Dental plan comparison
Medical coverage offers valuable benefits to help you stay healthy and pay for care if you or your covered family members become sick or injured. Parexel offers you a choice of medical plans with a range of coverage levels and costs, so you have the flexibility to select the option that’s best for you.
2024 medical plans
All plans are Preferred Provider Organization (PPO) plans and administered by Blue Cross Blue Shield of Massachusetts.
| Plan | Description |
|---|---|
$1,000 Deductible Plan Compatible with: |
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$1,500 Deductible Plan Compatible with:Health Care Flexible Spending Account (FSA) |
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$2,000 Deductible Plan Health Savings Account (HSA) and Combination FSA |
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| Compare the plans and see 2024 benefit rates. | |
Key features at a glance:
There’s a lot included with your medical plan! Take a look.
All Parexel’s medical plans include:
Free in-network preventive care.
Annual physicals, recommended immunizations, and other routine services are fully covered at 100% See more covered preventive services.
Fitness reimbursement.
Receive reimbursement up to $150 per year for fitness memberships and classes. Learn more on the Blue Cross Blue Shield of MA website.
Weight-loss reimbursement.
Receive reimbursement up to $150 per year for Weight Watchers® (meetings or online) or a hospital-based weight-loss programs. Learn more on the Blue Cross Blue Shield of MA website.
Annual deductible.
Pay for certain medical and prescription drug costs until your annual deductible is met.
Coinsurance.
Once the deductible is met, you and the plan share any further health expenses until your out-of-pocket maximum is met.
Out-of-pocket maximum.
Each plan protects you by capping the total amount paid each year for medical care. Once met, the plan pays 100% of your eligible expenses for the rest of the year.
Medical plan comparison below
Vision plan comparison
Here’s an overview of your medical plan options, showing coverage highlights for in-network care. Find complete cost and coverage details on the Mercer Marketplace 365+ website. And click here to review real world medical plan scenarios.
2024 Medical Plans
| $1,000 Deductible Plan – PPO | $1,500 Deductible Plan – PPO | $2,000 Deductible Plan – HDHP | $3,200 Deductible Plan – HDHP | ||
|---|---|---|---|---|---|
| HSA with company funding | No | No | Yes: $500 for employee-only coverage $1,000 if you cover dependents (HSA contributions are prorated based on the month in which you are hired) | Yes: $500 for employee-only coverage $1,000 if you cover dependents (HSA contributions are prorated based on the month in which you are hired) | |
| True family* | No | No | Yes | No | |
| Annual deductible (individual/family) | $1,000/$2,000 | $1,500/$3,000 | $2,000/$4,000 | $3,200/$6,400 | |
| Your in-network costs | |||||
| Preventive care | Covered at 100% in-network – you pay nothing | ||||
| Coinsurance (for inpatient/outpatient hospital services, etc.) | You pay 20% after meeting deductible | You pay 20% after meeting deductible | Employee only: You pay 20% after meeting the individual deductible Employee + dependents: You pay 20% after meeting the family deductible |
Employee only: You pay 30% after meeting the individual deductible Employee + dependents: You pay 30% after meeting the family deductible |
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| Office visit (primary care/specialist) | $25/$45 copay | You pay 20% after meeting deductible | You pay 20% after meeting deductible | You pay 30% after meeting deductible | |
| Telehealth | $10 copay for all visits | You pay 20% after meeting your deductible | You pay 20% after meeting your deductible | You pay 20% after meeting your deductible | |
| Emergency room visit | You pay $150 and 20% coinsurance (deductible applies after copayment) | You pay 20% after meeting deductible | You pay 20% after meeting deductible | You pay 30% after meeting deductible | |
| Out-of-pocket maximum (individual/family) | $3,500/$7,500 | $4,000/$8,000 | $4,000/$8,000 | $5,500/$11,000 | |
| Prescriptions | |||||
| Retail prescriptions (30-day supply) | |||||
| Tier 1 (most generics) | $10 copay ** | You pay 30% (minimum of $10/maximum of $20)** | You pay 20% after meeting deductible (deductible waived for some medications; certain prescriptions will have a $0 copay) | You pay 30% after meeting deductible (deductible waived for some medications; certain prescriptions will have a $0 copay) | |
| Tier 2 (formulary) | $30 copay ** | You pay 30% (minimum of $25/maximum of $50)* | You pay 20% after meeting deductible (deductible waived for some medications; certain prescriptions will have a $0 copay) | You pay 30% after meeting deductible (deductible waived for some medications; certain prescriptions will have a $0 copay) | |
