2023 - 2024 Benefits 

We will no longer offer the NON-Embedded High Deductible Health Plan with the $3,000 Deductible and will offer the VBP copay plan and the Embedded High Deductible Health Plan with the $4,000 deductible.

• HealthSCOPE $1,250 VBP with PHCS physician network and
• UMR $4,000 Embedded HDHP with UMR Choice Plus network

• What happens to those who are enrolled in the current NON-Embedded High Deductible plan?  Anyone on the non-embedded HDHP will have to pick between the two plans being offered for 9/1/2023

Louisiana Machinery has joined with HealthScope Benefits to bring you a Value-Based Payment plan.
Value-Based Payments works just like a Classic PPO plan in some regards; members will still only be responsible for copays at primary care physician and specialist offices ($25), but Value-Based Payments does not have a traditional network of facilities like a Classic PPO. 

LA Machinery is pleased to continue to offer an HSA qualified, Embedded HDHP (EHDHP) administered by UMR that meet the health care needs of you and your covered dependents.

ServeYou Rx
Prescription Drug benefits are handled differently between the two medical plans:

• Value Based Payments: Expenses count toward your out-of-pocket maximum but not your deductible.

Be sure to review the $0 Copay Traditional PPO ACA Preventive Drug List associated with this Plan.

• Qualified High Deductible Health Plan: You pay the full cost for prescriptions until you reach your medical plan deductible. Expenses count toward your medical plan deductible and out-of-pocket

ServeYou Rx is your prescription drug vendor. You can contact ServeYouRx at (800) 759-3203 or serve-you-rx.com/members/

Click here to learn more about ServeYou Rx

Click here to review the Standard Prescription Drug List.

Click here to review the Preventive Medication Coverage under the Affordable Care Act.

Scriptco Pharmacy - NEW

• Generic Medications are filled by Scriptco Pharmacy at no cost for 90-day supply
• If a generic is a controlled substance, you will continue to receive the prescriptions through ServeYouRx
• Be on the lookout for a Welcome email from ScriptCo Pharmacy with information to join the program

Click here to learn more about Scriptco

Rx Manage
Rx Manage is a voluntary program, where you have access to several high cost medications at $0 copay. This program allows you to order from a formulary of over 250 brand medications from pharmacies in New Zealand, Australia, Canada, and England. The medication will be exactly the same as what you currently take; to be on the formulary, a medication must be available from the same manufacturer internationally as the U.S. brand, or from the International license holder.

Click here to learn more about Rx Manage and click here for a list of covered medications.

GoodRx
By visiting Goodrx.com, you can compare prescription drug prices and find coupons at more than 70,000 U.S. pharmacies. Drug prices vary wildly between pharmacies, and GoodRx finds the lowest prices and discounts.

• Collect and compare prices for every FDA-approved prescription drug.
• Find free coupons to use at the pharmacy
• Show the lowest price at each pharmacy near you

Click here to learn more about GoodRx. 

Administred by Medefy

With Medefy, you have access to your benefits at your fingertips along with 24/7 access to licensed doctors online (telemedicine). This benefit is at zero cost to you as an employee if you are electing medical coverage.

Administered by Companion Life 

The Louisiana Machinery Employee Dental Plan provides you and your family with coverage for preventive dental care and both major and minor dental procedures to improve overall oral health.

To locate a provider, go to https://companionlife.go2dental.com/member/dental_search/proxinp.cgi 

• Plan Year Maximum: $3,000 – new max limit!
• Implants Covered under Type III Services
• Orthodontia to age 19 – Lifetime Maximum: $1,000
• Keep in Mind: Pediatric Dentists have a captive market and therefore often to do not participate in any network

Administered by Eyemed

The Louisiana Machinery Employee Vision Plan provides you with coverage for eye exams, lenses and frames—vision care for the whole family. This coverage is offered to you on a voluntary basis.

Get the most out of your vision plan with these EyeMed highlights:

• Ability to use the frame and contact lens allowances in the same benefit year – worth up to an extra $130
• Separate contact lens fit & follow-up coverage (leaving the entire allowance for materials)

Administered by UMB Bank

When you enroll in either of Louisiana Machinery’s High Deductible Health Plans, you have the option to open a Health Savings Account (HSA). HSA funds can be used to pay for eligible medical, dental and vision expenses for you and your eligible dependents, including deductibles, coinsurance, prescriptions, acupuncture and more, tax-free, now and in the future. Family members do not need to be covered under your plan in order to use the HSA funds.

With the HSA, you are in charge. You decide:

• How much you’ll contribute;
• When to pay for eligible expenses with HSA funds directly (you can also reimburse yourself from the account);
• How and if you want to invest your HSA funds (a balance of at least $2,000 is required to invest); and
• Whether to save HSA funds for future expenses or retirement.

