Services + Costs
JRT has 3 benefit tiers.
Vital Care will send your claims to HMA and HMA will process them based on the criteria below. As always, if you have met your max out of pocket amount, the JRT Insurance Plan will cover your services at 100%.
Summary of Services Billed by Benefit Tier
Tier 3 = Buy-up Plan
- Office Visits: No Copay. Paid at 100%. Deductible waived.
- Urgent Care Visit: No Copay. Paid at 100%. Deductible waived.
- Flu Shots/Immunizations: Paid at 100%. Deductible waived.
- COVID-19 Testing/Vaccines: Paid at 100%. Deductible waived.
- X-rays: Paid at 80%. Deductible waived.
- Ultrasounds: Paid at 80%. Deductible waived.
- CT Scans: Paid at 80% after deductible is met.
Tier 2 = Mid Plan
- Office Visits: No Copay. Paid at 100%. Deductible waived.
- Urgent Care Visit: No Copay. Paid at 100%. Deductible waived.
- Flu Shots/Immunizations: Paid at 100%. Deductible waived.
- COVID-19 Testing/Vaccines: Paid at 100%. Deductible waived.
- X-rays: Paid at 70%. Deductible waived.
- Ultrasounds: Paid at 70%. Deductible waived.
- CT Scans: Paid at 70% after deductible is met.
Tier 1 = HDHP Plan
- Office Visits: Paid at 80% after deductible is met.
- Urgent Care Visit: Paid at 80% after deductible is met.
- Flu Shots/Immunizations: Paid at 100%. Deductible waived.
- COVID-19 Testing/Vaccines: Paid at 100%. Deductible waived.
- X-rays: Paid at 80%. Deductible waived.
- Ultrasounds: Paid at 80%. Deductible waived.
- CT Scans: Paid at 80% after deductible is met.