| Tier 3 (nonformulary) | $60 copay ** | You pay 45% (minimum of $40/maximum of $80)** | You pay 20% after meeting deductible (deductible waived for some medications; certain prescriptions will have a $0 copay) | You pay 30% after meeting deductible (deductible waived for some medications; certain prescriptions will have a $0 copay) | |
| Mail order prescriptions (up to a 90-day supply) | |||||
| Tier 1 (most generics) | $25 copay ** | You pay 30% (minimum of $25/maximum of $50)** | You pay 20% after meeting deductible (deductible waived for some medications) | You pay 30% after meeting deductible (deductible waived for some medications) | |
| Tier 2 (formulary) | $75 copay ** | You pay 30% (minimum of $63/maximum of $125)* | You pay 20% after meeting deductible (deductible waived for some medications) | You pay 30% after meeting deductible (deductible waived for some medications) | |
| Tier 3 (nonformulary) | $150 copay ** | You pay 45% (minimum of $100/maximum of $200)** | You pay 20% after meeting deductible (deductible waived for some medications) | You pay 30% after meeting deductible (deductible waived for some medications) | |
* True family: If a plan is “true family,” both the employee + one and family plans begin to cost-share after the family deductible is met — even if only one person has all the claims. Once the family out-of-pocket maximum is met, the plan will pay 100%. If a plan is not “true family,” it begins to pay once an individual meets the individual deductible, even though you cover dependents. Once that person meets the individual out-of-pocket maximum, the plan will pay 100% for that person’s covered expenses.
** Does not apply toward the deductible.
Know how much you’ll pay for benefits!
Review your 2024 rate sheet.
Find your best match
The Mercer Marketplace 365+ website will clearly show the costs and coverage for each plan, making it easy to decide. And, if you answer a few simple questions, you’ll see which plan may be a “best match” for your needs and preferences.
Consider a supplemental plan
If you choose a higher-deductible plan to save on paycheck contributions, you can add extra protection for large or unexpected medical expenses through supplemental medical coverage, such as critical illness, accident, or hospital indemnity insurance.
The $1,000 Deductible Plan offers lower out-of-pocket costs in exchange for higher contribution rates. With this plan, your costs are more predictable, but you’ll probably still have out-of-pocket expenses. You can see any provider you wish, but you will pay less when you stay in network.
How the $1,000 Deductible Plan Works
You pay the plan contribution rate from your paycheck to have coverage.
Copay
You pay a small fee at the time of service for doctor visits and prescriptions.*
Deductible
For care that doesn’t charge a copay, such as hospital services, you pay 100% of the costs until you meet the annual deductible.
Coinsurance
After meeting the deductible, you and the plan share the cost of certain services, with the plan paying the majority.
Out-of-pocket maximum
You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.
*Your prescription costs do not count toward the deductible, but they do count toward the annual out-of-pocket maximum.
Use your $1,000 Deductible Plan wisely
Here are ways to make the most of your plan all year long.- Track your stats. Log in to the Blue Cross Blue Shield of MA website to see how much of your deductible you’ve met, review claims, and more.
- Pair it with a Health Care FSA. If you enroll in the Health Care FSA, you can set aside before-tax dollars to help pay for your out-of-pocket costs. Keep in mind, the money in your FSA does not carry over to the next plan year; you must “use it or lose it.”
- Be cost-conscious. Visit the Blue Cross Blue Shield of MA website to search for in-network providers and use the tools to compare costs for medical services.
The $1,500 Deductible Plan offers slightly lower out-of-pocket costs in exchange for higher contribution rates. With this plan, your costs are more predictable, but you’ll probably still have out-of-pocket expenses. You can see any provider you wish, but you will pay less when you stay in network.
How the $1,500 Deductible Plan Works
You pay the plan contribution rate from your paycheck to have coverage.
Prescriptions
You pay the coinsurance amount for prescriptions* (with a minimum and maximum cost per prescription type) without having to meet the annual deductible first.
Deductible
For doctor’s office visits and hospital services, you pay 100% of the costs until you meet the annual deductible.
Coinsurance
After meeting the deductible, you and the plan share the cost of certain services, with the plan paying the majority.
