Medical and RX

Medical Plans

You have a few plans to choose from, depending where you live:

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Anthem Health Savings Account (HSA) Plan:

  • Lowest contributions of all Anthem options.
  • You may use any provider, but you'll pay less when you visit in-network providers.
  • In-network preventive care covered at 100%.
  • Preventive generic drugs covered at 100%.
  • Deductibles for medical and prescription drugs are combined and must be met before pharmacy coinsurance and copays apply.
  • Highest deductible, but offset by HSA funded by Symantec and you.
  • “Collective” deductible, which means that all family members contribute toward the family deductible. The plan cannot pay an individual's claims until the total family deductible has been met, even if he or she has met the individual deductible.
  • Fertility benefits.
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Anthem PPO Plan:

  • You may use any provider, but you’ll pay less when you visit in-network providers.
  • In-network preventive care covered at 100%.
  • Preventive generic drugs covered at 100%
  • Lowest in-network deductible of the Anthem options
  • “Individual” deductible, meaning that after each family member meets his or her individual deductible, covered expenses for that family member will be paid based on the coinsurance level specified by the plan
  • Fertility Benefits
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Anthem PPO 500 Plan (for employees in AZ, MA, NH only):

  • You may use any provider, but you’ll pay less when you visit in-network providers.
  • In-network preventive care covered at 100%.
  • Preventive generic drugs covered at 100%.
  • Lowest in-network deductible of the Anthem options.
  • “Individual” deductible, meaning that after each family member meets his or her individual deductible, covered expenses for that family member will be paid based on the coinsurance level specified by the plan.
  • Fertility benefits.
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Kaiser CA HMO (CA employees only):

  • You must use Kaiser doctors and facilities.
  • In-network preventive care covered at 100%.
  • No deductible.
  • Lowest annual out-of-pocket maximum.
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Kaiser Mid-Atlantic HMO (for employees in MD, VA, DC only):

  • You must use Kaiser doctors and facilities.
  • In-network preventive care covered at 100%.
  • No deductible.
  • Lowest annual out-of-pocket maximum.

Your deductible is the amount you must pay for medical care before your plan starts to pay benefits. Once you meet your deductible amount, your plan will pay for a share of your medical expenses.

  Anthem HSA Anthem PPO Anthem PPO 500 Kaiser
  In Network Out of Network In Network Out of Network In Network Out of Network In Network Only
Deductible      

 

 

No deductible

Employee $1500 $350 $1,050 $500 $1,500
Employee + Spouse/DP $3,000 $700 $2,100 $1000 $3,000
Employee + Child(ren) $3,000 $700 $2,100 $1,000 $3,000
Family $4,500 $1,050 3,150 1,500 4,500

Note: For the HSA plan, you must meet your calendar-year deductible before pharmacy co-insurance and copays apply.


Out-of-Pocket Maximums

The highest amount you have to pay during the year is the out-of-pocket maximum. The plan pays 100% once you reach your out-of-pocket maximum.

  Anthem HSA Anthem PPO Anthem PPO 500 Kaiser
  In Network Out of Network In Network Out of Network In Network Out of Network In Network Only
Employee $2,500 $4,500 $2,500 $5,350 $2,500 $4,500

 

$1,500/employee

$3,000/employee + family

Employee + Spouse/DP $5,000 $7,500 $5,000 $10,700 $5,000 $7,500
Employee + Child(ren) $5,000 $7,500 $5,000 $10,700 $5,000 $7,500
Family $6,850 $10,500 $7,500 $16,050 $7,500 $10,500

For a detailed, side-by-side comparison of coverage among the plans, review your 2019 Benefits Plan Comparison Chart

Look It Up! : Want to know what terms like deductible or coinsurance mean? See the Glossary

  • Amounts shown are deducted from your paycheck on a pre-tax basis (excluding contributions made for a domestic partner and/or a partner’s children).
  • Items that will impact how much comes out of your paycheck:
  • If you or your spouse/domestic partner uses tobacco products (e.g., cigarettes, e-cigarettes, pipes, cigars, and smokeless tobacco, also known as chew, dip, or snuff), your medical plan premium will be higher by $50 per pay period (employee-only or spouse/domestic partner-only) or $100/pay period (employee + spouse/domestic partner). You and your spouse/domestic partner will need to self-identify as a tobacco user during the online enrollment process.
  • You will be asked to confirm if your spouse/domestic partner has access to medical coverage through his/her employer. If he/she does and you elect to cover him/her on the Symantec plan, an additional $50 per month will be added to your paycheck contributions for your medical plan coverage.

