Primary Care Plus Employee Benefits

Primary Care Plus offers a friendly work environment, competitive salaries and an excellent benefits package. Primary Care Plus is affiliated with Peoples Health, and some of the benefits are administered through Peoples Health. Medical coverage is offered through PHN Employee Plan.

All new employees receive extensive company and industry training, in addition to targeted education in their area of discipline.

Medical Coverage (PHN Employee Plan) Overview

Primary Care Plus offers broad-scale medical coverage to ensure that employee and their families have access to rich healthcare benefits. Employees may coordinate their healthcare within the network of PHN Employee Plan providers as well as with out-of-network providers. Employees may elect to cover their spouses or dependent children.

The plan covers:

  • Physician and specialist office visits
  • Hospitalization
  • Emergency room care
  • Urgent care
  • Diagnostic tests and X-rays
  • Prescription drugs
  • Maternity needs
  • Pediatric needs
  • Routine physical exams

Behavioral Health Coverage (PHN Employee Plan)

PHN Employee Plan also offers coverage for behavioral health services—these include therapy visits, hospital care, and treatment for depression and substance abuse. We work with Optum to provide these behavioral health services to PHN Employee Plan members. Optum’s network of providers (such as doctors and social workers) specialize in these services.

PHN Employee Plan members can find an Optum provider by:

  • Using the Optum online search
  • Calling Optum customer service toll-free at 1-877-566-7913, seven days a week, from 8 a.m. to 8 p.m. (TTY users may call 711)

Optum customer service can also answer questions you have about your behavioral health benefit through PHN Employee Plan.


PHN Employee Plan Documents

2018 Summary of Benefits and Coverage – Explains PHN Employee Plan coverage levels and costs when accessing health services and filling prescriptions.
Download 2018 Summary of Benefits and Coverage PDF

Plan Document and Summary Plan Description and Amendments – Information about plan benefits, membership, covered and non-covered services, and other important plan details. Includes amendments that explain changes in coverage effective June 1, 2017, and January 1, 2018. The main part of the Plan Document and Summary Plan Description remains unchanged from year to year and changes are made through amendments, which are at the beginning of the plan document. The amendments modify the terms of the plan document. Reference these amendments when using the plan document to confirm coverage information.
Download 2018 Plan Document and Summary Plan Description PDF

Vision Coverage
Lincoln Financial Group provides coverage for routine eye examinations, eyeglasses frames and lenses, contacts, and laser vision surgery. Employees may also elect to cover their spouse or dependent children.

Dental Coverage
The Standard provides dental coverage, from routine cleanings to extensive procedures. Employees may elect to provide coverage for their spouse or dependent children.

Employee Assistance Program
An employee assistance program is a counseling service to help improve the personal and professional life of employees and their eligible dependents who may be experiencing personal or work-related problems. These services are provided at no cost.

Life Insurance
Employees are automatically enrolled in basic life insurance with coverage equal to one times their annual earnings rounded to the next highest $1,000, up to a maximum of $200,000. This includes accidental death and dismemberment coverage. The life insurance is provided through Lincoln Financial Group at no cost to employees.

Life Insurance Supplemental
Employees may elect supplemental term life insurance for themselves in $10,000 increments up to $120,000. They can also elect coverage for their spouse in multiples of $5,000, up to $60,000, and a minimum of $10,000 for each dependent child. This insurance is provided through Lincoln Financial Group.

Long-Term and Short-Term Disability Insurance
All full-time and part-time employees are automatically enrolled in long-term disabilityinsurance, which is provided at no cost to employees. Eligible employees will be paid 66 2/3 percent of the first $9,000 of monthly pre-disability earnings, reduced by deductible income (e.g., work earnings, workers’ compensation, state disability, etc.), up to $6,000 per month, in the event the employee is unable to work due to a long-term disability. This insurance is provided through Lincoln Financial Group.

Short-term disability is a supplemental insurance policy that provides up to 11 weeks of income replacement in the event an employee is unable to work due to a disability. It is equivalent to 60 percent of the first $1,250 of their weekly insured pre-disability earnings, reduced by deductible income, with a plan maximum benefit up to $750 per week. This insurance is provided through Lincoln Financial Group.

Medical and Dependent Care Flexible Spending Accounts
Flexible spending accounts provide the opportunity to contribute money on a pre-tax basis that can be used to pay for medical or dependent care expenses. Flexible spending accounts are administered by Gilsbar.

Accident Insurance, Critical Illness Insurance and Cancer Insurance Products
Allstate policies for accident insurance, critical illness insurance and cancer insurance provide the financial assistance to help employees get back on their feet if faced with expensive medical treatments or economic hardship due to a loss of income. Employees may elect to cover their spouses or dependent children through any policy.

 

401(k) Plan
A 401(k) plan through Merrill Lynch helps employees plan for a financially stable retirement.

The company will match employee contributions dollar for dollar, up to 5 percent of their bi-weekly salary, for employees who have been with the company for one year.

Download 401(k) Summary Plan Description PDF – An overview of 401(k) plan administration, including details about contributions and distributions.

Download Summary of Material Modifications to Summary Plan Description PDF  – A summary of changes to the Summary Plan Description (this document is a companion piece to the Summary Plan Description).

529 College Savings Plan
A 529 college savings plan is designed to encourage saving for future college costs. The savings plan is offered through the Louisiana START Saving program.

Handling your health with care.