Out-of-pocket maximum
You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.
*Your prescription costs do not count toward the deductible, but they do count toward the annual out-of-pocket maximum.
Use your $1,500 Deductible Plan wisely
Here are ways to make the most of your plan all year long.
- Track your stats. Log in to the Blue Cross Blue Shield of MA website to see how much of your deductible you’ve met, review claims, and more.
- Pair it with a Health Care FSA. If you enroll in the Health Care FSA you can set aside before-tax dollars to help pay for your out-of-pocket costs. Keep in mind, the money in your FSA does not carry over to the next plan year; you must “use it or lose it.”
- Be cost-conscious. Visit the Blue Cross Blue Shield of MA website to search for in-network providers and use the tools to compare costs for medical services.
The $2,000 and $3,200 Deductible Plans pair low-contribution rate, high-deductible coverage with a tax-free Health Savings Account (HSA) that helps you save up for future medical expenses. As an added bonus, Parexel will contribute to your HSA — $500 for employee-only coverage and $1,000 for all other coverage levels. Money in your HSA can be carried forward from year to year and is always yours to keep. You can see any provider you wish, but you will pay less when you stay in network.
How the $2,000 and $3,200 Deductible Plans work
You pay the plan contribution rate from your paycheck to have coverage.
HSA
You can set aside tax-free money from your paycheck and receive company contributions to help cover your costs — now, or in the future.
Deductible
You pay 100% of your medical and prescription costs until you meet the annual deductible.*
Coinsurance
After meeting the deductible, you and the plan share the cost of covered medical care and prescriptions, with the plan paying the majority.
Out-of-pocket maximum
You’re protected by an annual limit* on costs — the plan pays 100% of any further covered expenses for the rest of the year.
Use your $2,000 or $3,200 Deductible Plan wisely
Here are ways to make the most of your plan all year long.
- Track your stats. Log in to the Blue Cross Blue Shield of MA website to see how much of your deductible you’ve met, review claims, use helpful tools, and more. Likewise, keep tabs on your HSA by logging in to the WEX website to view your balance, submit claims, and more.
- Think about your costs. You pay lower contribution rates in exchange for assuming more financial responsibility when you receive care, so it’s smart to plan ahead. Visit the Blue Cross Blue Shield of MA website to search for in-network providers and use the tools to compare costs for medical services. Try to contribute enough to your HSA to cover your expected out-of-pocket costs, such as your annual deductible and coinsurance.
- Change your contributions anytime. Adjust your contributions as necessary during the year to keep your savings on track with your anticipated expenses. Note: You can only spend HSA contributions that have actually been deposited into your account.
- Look long term. You will never forfeit any money left in your HSA — it rolls over year after year. If you know about future expenses — or if you want to save for your health care costs in retirement — set aside a little extra each paycheck so your balance can grow over time.
Continuity of Care for TMAC Employees
For TMAC employees currently undergoing medical treatment and who are enrolled in a Parexel medical plan administered by BCBSMA effective January 1, 2024: If you are currently undergoing care, and your current provider is not in the BCBSMA network, you may be approved for continuation of care, allowing you to complete your course of treatment or safely transfer to an in-network doctor or facility. BCBSMA offers eligible members temporary, continued coverage, when undergoing active treatment from a doctor who does not participate in BCBSMA's network of providers. If you need continuity of care, please review and complete this form and submit it to BCBSMA according to the instructions.
When you enroll in a Parexel medical plan, you will automatically receive prescription drug coverage through CVS Caremark.
Drug tiers
The cost of your prescription drugs under each medical plan depends on the tier of the medication:
Tier 1 drugs (most generics)
Tier 1 drugs (most generics) contain the same active ingredients as their brand-name equivalents and meet the same federal standards for safety but typically cost significantly less.
Tier 2 (formulary)
Tier 2 (formulary) drugs are brand-name medications that are favored by a prescription plan based on drug effectiveness and cost.
Tier 3 (nonformulary)
Tier 3 (nonformulary) drugs are brand-name medications that are not on a prescription plan’s favored list (or formulary) based on drug effectiveness and cost. They may still be covered but may require prior authorization and cost more.
Mail order
If you regularly take medication to treat a chronic condition — such as an allergy, heart disease, high blood pressure, or diabetes — you can take advantage of the convenience and cost savings of using the Maintenance Choice program – receive your 90-day supply via mail order or pick up at a local in-network pharmacy.
