Medical and Prescription Drugs

Providing comprehensive and quality medical coverage at a reasonable cost is a challenge for all employers, and an employer paying 100% of the premium costs is practically unheard of these days. Fisher Investments exceeds these challenges by allowing you to not only choose from multiple medical plan options, but by also paying 100% of the monthly medical premiums for you and your family.

Depending on the medical option you choose, you may pay an annual deductible amount before the plan begins to pay benefits. You would also be responsible for any copays, coinsurance and other costs related to services obtained under the plan.

The UnitedHealthcare plans are available anywhere in the US, and if you reside in California, Washington or Oregon, you may alternatively choose a Kaiser Permanente plan.

Highlights for each medical option and links to plan summaries are on this page. To quickly compare all of your medical options side by side, see the California Medical Comparison Chart (PDF) or the Non-California Medical Comparison Chart (PDF).

For more details, see the Plan Information page.

Medical Coverage Required

Under healthcare reform, most Americans must have health insurance or pay a penalty.

If you aren’t currently enrolled in Fisher Investments coverage or a spouse’s or domestic partner’s coverage, you’ll need to enroll or pay a penalty.

UnitedHealthcare (www.uhc.com)

Healthcare Choice (EPO) Plan

The Healthcare Choice plan provides complete medical services from an exclusive network of doctors, hospitals, and other care providers. Generally, only services administered by in-network providers will be covered. With no deductible and low, fixed copayments, this plan is ideal for many.

The EPO plan doesn’t require you to select a primary care physician and you don’t need a referral before seeing a doctor or specialist. You also can take advantage of selecting from a vast network of doctors and hospitals in your area.

For prescriptions: You’ll pay $10 for tier-1 drugs (generic), $20 for tier-2 drugs (preferred brand name), and $35 for tier-3 drugs (non-preferred brand name) at a preferred retail store. Want to save more time and money? Sign up for mail order pharmacy for your maintenance medications and get a 3-month supply for the cost of two months. For information about signing up for mail order pharmacy, see the Optum Rx Welcome Guide (PDF).

Healthcare Choice Plus (PPO 500) Plan

The Healthcare Choice Plus Plan provides complete medical services from a preferred network of doctors, hospitals and other care providers, and allows you to receive care from out-of-network providers with a percentage of the costs being covered by the plan. Although you can see any doctor or use any hospital – even those that aren’t in the network – it’s always more cost-effective to choose a network provider.

The PPO plan doesn’t require you to select a primary care physician and you don’t need a referral before seeing a doctor or specialist. You also can take advantage of selecting from a vast network of PPO doctors and hospitals in your area.

With the PPO plan, you’ll pay an annual deductible ($500 individual/$1,000 family). These amounts must be satisfied before the plan begins to pay benefits. However, the deductible does not apply to preventive care or general in-network office visits.

For many in-network services (except for doctor’s office visits), you’ll pay 20% of the cost (coinsurance) until you reach the out-of-pocket limit ($3,000 individual /$6,000 family).

For prescriptions: You’ll pay $10 for tier-1 drugs (generic), $20 for tier-2 drugs (preferred brand name), and $35 for tier-3 drugs (non-preferred brand name) at a preferred retail store. Want to save more time and money? Sign up for mail order pharmacy for your maintenance medications and get a 3-month supply for the cost of two months. For information about signing up for mail order pharmacy, see the Optum Rx Welcome Guide (PDF).

HSA Choice Plus (PPO 2250) Plan

The HSA Choice Plus Plan is similar to the Healthcare Choice Plus plan, but with a much higher out-of-pocket deductible ($2,250 individual/$4,500 family). All medical costs, aside from preventive care, are your responsibility up until you meet the annual deductible. If you meet the deducible amount, you would then be responsible for the coinsurance amounts (20%) up until you reach the out-of-pocket maximum ($3,000 individual/$5,500 family).

For prescriptions: You’ll pay $10 for tier-1 drugs (generic), $20 for tier-2 drugs (preferred brand name), and $35 for tier-3 drugs (non-preferred brand name) at a preferred retail store. Want to save more time and money? Sign up for mail order pharmacy for your maintenance medications and get a 3-month supply for the cost of two months. For information about signing up for mail order pharmacy, see the Optum Rx Welcome Guide (PDF).

Why choose this plan? The high-deductible medical plan qualifies you to open a Health Savings Account (HSA). The Health Savings Account not only allows you to contribute pre-tax dollars for current and future medical expenses (no “use it or lose it”), but it also allows you to take advantage of the company’s dollar-for-dollar matching monthly contribution.

Each year, you could receive up to $1,125 for individual coverage and $2,250 for family coverage in company contributions. This covers half of your deductible amount. Your Health Savings Account dollars can then be used to pay for eligible medical expenses tax-free. For more information on what the IRS considers an eligible medical expense, see Publication 502 (PDF).

