Medical
Your well-being is a priority. Explore a range of medical plan options designed to give you the flexibility and coverage you need to make the best choice for yourself and your family.
Medical Coverage Options
At Samsung, we recognize the vital role of health in your well-being journey. We provide a selection of medical plan options and resources, partnering with you when selecting the coverage that best aligns with your needs.
You have four medical plans to choose from:
- UHC Base HSA Plan (HDHP)
- UHC Buy-up HSA Plan (HDHP)
- UHC Choice Plus Copay Plan (PPO)
- Kaiser HMO of California
Cost for coverage
You pay for medical coverage through paycheck contributions. The amount you pay depends on which plan you choose and who you cover.
Medical Bi-Weekly Contribution Rates
| Base HSA Plan (HDHP) | Buy-up HSA Plan (HDHP) | Choice Plus Copay Plan (PPO) | Kaiser (HMO) CA Only | |
|---|---|---|---|---|
| You only | $14.52 | $26.62 | $38.73 | $35.09 |
| You + Spouse | $25.41 | $38.72 | $67.76 | $66.55 |
| You + Child(ren) | $24.20 | $33.88 | $66.55 | $58.08 |
| You + Family | $27.83 | $50.82 | $93.17 | $104.06 |
The above medical rates don’t reflect the tobacco-user surcharge. If you or your spouse/domestic partner identify as using tobacco, a surcharge will be added to your bi-weekly medical premiums. This is a $20 surcharge for one tobacco user and $40 for two.
Learn how to get the surcharge waived by completing the Quit for Life Program.
Medical plan tobacco surcharge and support
If you or your spouse/domestic partner identify as using tobacco, a surcharge will be added to your bi-weekly medical premiums. This is a $20 surcharge for one tobacco user and $40 for two.
You can get the surcharge waived by completing the Quit for Life Program. This free, personalized program from Optum helps you quit tobacco. After you successfully complete the program, the surcharge will be waived for the rest of the year.
Understanding your medical plan
All the plans we offer include:
- In-network preventive care, such as annual well visits, certain screenings and vaccines, is covered at 100%
- Reduced rates for in-network providers
- A limit on out-of-pocket expenses you pay
- Behavioral health and substance-use services
- Prescription drug coverage
For non-preventive medical care and prescription drugs, the deductible is the amount you pay before the plan starts to pay.
Once you meet the deductible, the plan shares the cost of care with you. You’ll pay either a percentage of the cost (coinsurance) or a fixed-rate fee (copay). The amount of coinsurance and copays depends on the plan you choose and the care you receive.
The out-of-pocket maximum is the most you’ll pay for covered expenses each calendar year. Your deductible, coinsurance and copays count toward this amount. Once you reach the out-of-pocket maximum, the plan pays 100% of covered expenses for the rest of the calendar year.
You have separate deductibles and out-of-pocket maximums for in-network and out-of-network care.
Important notes about deductibles and out-of-pocket maximums
- Your deductible and out-of-pocket maximum reset each year on January 1. Out-of-pocket expenses you paid in the previous year don’t carry over, no matter when you enrolled.
- Any charges by an out-of-network provider or facility that are higher than the plan’s “covered expense” amount won’t count toward your deductible or out-of-pocket maximum. Your out-of-network provider or facility may bill you for the difference between what they charge and what your insurance pays.
How to enroll
You can enroll in medical insurance as a new hire, during Open Enrollment or if you experience a qualifying life event.
Visit MySamsungBenefits.com to enroll.
Compare medical plans
In-network vs. out-of-network
In-network services save you money with lower rates and makes getting care easier. Out-of-network services will cost more, and you’ll be responsible for any charges above what is considered an allowable charge.
All the UHC plans cover in- and out-of-network services. The Kaiser HMO plan covers in-network care only.
Compare medical plan costs
View a quick comparison of in-network and out-of-network costs for each plan in the chart below, or view plan details in the Summary of Benefits Coverage for each plan, found on MySamsungBenefits.com.
In-Network
|
UHC (In-network) |
UHC (In-network) |
UHC (In-network) |
Kaiser HMO of CA (in-network only) |
|---|---|---|---|
|
UHC (In-network) |
UHC (In-network) |
UHC (In-network) |
|
| Annual deductible – The amount you pay before the plan starts to pay. | |||
| You only | $2,200 | $1,700 | $350 |
| You + Family | $4,400 | $3,400 | $1,050 |
| Annual out-of-pocket maximum – The most you’ll pay out-of-pocket for care each plan year. This amount includes the annual deductible. | |||
| You only | $4,400 | $3,400 | $3,200 |
| You + Family | $8,800 | $6,500 | $7,000 |
| Health Savings Account (HSA) – Use the HSA to pay eligible medical, dental and vision expenses or save and invest the money. | |||
| Samsung’s contribution | |||
| You only | $500 | $750 | n/a |
| You + Family | $1,000 | $1,500 | n/a |
| Preventive care | |||
| Annual Routine Physical | Covered at 100% No copay or deductible |
Covered at 100% No copay or deductible |
Covered at 100% No copay or deductible |
|
Well-Woman Visit (OB/GYN) | |||
| Services | |||
| Office visits | You pay 20% after deductible |
You pay 20% after deductible |
$20 Copay |
| Specialty visits | $35 Copay | ||
| Hospital care | You pay 20% after deductible |
||
| Outpatient X-Rays and Lab | You pay 20% after deductible |
||
| Urgent Care | $30 Copay | ||
| Emergency Room Visit | $100 copay then you pay 20% (copay waived if admitted) | ||
Out-of-Network
|
UHC (out-of-network) |
UHC (out-of-network) |
UHC (out-of-network) |
Kaiser HMO of CA (out-of-network) |
|---|---|---|---|
|
UHC (out-of-network) |
UHC (out-of-network) |
UHC (out-of-network) |
|
| Annual deductible – The amount you pay before the plan starts to pay. | |||
| You only | $2,200 | $1,700 | $400 |
| You + Family | $4,400 | $3,400 | $1,200 |
| Annual out-of-pocket maximum – The most you’ll pay out-of-pocket for care each plan year. This amount includes the annual deductible. | |||
| You only | $8,000 | $6,000 | $5,000 |
| You + Family | $16,000 | $12,000 | $15,000 |
| Health Savings Account (HSA) – Use the HSA to pay eligible medical, dental and vision expenses or save and invest the money. | |||
| Samsung’s contribution | |||
| You only | $500 | $750 | n/a |
| You + Family | $1,000 | $1,500 | n/a |
| Preventive care | |||
| Annual Routine Physical | You pay 50% after deductible |
You pay 50% after deductible |
You pay 30% after deductible |
|
Well-Woman Visit (OB/GYN) | |||
| Services | |||
| Office visits | You pay 50% after deductible |
You pay 50% after deductible |
You pay 30% after deductible |
| Specialty visits | |||
| Hospital care | |||
| Outpatient X-Rays and Lab | |||
| Urgent Care | |||
| Emergency Room Visit | You pay 20% after deductible |
You pay 20% after deductible |
$100 copay then you pay 15% (copay waived if admitted) |
NOTE: Your medical plan options must offer certain preventive care benefits to you in-network without cost sharing and these preventive care benefits generally are updated annually. Review the Summary Plan Description (SPD) found on MySamsungBenefits.com for a list of preventive care services.
Contact
UHC
- myuhc.com
- English: 1-800-470-1642
- Plan#: 717584
Kaiser HMO
California
- English: 1-800-464-4000
- Plan#: 605540
View in the microsite here: https://yoursamsungbenefits.com/physical-health/medical/