Why use the CVS Caremark mail pharmacy?
- Easy online ordering
- Prescriptions are shipped to you for free — no waiting in line at the pharmacy
- Deliveries can be made to you at home, work, or even on vacation
- Prescriptions are mailed in secure, tamper-resistant packaging and you can still speak to a pharmacist at any time about the medication
- You can set up automatic refills
Save money
The cost of prescription drugs is rising faster than many other health care services and supplies. But there are ways for you to save:
- Ask your doctor about generic medications. Generic medications are generally just as effective as brand-name medications, but they typically cost between 30% and 75% less.
- Use mail order. For ongoing maintenance medications, the mail order prescription program will save you time and money.
Seeing in-network providers saves you money. These doctors and health care professionals have agreed to discounted pricing for their services, and you’ll receive a higher level of benefits when using your in-network coverage. Here’s how to find doctors in your medical plan network.
- Go to the Blue Cross Blue Shield of MA website.
- Use the Find a Doctor & Estimate Costs purple quick link on the right.
- Log in to be able to estimate costs while also looking for providers, or you can find a doctor without logging in.
- If you search without logging in, select the PPO/EPO network.
Look up providers on Mercer Marketplace 365+
You can also use the Provider Lookup tool on the Mercer Marketplace 365+ website to easily find in-network doctors.
- Follow the enrollment prompts until you get to the Choose your medical plan page.
- Click on Find a Doctor or Hospital on the left side of the page. This launches the Provider Lookup tool.
- Enter your ZIP code.
- Enter your search criteria to find the type of provider you’re looking for.
- You can narrow your results by choosing a specific distance, network, specialty, language, hospital affiliation, group affiliation, city, county, or gender. You can also choose to show only providers who are accepting new patients.
Don’t have a personal doctor? You should. Here’s why.
- Better health. Getting the right health screenings each year can reduce your risk for many serious conditions. Preventive care is free, so there’s no excuse to skip it.
- A healthier wallet. Having a doctor you can call helps you avoid costly trips to the emergency room and decide when you really need to see a specialist.
- Peace of mind. Advice from someone you trust ... it means a lot when you’re healthy, but it’s even more important when you’re sick. Your personal doctor gets to know you and your health history and can help coordinate any care you need.
Well Connection is a convenient, low-cost Telehealth service where you can see a board-certified doctor through a video visit using a smartphone, tablet, app or computer.
All of the medical plans include this valuable coverage.
The Well Connection app also provides access to behavioral health professionals anywhere in the United States.
The cost for Well Connection visits in 2024 will be $10 for the $1,000 Deductible Plan members. For the $1,500 Deductible Plan, $2,000 Deductible Plan, and $3,200 Deductible Plan, members will pay $54 for a medical visit, $79 for a behavioral health visit with a counselor, and $95 for a behavioral health visit with a psychologist until you meet the plan’s annual deductible; after meeting the deductible, you pay only the coinsurance percentage of those costs.
Imagine you’ve been told you need a medical procedure to treat a recently diagnosed condition. It’s hard to know where to start. How will you find the best doctor, and what will it cost? Where can you get a second opinion? What if you need help resolving a complicated bill or claim issues?
Help is available through 365+ HUB
If you enroll in a Parexel medical plan for 2024, you may also choose to enroll in the Mercer Marketplace 365+ HUB, a voluntary benefit that provides one-on-one health care advocacy support — online and by phone — to help you improve the quality and cost of your care.
Mercer Marketplace 365+ HUB supports you as you take on a more active role as an involved, informed health care consumer. Parexel will offer a subsidy toward the cost of this benefit.
Why enroll in 365+ HUB?
This benefit provides you with year-round access to personal health advocacy services, price comparison tools, physician performance ratings, expert medical opinions, and more.
Receive personalized support
The 365+ HUB has a team of registered nurses, medical directors, and benefits and claims specialists who work right alongside one another to help you. This is available to you and your covered family members. A personal health advocate with expert knowledge about your benefits will help you:
- Find the right doctor
- Schedule appointments quickly
- Resolve health care billing and insurance claims disputes
- Secure elder care with confidence, including answering Medicare questions
- Work seamlessly with insurance providers
- Transfer medical records promptly and securely
Compare prices
The cost of health care services can vary significantly, even within the same geographic area and health plan. Here are just a few examples:
- Knee replacement: $18,887–$57,194
- MRI: $450–$2,450
- Colonoscopy: $1,314–$3,007
Health Cost Estimator+ is an easy-to-use online tool offered through the 365+ HUB. You’ll see what you can expect to pay for a medical procedure at different locations — based on the medical plan you’re enrolled in — and can easily compare prices so you can make the right choice for your needs and budget.