  Anthem HSA Anthem PPO Anthem PPO 500 Kaiser
  Per Pay Period Per Pay period Per Pay period  Per Pay Period
Employee $17.50 $32.50 $40.50 $23.00
Employee + Spouse/DP $92.50 $132.50 $114.50 AZ
$148.00 MA/NH
$119.50
Employee + child(ren) $43.50 $81.00 $93.00 $57.50
Family $168.00 $227.50 $165.00 AZ
$250.00 MA/NH
$192.00

 

Collective Health is our medical plan partner, providing you with personalized, concierge-level service for your Anthem network plans. Our prescription drug, dental and vision coverage is also be integrated within the innovative, leading-edge technology platform that Collective Health manages.

Think of Collective Health as your one-stop shop for all your medical, prescription drug, dental, and vision coverage needs:

  • Online: Your personalized Collective Health web account makes it easy for you to track spending, find doctors, and better understand your plan.
  • Mobile: Collective Health’s mobile app makes it easy to manage your health benefits on the go.
  • Member Advocates: When you just need a real person, Collective Health's Member Advocate team is there for you by email, call, or chat.

Continuing Your Care in Anthem’s network in the middle of medical treatment? There are two ways your care can be transferred/may be continued through your current provider:

  1. Transition of Care (TOC) – the process of Anthem obtaining a listing of employees from Cigna who are currently in treatment for certain defined conditions that were being case managed by Cigna and active pre-certification approvals to ensure the members’ care is not interrupted.
  2. Continuation of Care (COC) – the temporary approval for certain services rendered by an out-of-network provider to be paid at the in-network level of benefits when a new member is first enrolled onto Anthem’s plan and either needs to finish the treatment plan with the current provider (example is pregnancy) or needs to move their care to a participating provider.  Please review the Continuation of Care Form for additional details.

If you have any questions about continuing you care, contact Collective Health, our medical plan partner per the information below.

Need help understanding our Anthem plans? Contact Collective Health, our medical plan partner.

What is it?

The HSA is a personal savings account in your name that helps you accumulate tax-free money to pay for qualified health care expenses. You can only contribute to an HSA if you enroll in the Anthem HSA medical plan.  It works like this:

  1. When you enroll in the Anthem HSA medical plan, an account (similar to a bank account) will automatically be opened for you with Health Equity, which has more than two million members and provides best-in-class HSA services.
  2. Symantec contributes funds to your HSA at the beginning of the year
  3. You may also choose to contribute your own pre-tax money to your HSA during the Open Enrollment process or make changes any time throughout the year, so you save on income taxes.
    Note: Please do not click on the REMOVE button during the enrollment process when you are in the HSA amount election page.  This will remove both your contributions as well as Symantec’s contribution.
  4. You can choose to use your HSA balance to pay eligible health care expenses during the year, like your annual deductible or coinsurance, or save for your future retirement. For a complete list of qualified medical expenses, visit https://dpath.com/hsa-eligible-expenses/  Or, you can rollover your balance to build a savings account for future health care expenses.

  • Must be covered ONLY by an HSA-qualified health plan (such as the Anthem HSA Medical Plan).  Other health coverage (other traditional health plans or Medicare) may disqualify you.
  • Cannot have a full purpose FSA (including through a spouse)
  • Not be claimed as a dependent on someone else’s tax return

  2019 IRS HSA Contribution Limit Symantec's contribution You can contribute up to this much to your HSA
Employee $3,500 $500 $3,000
Employee + Spouse/DP $7,000 $1,000 $6,000
Employee + Child(ren) $7,000 $1,000 $6,000
Family $7,000 $1,500 $6,000

Note that both your and Symantec’s contributions count toward the annual limit. The money in your HSA always belongs to you—even if you change to a different medical plan in the future or leave the Company.

  1. Pay less. The HSA medical plan has the lowest premium, which means less out of your paycheck to participate in this medical plan.
  2. Triple-tax advantage. With an HSA, you save on taxes in three ways:
  • You may have money automatically deducted from your paycheck and deposited into your HSA on a before-tax basis, so you save on income taxes. And if you’re age 55 or older, you may contribute an additional $1,000 annually as a “catch-up” contribution.
  • Any interest or earnings on your money build tax-free.*
  • You can withdraw the money tax-free to pay for eligible health expenses.*

*Money in an HSA grows tax-free and can be withdrawn tax-free as long as it is used to pay for qualified health-related expenses (a list of eligible expenses can be found in IRS Publication 502, available at www.irs.gov). If money is used for ineligible expenses, you will pay ordinary income tax on the amount withdrawn in addition to a 20% penalty if you are under age 65.

  • HSA funds roll over. Any unused funds in your HSA roll over year after year, and you can take your HSA with you if you retire or leave Symantec.