Kaiser California Plans (www.kp.org)

HMO Plan

The Kaiser Permanente Plan (PDF) provides complete medical services from an exclusive network of Kaiser providers. An all in-network facility means Kaiser employs their own doctors/nurses, builds their own hospitals and runs their own emergency rooms. The doctors spend less time focusing on insurance forms and more time focusing on you. As a Kaiser member, you would be required to stay within the Kaiser network for all non-emergency care.

There is no annual deductible before the plan begins to pay benefits. You’ll pay a fixed amount (copayment) each time you receive non-preventive, in-network care until you reach the annual out-of-pocket limit ($1,500 individual/$3,000 family). This plan has lower copayment amounts than the other medical plan options.

For prescriptions: You’ll pay $10 for generic drugs, $20 for preferred brand name drugs, and $20 for non-preferred brand name drugs at a preferred retail store.

HSA-Qualified Deductible HMO Plan

The Kaiser Permanente Plan (PDF) provides complete medical services from an exclusive network of Kaiser providers. An all in-network facility means Kaiser employs its own doctors/nurses, builds its own hospitals and runs its own emergency rooms. The doctors spend less time focusing on insurance forms and more time focusing on you. As a Kaiser member, you would be required to stay within the Kaiser network for all non-emergency care.

The High-Deductible HMO plan works the same as the traditional Kaiser HMO, but with a much higher out-of-pocket deductible amount ($2,000 individual/$4,000 family). All medical costs are your responsibility up until you meet the annual deductible. If you meet the deductible amount, you would then be responsible for the copays and/or coinsurance amounts (20% in some instances) up until you reach the out-of-pocket maximum ($3,000 individual/$6,000 family).

Why choose this plan? The high-deductible medical plan qualifies you to open a Health Savings Account not only allows you to contribute pre-tax dollars for current and future medical expenses (no “use it or lose it”), but it also allows you to take advantage of the company’s dollar-for-dollar matching monthly contribution.

Each year, you could receive up to $1,000 for individual coverage and $2,000 for family coverage in company contributions. This covers half of your deductible amount. Your Health Savings Account dollars can then be used to pay for eligible medical expenses tax-free! For more information on what the IRS considers an eligible medical expense, see Publication 502 (PDF).

For prescriptions: After the deductible, you’ll pay $10 for generic drugs, $30 for preferred brand name drugs, and $30 for non-preferred brand name drugs at a preferred retail store.

Kaiser Northwest Plans (www.kp.org)

HMO Plan

The Kaiser Permanente Plan (PDF) provides complete medical services from an exclusive network of Kaiser providers. An all in-network facility means Kaiser employs their own doctors/nurses, builds their own hospitals and runs their own emergency rooms. The doctors spend less time focusing on insurance forms and more time focusing on you. As a Kaiser member, you would be required to stay within the Kaiser network for all non-emergency care.

There is no annual deductible before the plan begins to pay benefits. You’ll pay a fixed amount (copayment) each time you receive non-preventive, in-network care until you reach the annual out-of-pocket limit ($1,500 individual/$3,000 family). This plan has lower copayment amounts than the other medical plan options.

For prescriptions: You’ll pay $10 for generic drugs, $20 for preferred brand name drugs, and $20 for non-preferred brand name drugs at a preferred retail store.

HSA-Qualified Deductible HMO Plan

The Kaiser Permanente Plan (PDF) provides complete medical services from an exclusive network of Kaiser providers. An all in-network facility means Kaiser employs their own doctors/nurses, builds their own hospitals and runs their own emergency rooms. The doctors spend less time focusing on insurance forms and more time focusing on you. As a Kaiser member, you would be required to stay within the Kaiser network for all non-emergency care.

The High-Deductible HMO plan works the same as the traditional Kaiser HMO, but with a much higher out-of-pocket deductible amount ($2,000 individual/$4,000 family). All medical costs are your responsibility up until you meet the annual deductible. If you meet the deductible amount, you would then be responsible for the copays and/or coinsurance amounts (20% in some instances) up until you reach the out-of-pocket maximum ($3,000 individual/$6,000 family).

Why choose this plan? The high-deductible medical plan qualifies you to open a Health Savings Account (HSA). The Health Savings Account not only allows you to contribute pre-tax dollars for current and future medical expenses (no “use it or lose it”), but it also allows you to take advantage of the company’s dollar-for-dollar matching monthly contribution.

Each year, you could receive up to $1,000 for individual coverage and $2,000 for family coverage in company contributions. This covers half of your deductible amount. Your Health Savings Account dollars can then be used to pay for eligible medical expenses tax-free! For more information on what the IRS considers an eligible medical expense, see Publication 502 (PDF).

For prescriptions: After the deductible, you’ll pay $10 for generic drugs, $30 for preferred brand name drugs, and $30 for non-preferred brand name drugs at a preferred retail store.