2025 Lion Traditional Plan
The Lion Traditional plan is a lower deductible health plan option with a higher employee contribution. Keep in mind that this plan also has a separate prescription out-of-pocket maximum.
Lion Traditional members who have been diagnosed with the following chronic conditions will experience enhanced benefits with the Condition Care Program. This program encourages individuals to manage these health conditions by keeping the individual's out-of-pocket expenses low. With this program, all office visits, lab work and medical supplies related to these conditions are covered at 100% with no co-pays or coinsurance. Enrollment is not required with Highmark; eligible claims will process at the 100% level automatically.
- Diabetes
- High Cholesterol
- Hypertension
Members of this plan are also able to enroll in the pre-tax Health Care Flexible Savings Account (FSA) to help with medical expenses and reduce your tax liability.
For more information regarding payroll contributions examples, please visit the Premium Comparison page with Health Care Contribution Calculator.
Lion Traditional - Detailed Coverage Charts
Lion Traditional - Summary of Benefit Coverage (SBC)
2025 Lion Traditional SBC - Faculty & Staff ($250 / $500 Deductible)
2025 Lion Traditional SBC - Faculty, Staff, & Non-Medicare Retiree ($375 / $750 Deductible)
2025 Lion Traditional SBC - Faculty & Staff ($500 / $1,000 Deductible)
2025 Lion Traditional SBC - Faculty & Staff ($625 / $1,250 Deductible)
2025 Lion Traditional SBC - Technical Services (Employee Only)
2025 Lion Traditional SBC - Technical Services (Employee + Child[ren])
2025 Lion Traditional SBC - Technical Services (Employee + Spouse or Employee + Family)
Faculty & Staff: Deductible, Coinsurance, Out-of-Pocket Max, & Copay Costs
Salary Range | Individual Coverage | Family Coverage |
---|---|---|
= < $45,000 | $250 | $500 |
$45,001 - $60,000 | $375 | $750 |
$60,001 - $90,000 | $500 | $1,000 |
>$90,000 | $625 | $1,250 |
Individual Coverage | Family Coverage |
---|---|
$1,250 | $2,500 |
Member coinsurance after Deductible is 10% | Member coinsurance after Deductible is 10% |
Salary Range | Individual Coverage | Family Coverage |
---|---|---|
= < $45,000 | $1,500 | $3,000 |
$45,001 - $60,000 | $1,625 | $3,250 |
$60,001 - $90,000 | $1,750 | $3,500 |
>$90,000 | $1,875 | $3,750 |
Service | Coverage |
---|---|
Preventive Care | Covered at 100% |
Office Visit | $20 copay |
Well360 Virtual Health Telemedicine | $0 copay |
Specialist | $30 copay |
Urgent Care | $30 copay |
Emergency Room (waive if admitted) | $100 copay |
Faculty & Staff: Prescription Coverage
With the Lion Traditional plan, there is a separate out-of-pocket maximum for prescriptions. For individual coverage, the prescription out-of-pocket maximum is $2,000. For family coverage, the prescription out-of-pocket maximum is $8,000.
Medication Type | Generic Medications | Preferred Brand Medications | Non-Preferred Brand Medications |
---|---|---|---|
Preventive Medications | 10% Coinsurance | 20% Coinsurance | 40% Coinsurance |
Retail (30-day supply) | 50% Coinsurance | 50% Coinsurance | 70% Coinsurance |
Mail (90-day supply) | 20% Coinsurance | 20% Coinsurance | 70% Coinsurance |
Preferred Brand Medications | 50% Coinsurance, $50 Maximum |
---|---|
Non-Preferred Brand Medications | 70% Coinsurance, $100 Maxmimum |
Technical Service: Deductible, Coinsurance, Out-of-Pocket Max, & Copay Costs
Coverage Type | Deductible |
---|---|
Individual | $250 |
Parent/Child(ren) | $250/$375 |
Family | $250/$500 |
Coverage Type | Coinsurance Maximum |
---|---|
Individual | $750 |
Parent/Child(ren) | $750/$1,125 |
Family | $750/$1,500 |
Coverage Type | Out-of-Pocket Maximum |
---|---|
Individual | $1,000 |
Parent/Child(ren) | $1,000/$1,500 |
Family | $1,000/$2,000 |
Service | Coverage |
---|---|
Preventive Care | Covered at 100% |
Office Visit | $10 copay |
Well360 Virtual Health Telemedicine | $0 copay |
Specialist | $20 copay |
Urgent Care | $20 copay |
Emergency Room (waived if admitted) | $100 copay |
Technical Service: Prescription Coverage
With the Lion Traditional plan, there is a separate out-of-pocket maximum for prescriptions. For individual coverage, the prescription out-of-pocket maximum is $1,000. For family coverage, the prescription out-of-pocket maximum is $6,000.
Medication Type | Generic Medications | Preferred Brand Medications | Non-Preferred Brand Medications |
---|---|---|---|
Preventive Medications | 10% Coinsurance | 20% Coinsurance | 40% Coinsurance |
Retail (30-day supply) | 50% Coinsurance | 50% Coinsurance | 70% Coinsurance |
Mail (90-day supply) | 20% Coinsurance | 20% Coinsurance | 70% Coinsurance |
Preferred Brand Medications | 50% Coinsurance, $50 Maximum |
---|---|
Non-Preferred Brand Medications | 70% Coinsurance, $100 Maxmimum |