Insurance

Health Insurance Benefits for Palmetto Health–Midlands/University of South Carolina School of Medicine Residents and Fellows

Medical Insurance
Residents choose from four medical plan options provided by Prisma Health (formerly Palmetto Health):

  • Premier Consumer Plan (high deductible with Health Savings Account accessibility; narrow network)

  • Consumer Plan (high deductible with Health Savings Account accessibility; access to the wider Cigna network and out-of-network coverage)

  • Premier EPO Plan (standard deductible; narrow network)

  • Choice PPO Plan (standard deductible; access to the wider Cigna network and out-of-network coverage)

Family coverage may be added to all plans by paying a premium difference. For both high and standard deductible plans, preventive care services are covered at 100 percent with no deductible when using a Tier 1 network provider. “Premier” plans do not offer access to the extended Cigna network or out-of-network providers.

The Premier Consumer and Consumer Plans are high deductible plans, meaning you pay a lower biweekly premium from your paycheck. You must meet your deductible before these plans will pay for physician office visits or medical care. A Health Savings Account allows you to use pre-tax dollars to pay for eligible health expenses. The Consumer plan offers wider network coverage and out-of-network coverage.

The Premier EPO and Choice PPO plans are standard deductible plans that require a higher biweekly premium from your paycheck but have a lower deductible and physician office visit copay rates. The Choice PPO Plan offers wider network coverage and out-of-network coverage.

Prescription Drug Benefit
The program allows employees who are enrolled in one of the medical plans with Prisma Health to obtain prescription drugs at the Prisma Health Pharmacy, retail pharmacies, or through mail order with a co-payment. Enrollment is automatic when you enroll in one of the four medical plans.

Dental Insurance
We offer two plans though Delta Dental of South Carolina with different levels of coverage: the High Plan and the Low Plan.

Preventive care services, such as oral exams and cleanings, are covered by both plans at 100 percent. Preventive care services do not accumulate toward your annual $2000 maximum benefit.

The High Plan picks up a larger portion of your bill, covers orthodontal services and costs a little more out of your paycheck. The Low Plan costs less and covers fewer services such as orthodontic care.

To cover you and your dependents, both options may be purchased through payroll deduction. Deductibles are waived at Palmetto Health–USC Medical Group Dentistry.

Vision Insurance
Low and High Vision Plan options are offered, as well as a choice of premium to cover the unique needs of you and your family. Our plans have the strongest and most diverse provider network in South Carolina through Physicians Eyecare Plan.

Both plans waive the usual $15 copay for routine eye exams at Palmetto Health Ophthalmology, so covered members have access to an annual eye exam at no additional cost. While the plans have a lot in common, the annual allowance for each plan varies.

Long-Term Disability Insurance
After 90 days of continuous employment, you are provided with a long-term disability insurance plan at no cost to you. The plan includes an elimination period of six months. The coverage amount for approved long-term disability (LTD) is 60 percent of your base monthly earnings from the date you initially leave work for a medical disability, up to a maximum of $15,000 per month. The maximum duration of LTD will last until the Social Security normal retirement age as described in the policy. When you complete your residency, you may continue on an individual basis at the same low rate.

Portable Long-Term Disability Insurance
Upon completion of the residency program, Prisma Health will provide you an opportunity to continue on an individual basis at the same low rate. This plan is especially designed for physicians. If you become sick or injured and cannot practice as a physician, this plan will protect lost earnings.

Life Insurance
Prisma Health provides, at no cost to you, Basic Life and Accidental and Dismemberment insurance that is equal to your annual base salary. You may purchase voluntary life insurance in the amount of one to eight times your base pay at a discounted group rate. You also may obtain dependent life insurance coverage at a maximum of $200,000 for your spouse and/or $25,000 for children. These policies may be paid through payroll deduction.

Liability Insurance
Your liability insurance is provided by Prisma Health while you are in the Graduate Medical Education Program. Prisma Health will assist you in obtaining additional insurance if needed for moonlighting purposes and the premium expense to you may be payroll deducted for 12 months.

Please visit www.benefitsformyworld.com for detailed information about health insurance and all team member benefits options for 2019.

Prisma Health (formerly Palmetto Health) team member benefits are subject to change.