How do I access my HSA funds?

Learn More About the HSA: Watch a short video that explains how the HSA works

Once enrolled, you’ll be able to sign up for your Collective Health member portal.  Once you log in, you’ll find a direct link to Health Equity’s website which allows you to manage your funds. http://www.healthequity.com/  or 1-866-346-5800

Have questions?

Contact Health Equity at http://www.healthequity.com/ or 1-866-346-5800

LiveHealth Online

If you are enrolled in an Anthem medical plan, you have access to virtual doctor visits through LiveHealth Online. The service can help when you can’t make it to the doctor and have something relatively simple to address, like a sinus infection or pink eye. LiveHealth Online gives you on-demand access to a national network of Board-Certified Doctors who are available 24/7, 365 days a year. Keep in mind that this is meant to be an additional resource for supporting your health and does not replace your existing doctors.

Through an online video chat, a doctor can diagnose conditions, recommend treatments, and prescribe medication for you and any of your enrolled dependents. To learn more about this benefit or how to register, you can reach out to Anthem directly. Call them at 1-888-548-3432, or visit livehealthonline.com.

Fertility Benefits

Progyny is our center of excellence provider for fertility benefits through all of our Anthem medical plans. Progyny provides access to the most innovative treatments, combined with personalized service, to help you grow your family. Progyny will coordinate with our Collective Health medical plan for medical and prescription fertility coverage.

To access a Progyny patient care advocate, call 833.838.5852 Monday – Friday, 6am-6pm PST. For additional information:

Crossover Health Near Site Clinic (Mountain View, CA only)

If you’re located in Mountain View and a member of an Anthem medical plan, you and your enrolled dependents (including adult dependents over age 18) have access to four health centers operated by Crossover Health. The closest one is only 2.8 miles from Symantec’s Mountain View offices.  If you don’t want to drive there, you can get a free Lyft ride to your appointment!  You will automatically get a code from your appointment confirmation.

Crossover Health provides you with a concierge experience, with services including:

  • MD-led primary and urgent care
  • Physical therapy
  • Chiropractic & Acupuncture
  • Lab and prepackaged Rx
  • Behavioral health
  • Vision
  • Health coaching – FREE!
  • Pre-travel consult and immunizations
  • Psychology and dermatological services

All services follow the cost share structure of your medical plan. For more information, review your 2019 Benefits Plan Comparison Chart

Need more information? You can go to http://www.crossoverhealth.com/ or reach out to Crossover at 1-650-772-6131.

 

Prescription Drug Coverage – Your Symantec medical plan options offer both retail and mail-order prescription drug coverage.

 

Anthem HSA Medical Plan

Anthem PPO Plan

Anthem PPO 500 (AZ, MA NH Only)

Kaiser CA HMO

Kaiser Mid-Atlantic HMO (MD, VA, DC)

Deductibles

HSA Plan: Deductible must be met before co-insurance/copay apply

Deductible does not need to be met before pharmacy co-insurance/copay apply

 

Deductible does not need to be met before pharmacy co-insurance/copay apply

No deductible

Retail

Maintenance medications may be filled at a Retail pharmacy up to three times (30-day supply). After that, to avoid paying 100% of the cost, you must fill a 90-day supply of your maintenance medications at a preferred Smart90 network pharmacy.

Not applicable

Generic

You pay $10 (30-day supply)

Preventive generic drugs covered at 100%

You pay $10 (30-day supply)

Preventive generic drugs covered at 100%

You pay $10 (30-day supply)

Preventive generic drugs covered at 100%

You pay $10 (30-day supply)

Preferred Brand Name

You pay 20% co-insurance (30-day supply)

(maximum you pay is $50)

You pay 25% co-insurance (30-day supply)

(maximum you pay is $80)

You pay 25% co-insurance (30-day supply)

(maximum you pay is $80)

You pay $30 / prescription (30- day supply)

Non-Preferred Brand Name

You pay 30% co-insurance (30-day supply)

(maximum you pay is $100)

You pay 35% co-insurance (30-day supply)

(maximum you pay is $120)

You pay 35% co-insurance (30-day supply)

(maximum you pay is $120)

You pay $30 / prescription (30- day supply)

Specialty

You pay $35 (30-day supply)

You pay $45 (30-day supply)

You pay $45 (30-day supply)

Not Applicable

Mail Order

Maintenance medications may be filled in a 90-day supply through home delivery from the Express Scripts Pharmacy or at a CVS retail pharmacy in the Smart90 network using a 90-day prescription from your doctor.

