out-of-network: N/A
|
Emergency Room visit |
In-network: 15% after deductible
Out-of-network: 40% after deductible
|
In-network: $150 copay
Out-of-network: $150 copay
|
In-network: $150 copay
Out-of-network: N/A
|
In-network: 15% after deductible
Out-of-network: N/A
|
|
Inpatient Hospital |
In-network: 15% after deductible
Out-of-network: 40% after deductible
|
In-network: 15% after deductible Out-of-network: 30% after deductible
|
In-network: $300 copay
Out-of-network: N/A
|
In-network: 15% after deductible
Out-of-network: N/A
|
|
Outpatient Surgery |
In-network: 15% after deductible
Out-of-network: 40% after deductible
|
In-network: 15% after deductible Out-of-network: 30% after deductible
|
$150 copay |
In-network: 15% after deductible
Out-of-network: N/A
|
|
Retail prescriptions (your cost for a 30-day supply) | |||||
Generic | Flat copay that depends upon drug tier | 15% after deductible*** | $10 copay | $10 copay | $10 |
Preferred Brand | $35 copay | $35 copay | $30 | ||
Non-preferred Brand | $60 copay | $60 copay | 20% after deductible | ||
Mail order prescriptions (your cost for a 90-day supply) | |||||
Generic | Flat copay that depends upon drug tier | 15% after deductible*** | $20 copay | $20 copay | $20 |
Preferred Brand | $70 copay | $70 copay | $60 | ||
Non-preferred Brand | $120 copay | $120 copay | N/A |
*If you cover dependents, the entire family deductible must be met before the plan will begin to pay benefits.
**If you cover dependents, the entire family out-of-pocket maximum must be met before the plan will cover costs at 100% for the remainder of the calendar year.
***Deductible waived for certain preventive medications.
The Surest Plan is designed to offer you a simpler health care experience, with a focus on greater clarity around costs of care. This plan provides in-network coverage only and no deductible to meet before the plan begins to pay.
You pay nothing for in-network preventive care — it’s covered 100%.
Service | Your Copays |
---|---|
Preventive visit |
$0 |
Office visit |
$5 – $40 |
Virtual visit (primary & urgent) |
$0 |
Virtual visit (specialty) |
$0 – $40 |
Mental health office visit |
$5 |
Urgent care visit |
$20 |
Emergency room visit |
$180 |
Basic diagnostic lab tests, X-rays and ultrasounds |
$0 |
Physical therapy |
$5 – $25 |
Maternity labor and delivery |
$350 – $1,000 |
A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for health care. But, be sure to plan your FSA contributions carefully: you can only carry over up to $660 of unused money in your FSA to the next year; you will forfeit any remaining amount above $660.
Take advantage of these resources to manage your care and your costs.
The Choice Plus Savings Plan provides you with comprehensive medical coverage while giving you more control over how you spend your health care dollars. The Choice Plus Savings Plan also provides a tax-free Health Savings Account (HSA) to help you save for future expenses.
With the plan, you can choose any in-network or out-of-network provider each time you receive care. But keep in mind: You will generally receive higher benefits when you use in-network providers.
You pay nothing for in-network preventive care — it’s covered in full.
Use your HSA to budget for deductibles and other out-of-pocket expenses while also saving money – your HSA contributions are tax-free!
Take advantage of these resources to manage your care and your costs.
With the Choice Plus Savings Plan, you do not pay any premiums, but assume more financial responsibility when you receive care. So, it’s important to plan ahead for your out-of-pocket expenses. Here are some ideas to consider:
The Choice Plus Preferred (PPO) Plan offers lower out-of-pocket costs in exchange for the flexibility to see any provider and the highest paycheck contributions.
You can choose any in-network or out-of-network provider each time you receive care. But keep in mind: You will generally receive higher benefits when you use in-network providers.
You pay nothing for in-network preventive care — it’s covered 100%.
A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for health care. But, be sure to plan your FSA contributions carefully: you can only carry over up to $660 of unused money in your FSA to the next year; you will forfeit any remaining amount above $660.
Take advantage of these resources to manage your care and your costs.
The Choice Exclusive (EPO) Plan provides in-network coverage only and helps you save money through the discounted rates charged by network providers.
You pay nothing for in-network preventive care — it’s covered in full.
A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for health care. But, be sure to plan your FSA contributions carefully: you can only carry over up to $660 of unused money in your FSA to the next year; you will forfeit any remaining amount above $660.
Take advantage of these resources to manage your care and your costs.
Available to employees in California only, the Kaiser HMO (CA only) plan provides coverage only when you receive care from providers within the HMO network. Your primary care provider (PCP) will coordinate your care to help manage costs.
You pay nothing for in-network preventive care — it’s covered 100%.
A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for health care. But, be sure to plan your FSA contributions carefully: you can only carry over up to $660 of unused money in your FSA to the next year; you will forfeit any remaining amount above $660.