Short-Term Disability

Administered by Companion Life from The Hartford

LA Machinery’s Short Term Disability plan provides a weekly benefit for expenses incurred if you cannot work several weeks due to an illness or injury. Your doctor must certify that you are unable to return to work on a full-time or partial basis.

Long-Term Disability

Administered by  Companion Life 

LA Machinery’s Long Term Disability plan provides a monthly benefit in the event that you become disabled and are unable to work. Long Term Disability provides replacement income to give you financial security.

REMEMBER: YOU CANNOT ELECT LONG-TERM DISABILITY WITHOUT ALSO ELECTING SHORT-TERM DISABILITY AND VICE VERSA.

Administered Companion Life

The Louisiana Machinery Basic Life/AD&D plan is a 100% employer-paid benefit that provides your family with financial protection in the event of your death or the death of a covered dependent (as long as you are enrolled in medical).

The Accidental Death & Dismemberment (AD&D) plan protects you and your family in the event of your death or injury due to a covered accident in addition to the benefit provided by your Life coverage.

Administered by Companion Life

The Louisiana Machinery Voluntary Term Life plan allows employees to elect additional life and dependent life coverage to supplement the Basic Life policy. This coverage is entirely optional and is paid for by the employee. Spouse and dependent child coverage is only available if the employee is insured for Voluntary coverage. 

Initial enrollees have a “one-time” window, during this Open Enrollment period without any medical questions asked up to the Guarantee Issue limit, subject to policy guidelines. 

 Should you decline any of the aforementioned coverages, you will be subject to Evidence of Insurability at a later date.

Administered by Ochsner Digital Medicine

Louisiana Cat strives to create and maintain a culture of health and wellness for all employees. For active medical plan members age 18+, we partnered with Ochsner Digital Medicine to help manage individuals' high blood pressure and/or Type 2 diabetes from home, while staying connected to a dedicated care team.

The benefits of Ochsner Digital Medicine include:

• A dedicated team that consists of a personal health coach and a licensed clinician to help you take manageable steps toward a healthier lifestyle. Sessions are held over the phone.

• Easy-to-use technology that allows you to remotely send readings to the team. No additional doctor visits are required. 

• Participation in a program that works! Many Digital Medicine members experience positive results within 90 days of initial enrollment, and 80 percent of members achieve their health goals within six months.

Ready to be the boss of your health? Please call your Digital Medicine concierge Kayla at 888-675-0045 or click here.

Administered by American Public Life (APL)

Accident Insurance can provide protection to help with the high cost of a covered accidental injury. From a simple physician’s office visit, to x-rays, ambulance transportation or an intensive care admission due to an accidental injury — unexpected expenses can add up.

Administered by American Public Life (APL)

Critical Illness insurance from APL can help you prepare for the financial impact you may face after a heart attack, stroke, invasive cancer or other covered critical illnesses.

Administered by American Public Life (APL)

Hospital indemnity insurance may help cover the costs of an unexpected illness or serious accident that results in a hospital stay, outpatient surgery or treatment in a doctor's office. Focus on recovery, not your finances, with a hospital indemnity plan from APL.

Administered by Transamerica

Universal Life Insurance offers flexible financial protection with a number of optional riders, including “living benefits” that allows the policyholder to accelerate a portion of the life insurance death benefit if diagnosed by a physician as chronically or terminally ill. These extra “living benefits” can be used to help pay expenses from an unexpected medical crisis and help alleviate the worry of future financial problems. 

Administered by American Public Life (APL)

If you or a family member are diagnosed with cancer, APL’s Cancer Insurance may help cover the costs associated with the detection and treatment of cancer and help you be more financially prepared.

Administered by Aura

Louisiana Machinery’s Identity Theft Protection plan includes comprehensive identity monitoring, fraud remediation and restoration, and identity theft reimbursement. This benefit is 100% voluntary and paid for by you. Visit IdentityGuard.com or call 1.(855) 443-7748 for more details. This benefit is portable.

Administered by MetLaw

Louisiana Machinery is continuing to provide you with a voluntary plan that offers convenient access to legal services you may not be able to afford on your own. This plan is to give access to legal representation for you and your family at only $21.00 a month. The nationwide network includes over 15,000 attorneys.

To access your legal advisors call (800) 821-6400 or visit the website info.legalplans.com with the password LEGAL.

To continue coverage, terminated and retired employees must apply for portable enrollment within 30 days of their last day of employment by calling (800) GET-MET8. Portable enrollment remains in effect for a 30 month period and is non-renewable. Enrollment is prepaid and the cost is equal to the in force group rate x30.

Employees and their families often face challenging daily demands, including issues at work, with family, finances and more. Louisiana Machinery will continue to offer an Employee Assistance Program (EAP) for you, your spouse, and your eligible dependents. With the EAP, you are provided with free, confidential counseling by experienced licensed counselors.

There is nothing to sign up for. All services FREE and confidential.

Click here to view the carrier contact sheet.