Not Applicable

Generic

You pay $20 (90-day supply)

Preventive generic drugs filled through Home Delivery Pharmacy Service are covered at 100%

You pay $20 (90-day supply)

Preventive generic drugs filled through Home Delivery Pharmacy Service are covered at 100%

You pay $20 (90-day supply)

Preventive generic drugs filled through Home Delivery Pharmacy Service are covered at 100%

You pay $20

(CA: 100-day supply)

(Mid-Atlantic: 90-day supply)

Preferred Brand Name

You pay $60 (90-day supply)

You pay $75 (90-day supply)

You pay $75 (90-day supply)

You pay $60

(CA: 100-day supply)

(Mid-Atlantic: 90-day supply)

Non-Preferred Brand Name

You pay $130 (90-day supply)

You pay $150 (90-day supply)

You pay $150 (90-day supply)

Not applicable

Specialty

You pay $35 (30-day supply), $45 (60-day supply), or $55 (90-day supply)

You pay $45 (30-day supply), $55 (60-day supply), or $65 (90-day supply)

You pay $45(30-day supply), $55 (60-day supply), or $65 (90-day supply)

Not applicable

 

 

For detailed information about your prescription drug benefits and costs, review your 2019 Benefits Plan Comparison Chart

Express Scripts Pharmacy Benefits

Express Scripts is our prescriptions partner if you enroll in an Anthem medical plan. For additional information about your prescription drug benefits and costs, review your 2019 Benefits Plan Comparision Chart

To look up your prescription: visit www.express-scripts.com/symantec or refer to the Preferred Brand Drug List.

Preferred Drug List

  • A list of medications selected by Express Scripts with a team of health care providers
  • Drugs on the list are separated into Preferred Brand Name and Non-Preferred Brand Name tiers that require different copays or coinsurance.
  • Check the list to see if your medication is in a different tier, as this may change the cost of your prescription.: www.express-scripts.com/Symantec

Smart90 Pharmacy Network for Maintenance Medication

  • Designed to save you money, it makes it easy for you to fill prescriptions for your maintenance medications (those drugs you take regularly for ongoing conditions) at a lower cost. For a list of the most common maintenance medication, please go here.
  • You’re allowed to fill three 30-day supplies of maintenance medications at a retail pharmacy of your choice.
  • After that, to avoid paying 100% of the cost of your medication, you must fill a 90-day supply of your maintenance medications at a preferred Express Scripts Smart90 pharmacy.

Step Therapy

  • A program for people who take prescription drugs regularly to treat a medical condition, such as arthritis, asthma, or high blood pressure.
  • Drugs are grouped in categories, or “steps:”
    • First-line medicines – Drugs on this list make up the first step and are typically generic and lower-cost brand-name medicines. They are proven to be safe and effective, as well as affordable. In most cases, they provide the same health benefit as more expensive medicines, but at a lower cost.
    •  Second-line medicines – These are the second and third steps and are typically brand-name medicines. They are best suited for the few patients who don’t respond to first-line medicines, but they are more expensive than first-line medicines.
  • Step therapy requires you to try a first-line medicine before a second-line medicine is covered. Beginning on January 1, 2018, you can also log in to your account at express-scripts.com or call Express Scripts at the number on your member ID card to find out if step therapy applies to the medicine your doctor prescribed.

Dispense as Written Policy

  • You’ll pay more for your prescription (the difference in cost) if there is an equivalent generic drug available and you request the brand-name drug.
  • This only applies if your doctor (prescriber) hasn’t specified a brand-name drug on your prescription.


Two Ways to Save on Your Maintenance Prescriptions

You have two ways to fill your maintenance medications (those drugs you take regularly for ongoing conditions):

  1. Home Delivery. For savings and convenience, take advantage of home delivery from the Express Scripts PharmacySM. You can get 90-day supplies of your medications delivered directly to you, safely and securely, with free standard shipping. Log in at express-scripts.com or call 1-866-367-0868 to learn how to get started with home delivery. Express Scripts can contact your doctor to have a new 90-day prescription sent right to you.
  2. CVS Retail Pharmacy. You can visit a CVS retail pharmacy to fill a 90-day prescription. You will need to ask your doctor to write a 90-day prescription if you don’t have a 90-day prescription on file with that CVS retail pharmacy.

For employees with routine maintenance medications, you are strongly encouraged to fill all of your medications in December to ensure you have ample supplies on hand until all the open refills transfer over to ESI.

Need help figuring out your prescription benefits? If you belong to an Anthem medical plan, you can:

  • Review the Express Scripts FAQ
  • Reach out to Collective Health, our health benefits partner, with your prescription drug benefit questions. Call them at 1-833-834-1157, or send an email to help@collectivehealth.com