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MEDICAL

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MEDICAL

Administered by Anthem Blue Cross & Blue Shield

Arhaus is committed to providing comprehensive medical & prescription drug coverage for you & your eligible dependents. You have the freedom to use the doctor or hospital of your choice. Our plan utilizes the Blue Access PPO network. When you choose a provider who participates in the Anthem national network, you reduce your out-of-pocket expenses & the cost to the Arhaus. To verify providers & access the online provider directory, go to www.anthem.com.

Anthem is the medical claims administrator. You may contact Anthem should you have benefit or claims questions by visiting www.anthem.com or calling (833) 639-1634.

In order to meet the diverse needs of each of our employees, we offer two medical plan options from which you may choose. Your premium is directly related to the Deductible/Out-of-Pocket option you choose. All Deductibles, Coinsurance & Copays (both Medical & Rx) will aggregate towards reaching your individual and/or family Out-of-Pocket Maximum.

Resources

PPO Plan SBC

HSA Plan SBC

Anthem Employee Guide

Alternatives to the ER

Cancer Support

Rx Home Delivery

BlueCard Worldwide

Estimate Your Cost Tool

LiveHealth Online

Preventive Care listing

Your Healthcare Summary

Anthem Affidavit of Domestic Partnership Form

Anthem WellBeing Solutions

Behavioral Health

Emotional Well-being Resources

Special Discounts

Special Offers Discounts

Sydney App Overview

Sydney Nutrition Tracker

Services	HSA	Core
Calendar Year Deductible: Single / Family	$3,200/$6,400	$750/$2,250
Coinsurance What you pay after your Deductible	0%	20%
Out-of-Pocket Maximum Single / Family	$3,650/$7,300	$5,000/$10,000
Office Visit Primary Care Physician (PCP) Specialist Live Health Online	0% after Deductible 0% after Deductible 0% after Deductible	$30 Copay $60 Copay $5 Copay
Emergency Room Visit	0% after Deductible	$250 Copay
Hospital Inpatient Services	0% after Deductible	20% after Deductible
Outpatient Surgical Services	0% after Deductible	20% after Deductible
Outpatient Lab & X-Ray	0% after Deductible	20% after Deductible
Prescription Drugs:	Integrated with Medical; Copays apply after Deductible	$100 Deductible, then Copays
Retail (30 day supply) Mail Order (90 day supply)	$10/$35/$70/25% $10/$88/$175/25%	$15/$50/50%/25% $30/$125/50%/25%

Employees who choose to enroll in the $3,200 HSA Plan & meet the IRS guidelines will be eligible to make a contribution to a Health Savings Account. Arhaus will also make a contribution to the HSA on behalf of the employee. See the Health Savings page for more info.

Note: Medical & Pharmacy expenses are subject to the same Out-of-Pocket Maximum.

*This is an illustration of In-Network benefits only. Additional details regarding coverage for non-network providers can be found in the SPD.

**This summary is intended to be a reference & is not a guarantee of benefits. Please consult your SPD or plan document for a more detailed benefit description & final confirmation of coverage.

Wellness Credits

See Wellness Credits tab for information on how to reduce your healthcare premiums!