Compare quality
With the Mercer Marketplace 365+ HUB, you can review the quality scores of doctors in your area based on your condition and need. Scorecards include:
- Physician performance scores
- Quality analysis
- Experience and outcomes ranking
- Evaluations based on billions of doctor-patient interactions
Get expert medical opinions
Don’t hesitate to get another opinion, especially if it concerns a serious condition. The 365+ HUB gives you and your covered family members access to world-class specialists who will review your case and give you an expert opinion on your diagnosis and treatment plan. In fact, 99% of employees who use this service say they would recommend it. It’s peace of mind at a time when you may need it most. 365+ HUB accepts all cases and sticks with you every step of the way.
What will you pay for 365+ HUB?
365+ HUB costs only about $3 per month (Parexel is paying $2 per month of the cost to make this service more affordable for all employees). See your specific coverage costs on the Mercer Marketplace 365+ website.
Parexel knows that staying healthy isn’t always easy. To support your overall well-being, we’re pleased to offer several new programs to help you manage your health and control the physical, financial, and emotional impact of illness and disease.
Explore the program offerings in the BCBS Resource Guide.
Behavioral health care resources
Behavioral health conditions can be difficult to identify and treat. That’s why, as Parexel’s health care partner, Blue Cross Blue Shield of MA offers behavioral health case management programs and behavioral health visits through Well Connection. These simple and effective resources are designed to help if you or a family member is struggling with a condition.
Behavioral health case management
Designed to support the care you receive from your doctor and is available at no additional cost. Case managers work together with your doctor to ensure you get the cost-effective care you need. Case management programs include:
- Continuity of care
- Complex behavioral management
- Depression case management
- Substance use disorder
If you believe that you may benefit from the program, call 1-888-883-8970.
Behavioral health visits
Through Well Connection, you can see licensed doctors and providers using live video visits on your smartphone, tablet, or computer. You can schedule appointments and see behavioral health professionals anywhere in the United States, whether at home, at work, or on vacation. It’s a simple, convenient way to get care. Use Well Connection for:
- Depression
- Anxiety
- Sleep disorders
- Substance-use disorders
- Trauma
- Child behavior
- Bereavement
- Couples therapy
- Stress
- Divorce
How it works:
- Download the app, or visit Well Connection.
- Create an account or log in.
- Select Behavioral Health.
- Schedule an appointment.
Once you’ve set up an appointment, simply log in to Well Connection before the scheduled time to start the visit.
Maternity care
Parexel is committed to supporting you through all aspects of your maternity journey, from pre-conception, pregnancy, and childbirth to caring for your new baby. Partnering with Blue Cross Blue Shield of MA, Parexel offers a full range of maternity programs and benefits to help you start or grow your family, including:
Ovia fertility and pregnancy apps – tools to support conception and healthy pregnancies (download at no cost to members).
Living Healthy Babies website – educational resources and interactive tools to help you from pre-conception through your baby’s first year.
Breast pumps – no-cost manual or dual electric breast pump (learn more at www.bluecrossma.com/breast-pump).
Personalized guidance for moms – support from nurses to help you make the best decisions for the health of your baby.
Childbirth course reimbursement – up to $90 in reimbursement for the cost of completing a childbirth course.
Healthy lifestyle management
Looking to improve your health? Maybe you want to learn more about nutrition, or how to safely ramp up your activity levels—no matter your health goals, our programs offer the perfect mix of accessibility, support, and expert guidance.
Fitness/weight loss – Save up to $150 annually on health club, in-person and online fitness memberships, subscriptions, programs, or class fees, plus an additional $150 annual reimbursement for qualified Weight Watchers® and hospital based weight-loss program.
Ahealthyme – Get everything you need to live a healthier life, including an online health assessment, multi-week digital wellness workshops, educational resources to inform you on nutrition, exercise, and meal planning, as well as a points tracker to keep you motivated as you progress toward your goals.
Blue365® – Enjoy discounts on everything from gym memberships and diet programs to family activities and fitness products.