When you enroll in a Commvault medical plan, you automatically receive prescription drug benefits through CVS Caremark. Each prescription drug provider has a formulary, which is a list of both generic and brand-name medications that they cover. View the CVS formulary here.
The cost of your prescription drugs depends on the tier of the medication:
CVS Caremark helps you save time and money through programs like Maintenance Choice, which provides added convenience when filling your maintenance prescriptions. Maintenance drugs are prescriptions commonly used to treat chronic or long-term conditions, such as high blood pressure, asthma, and diabetes. You can obtain a 90-day supply in-person at a participating pharmacy or through CVS' Mail Order program. The choice is yours!
The cost of prescription drugs is rising faster than many other health care services and supplies. But, there are ways for you to save on your cost of prescriptions.
Specialty pharmacies provide medications that are used to treat certain complex conditions. CVS Specialty® makes it as easy as possible to get the specialty medication you need, where you need it. Get home delivery and your medication will arrive at your door, anywhere nationwide. Or pick it up at any CVS Pharmacy. Plus, you get personalized support from a dedicated team and access to helpful digital tools. Visit www.caremark.com/specialty to learn more.
Start or refill a mail order prescription, compare costs, and more.
Take advantage of these valuable resources to better manage your health and financial well-being.
Find a doctor, compare costs, manage claims and more.
Order or refill prescriptions, sign up for mail order, and more.
Seek medical advice from board-certified physicians who are available 24/7, 365 days a year to consult with you through live video right from your mobile device or computer. Virtual Visits physicians can provide fast, convenient diagnosis and treatment for many common conditions. Visit Virtual Visits to enroll or learn more.
The Level2 Specialty Care Program is available to support you or anyone age 18 or older on your UHC medical plan who is living with type 2 diabetes. With Level2, you’ll receive at no additional cost:
Visit mylevel2.com/care to learn more and get started.
No matter where you are on your reproductive and family health journey, Maven is here for you with 24/7 virtual access to top-rated fertility, maternity, pediatric, and menopausal care. If you enroll in a Commvault medical plan, you can take advantage of all Maven has to offer:
Activate your free membership by downloading the Maven Clinic app or visiting mavenclinic.com/join/getsupport.
All Vaulters who enroll in a Commvault medical plan will have access to UHC’s comprehensive Fertility Solutions program, regardless of a whether you have received a diagnosis of infertility. This program gives you access to support from a dedicated fertility nurse and licensed clinical social workers. This team of experts can offer clinical guidance and compassionate support to help you navigate complex treatment decisions, reduce financial and emotional stress, and reach your pregnancy goals with lower medical costs. Fertility Solutions also provides:
Considering adoption or surrogacy? At Commvault, we know families grow in all different ways – learn more about our adoption and surrogacy support program.
Vaulters and their family members who are enrolled in a UHC plan and managing a cancer diagnosis have access to UHC’s Cancer Support Program. The program connects you with a dedicated nurse, supported by an entire team of cancer experts to help you make informed decisions about your care. Cancer nurses can help you manage symptoms and side effects, assess pharmacy costs, provide assistance navigating the health care system, and more. The Cancer Support Program also makes it easy to find high-quality, cost-effective care with access to a Center of Excellence (COE) network of 37 top cancer centers across the country. To learn more, visit myuhc.phs.com/cancerprograms.
Genomic Life helps optimize your health – now, and in the future – based on your personal health, family history, and DNA. This voluntary benefit is designed to help catch disease early, inform choices, and tailor care so it works best for you. Learn more.
Calm Health provides tools to help support your mental health and well-being – all at your own pace. If you are enrolled in a Commvault UHC medical plan, you and your dependents have access to Calm Health’s library of mental health resources at no additional cost. You can find programs created by psychologists for common mental health challenges, physical conditions, or life experiences. You can also explore tools to help with mindfulness, anxiety support, stress management, better sleep, and more. Get started by logging in to your UHC account.
Sanvello provides on-demand treatment for stress, anxiety, and depression from the palm of your hand. With the Sanvello mobile app, you have access to clinically validated techniques for managing your emotional wellbeing. From daily mood tracking to coping tools for stressful situations and communities, Sanvello provides evidence-based help for managing stress, anxiety, and depression—and it’s completely free for you to use through your Commvault medical plan. Learn more.
Talkspace is a group of more than 5,000 licensed therapists that provide online therapy via video and a secure text platform. You can communicate with therapists via the Talkspace secure platform for the same cost as an in-network mental health visit. Learn more.
Get free, personalized assistance to help you navigate the health care system, from understanding claims to choosing providers and negotiating fees. Available to you and your family members, this service can save you time and money. Help is just a phone call away at 1-866-695-8622. Learn more at Health Advocate.
You can also access Real Appeal, a convenient online weight loss benefit that can help you learn simple steps for a healthier life. Most members lose an average of 10 pounds after completing only four sessions of the program. Participation in the program includes:
And the best part is that this program is free to you and your family members with your enrollment in Commvault’s medical plans.