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2027

WEBTPA EHN NETWORK ONLY

More detailed information about your WEBTPA EHN NETWORK ONLY plan offering.

WEBTPA EHN NETWORK ONLY

Plan Details

Carrier
WebTPA
Network
EHN
Out-of-Network Coverage
No

Monthly Contributions

Coverage Tier
Employee Only
MONTHLY CONTRIBUTIONS
$151.00
Coverage Tier
Employee + Spouse
MONTHLY CONTRIBUTIONS
$448.00
Coverage Tier
Employee + Child(Ren)
MONTHLY CONTRIBUTIONS
$400.00
Coverage Tier
Employee + Family
MONTHLY CONTRIBUTIONS
$727.00

Covered Services

Services
Calendar Year Deductible - Individual
IN-NETWORK ONLY
$1,500
Services
Calendar Year Deductible - Family
IN-NETWORK ONLY
$3,000
Services
Coinsurance (Plan Pays)
IN-NETWORK ONLY
80%
Services
Calendar Year Out-Of-Pocket Maximum (Includes Deductible And Medical And Rx Copays) - Individual
IN-NETWORK ONLY
$5,000
Services
Calendar Year Out-Of-Pocket Maximum (Includes Deductible And Medical And Rx Copays) - Family
IN-NETWORK ONLY
$10,000
Services
Preventive Care
IN-NETWORK ONLY
No charge
Services
Primary Care
IN-NETWORK ONLY
$5
Services
Specialist Services
IN-NETWORK ONLY
$50
Services
Urgent Care
IN-NETWORK ONLY
$100
Services
Diagnostic Care
IN-NETWORK ONLY
20%*
Services
Medical Transportation
IN-NETWORK ONLY
20%*
Services
Emergency Room
IN-NETWORK ONLY
$250 Copay + 20%
  • *After Deductible

Pharmacy Benefits

Tier
Generic
IN-NETWORK ONLY
$5
Tier
Preferred
IN-NETWORK ONLY
$50
Tier
Non-Preferred
IN-NETWORK ONLY
$100
Tier
Specialty Rx
IN-NETWORK ONLY
$100
  • **90-day supply through mail order is available at 2.5x the retail copay for the EHN Network Only Plan

Plan Notes

  • New for 2027: For employees in the EHN Zip codes of Texas, you have the option of selecting the EHN Network only plan administered by Web TPA.
  • For EHN Network Only there are NO Out-of-Network Benefits or benefits provided outside of the service area.
  • 90-day supply through mail order is available at 2.5x the retail copay for the EHN Network Only Plan.

OneImaging

  • Within the WebTPA medical plans there are caps on imaging services. To help you control your costs and ensure quality outcomes, you have access to OneImaging.
  • OneImaging partners are all ACR accredited facilities with Board certified radiologists.
  • Concierge-based navigation covers the entire radiology journey, helping you access high quality and affordable MRI, CT scans, x-rays, ultrasounds, and mammograms.
  • Navigation assists with appointment scheduling and communication between referring providers, imaging centers, and the health plan.
  • More information is available through the WebTPA Health Hub.

Vida

  • Employees and dependents enrolled in a WebTPA plan have access to Vida Health, a Pre-Diabetes program that helps those struggling with their metabolic health and assigns a care team of registered dietitians and health coaches.
  • Remote monitoring for weight and activity tracking.
  • Self-directed CBTs to help develop skills for lasting behavioral change.
  • Nutritional coaching.
  • To access Vida, call the WebTPA Health Hub to see if you may be a candidate or go to their website. More information will be available on Club Hub.

Lantern Surgery Care – A Concierge Surgery Network

  • Lantern is a supplemental benefit available at no additional cost to members enrolled in a WebTPA medical plan. Lantern offers high-quality surgeons at a lower cost for non-emergency, pre-planned surgical procedures.
  • Lantern is the exclusive source of coverage for planned bariatric, joint replacement and spine surgeries; you are required to use the Lantern network for these procedures.
  • Optional categories include, but are not limited to, orthopedics, general surgery, ENT, GYN, GI, pain management and some cardiac procedures.
  • If you have a pre-planned surgery and utilize Lantern, ACE will waive your deductible and coinsurance.
  • A dedicated Care Advocate manages the entire process, including scheduling appointments, transferring medical records and arranging all logistics.
  • Contact Lantern at 855-200-2106 or visit my.lanterncare.com.

Lantern Cancer Care

  • If you ever need cancer care, Lantern is here to light your path. Lantern provides personalized guidance and support throughout the cancer journey. Their expert support team will help you or a loved one navigate the path ahead, connecting you with the best providers while coordinating care along the way.
  • An experience with you at the center: Lantern is here to answer your questions and ensure that you understand the path ahead and that you have confidence in your team and treatment plan. They put the patient and their loved ones at the center of care, as they believe that a better more compassionate experience leads to better outcomes.
  • Guided Support: Your personal Oncology Nurse Navigator-led team will be with you every step of the journey, coordinating appointments, explaining treatment information, and answering questions.
  • Accessing Excellent Care: Connect with the best in-network community oncology clinics, hospitals, and National Cancer Institutes for high-quality care as close to home as possible.
  • Expert Review & Advice: The team will assist in coordinating the expert review of members’ diagnoses and treatment plans, recommending second opinions and referrals as needed.
  • Eligibility: For those enrolled in the WebTPA plans only.
  • Call Lantern’s Cancer Care navigators to learn more at 855-204-3923 or email guide@lanterncare.com.

Hinge Health

  • Hinge Health helps you conquer back and joint pain, recover from injuries, prepare for surgery, or stay healthy and pain-free. Best of all, Hinge Health’s programs are provided at no cost to you and your eligible dependents (over age 19) enrolled in the WebTPA medical plans.
  • What’s Included: Hinge Health provides all the tools you need to get moving again from the comfort of your home.
  • Get a personal care team, including a physical therapist and health coach
  • Schedule personal physical therapy sessions as needed
  • Receive wearable sensors that give live feedback on your form in the app
  • Get a second opinion on your recommended surgery and treatment plan
  • Staying Healthy: If you don’t have pain and are just looking to stay healthy, you can sign up for their free app. Recommended exercises will be tailored to you based on your job and lifestyle.
  • Eligibility: For those enrolled in the WebTPA plans only.
  • Cost: no cost to you and your eligible dependents (over age 19)
  • For questions, you can call Hinge Health at 855-902-2777 or send an email to hello@hingehealth.com.

Amazon One Medical

  • If you are enrolled in a WebTPA Plan, ACE is excited to offer you and your enrolled dependents unlimited on demand through Amazon One Medical. They offer 24/7 on-demand virtual care at no extra cost to you. In addition, if you live near an Amazon One Medical location, you now have access to their providers, within our networks if you would like to use them as your primary care doctor.
  • Immediate Help Includes: From the app on your phone, you can have immediate help including prescriptions for ailments such as:
  • COVID-19, colds, and the flu
  • Allergies
  • Stomach bugs
  • Vomiting
  • Headaches
  • Injuries
  • Urinary tract infections
  • Contraception
  • Yeast infections
  • Skin issues
  • Minor cuts
  • Eye issues
  • Eligibility: For those enrolled in the WebTPA plans only.
  • Virtual on-demand care through Amazon One Medical is available at no cost to you. In-person visits at an Amazon One Medical location may be subject to your plan’s cost share. We encourage you to check with their providers before going to an urgent care or convenience care clinic, as it could save you money. More information will be available after January 1st on Club Hub or to your email on file with Alight.
  • www.onemedical.com