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Arkansas State Employees 2022: Basic plan

The Basic plan is a high deductible plan that qualifies for a Health Savings Account (HSA). Wellness benefits are available at no charge when obtained by a participating provider. Basic plan members can enroll in a Health Savings Account through Connect Your Care. There is no coverage for out of network providers. The information provided highlights benefit coverage information for the 2022 contract year.

All benefit plans and rates are set by the Arkansas State and Public School Life and Health Insurance Board. For a complete schedule of benefits, or specific information regarding your health plan summary and/or rates please refer to the Summary Plan of Benefits online at transform.ar.gov/employee-benefits/arkansas-state-employees/ or contact the Employee Benefits Division at 877-815-1017.

Sign in or register for Blueprint Portal for additional online tools via our Health Advantage website self-service center.

Plan highlights

Basic plan benefits

BenefitsIn-NetworkOut-of-Network
Annual deductible (Ind.) $6,450N/A
Out-of-Pocket Max (Ind.) $6,450N/A
Annual Deductible (Fam.) $12,900N/A
Out-of-Pocket Max (Fam.) $12,900N/A
Paid By Plan After Deductible 100%N/A
Pharmacy Copayment:*
Tier I (Generic)
Tier II (Preferred)
Tier III (Non-Preferred)
Tier IV (Specialty)

0%
0%
0%
0%
N/A

*Excluded drugs, reference price drugs and brand drugs where generic is available does not apply toward the prescription drugs out-of-pocket maximum.

More info

If you are considering COBRA, contact the Employee Benefits Division at 877-815-1017 for rates and enrollment information.

The rates and benefits stated above are set by the Arkansas State and Public School Life and Health Insurance Board. Health Advantage is the claims administrator for the Premium, Classic, and Basic plans.