To support your health and financial wellness, Informatica provides valuable benefits that help you and your family stay healthy and pay for care in the event of illness or injury.
Our benefits program includes medical plan options with a range of coverage levels and costs designed to meet the diverse needs of our employees.
Plan | Description |
---|---|
Aetna PPO Administered by: Aetna | A traditional Preferred Provider Organization (PPO) plan that offers a fixed out of pocket cost through copays, lower deductibles, and cost sharing after you meet the plan deductible. |
Aetna Saver Administered by: Aetna | A high deductible health plan (HDHP) that puts you in charge of your spending through lower paycheck deductions, higher deductibles, and a tax-free Health Savings Account (HSA). |
Kaiser HMO Administered by: Kaiser | A Health Maintenance Organization (HMO) plan with only in-network coverage coordinated by your primary care provider. |
Compare the plans |
All our medical plans provide:
Aetna PPO | Aetna Saver | Kaiser HMO | |
---|---|---|---|
HSA eligible | No | Yes | No |
Company HSA contribution | None | $400/Employee; $800/Family | None |
Aetna PPO | Aetna Saver | Kaiser HMO | |
---|---|---|---|
Preventive doctor’s visit | Covered at 100% in-network | Covered at 100% in-network | Covered at 100% in-network |
Individual/family deductible | |||
In-network | $500/$1,200 | $1,600/$3,200 | None |
Out-of-network | $1,000/$2,400 | $3,200/$6,400 | Not applicable |
Individual/family out-of-pocket maximum | |||
In-network | $2,700/$5,300 | $3,000/$6,000 | $1,500/$3,000 |
Out-of-network | $4,000/$7,800 | $6,000/$12,000 | Not applicable |
Your coinsurance | |||
In-network | 10% after deductible | 10% after deductible | Copays for services |
Out-of-network | 30% after deductible* | 30% after deductible* | Not applicable |
Office visit | |||
In-network | $20 primary care $30 specialist | 10% after deductible | $20 primary care and specialist |
Out-of-network | 30% after deductible* | 30% after deductible* | Not applicable |
Telemedicine visit | |||
In-network only | $20 per visit | $40 per visit | No Cost |
Emergency Room visit | 10% after a $150 copay | 10% after deductible | $150 |
Aetna PPO | Aetna Saver | Kaiser HMO | |
---|---|---|---|
Generic | In-network: $10 Out-of-network: $10 + 50% of the Rx cost | In-network 10% after deductible Out-of-network 30% after deductible Deductible doesn’t apply to preventive medications. | $10 |
Brand Name | In-network: $35 Out-of-network: $35 + 50% of the Rx cost | $35 | |
Non-formulary | In-network: $50 Out-of-network: $50 + 50% of the Rx cost | $35 Specialty |
Aetna PPO | Aetna Saver | Kaiser HMO | |
---|---|---|---|
Generic | In-network: $20 Out-of-network: not covered | In-network 10% after deductible Out-of-network not covered Deductible doesn’t apply to preventive medications. | $20 |
Brand Name | In-network: $70 Out-of-network: not covered | $70 | |
Non-formulary | In-network: $100 Out-of-network: not covered | $70 Specialty | |
All Non-Specialty Drugs | You may fill 90-day supplies of (non-specialty) medication through any retail location. You will need a 90-day prescription from your providers and you will pay 3X the applicable 30-day cost.*** | Not applicable |
* Out-of-network benefits are based on reasonable and customary charges.
** Deductible does not apply.
*** Important note on maintenance medications through Aetna: For maintenance medications, you can fill a 30-day supply of the prescription at any retail pharmacy twice. For any subsequent refills, a 90-day supply must be filled through the Aetna Rx Home Delivery® mail order program or specifically at a CVS pharmacy. If you continue to fill the prescription at a non-CVS pharmacy, you will pay an additional fee.
The Aetna Saver has a lower-paycheck deduction and a higher deductible paired with a tax-free Health Savings Account (HSA) that helps you save up for future expenses. This combination gives you more control over your money and rewards you for making healthy, cost-conscious choices.
Under this plan you can choose any in-network or out-of-network provider each time you receive care. You will generally pay a lower out of pocket cost when you use an in-network provider.
You pay the plan paycheck deductions from your paycheck to have coverage.
Fund your 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 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.
OOP Maximum
Once you reach your out of pocket maximum the plan pays 100% of any further covered expenses for the rest of the year.
Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.
Use your HSA to budget for deductibles and other out-of-pocket expenses while also saving money – your HSA contributions are tax-free! You can also pair your HSA with a Limited Purpose Flexible Spending Account (FSA).
Take advantage of these resources to manage your care and your costs.
With the Aetna Saver Plan, you pay less in paycheck deductions and assume more financial responsibility when you receive care. So, it’s important to plan ahead for your out-of-pocket expenses. Here are some ideas to consider:
The Aetna PPO offers lower out-of-pocket costs in exchange for higher paycheck contributions. With the Aetna PPO, your costs are more predictable, but over the course of the plan year, you may have out-of-pocket expenses.
Under this plan you can choose any in-network or out-of-network provider each time you receive care. You will generally pay a lower out of pocket cost when you use an in-network provider.
You pay the plan paycheck deductions from your paycheck to have coverage.
Copay
You pay a fee at the time of service for doctor visits and prescriptions. Copays do not count toward your deductible.
Deductible
For care not covered by a copay, such as hospital services or x-rays, you pay 100% of costs until you meet the annual deductible.
Coinsurance
After meeting the deductible, you and the plan share the cost of certain services.
OOP Maximum
Once you reach your out of pocket maximum the plan pays 100% of any further covered expenses for the rest of the year.
Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.
A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for care. Be sure to plan your FSA contributions carefully: You can only carry over up to $550 of unused money in your FSA to the next year; you will forfeit any remaining amount above $550.
Take advantage of these resources to manage your care and your costs.
If you live in California, you have the option of enrolling in the Kaiser HMO plan. The plan provides coverage only when you receive care from providers within the Kaiser HMO network. Your Primary Care Provider (PCP) will coordinate your care to help manage costs.
Kaiser will select a Primary Care Provider (PCP) for you and your covered family members. Your PCP will manage your care and provide referrals if you need to see a specialist. If you would like to select a different Kaiser PCP, you must contact Kaiser directly. Find a Doctor
You pay the plan paycheck deductions from your paycheck to have coverage.
Copay
You pay a fee at the time of service for doctor visits and prescriptions.
OOP Maximum
Once you reach your out of pocket maximum the plan pays 100% of any further covered expenses for the rest of the year.
Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.
A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for care. Be sure to plan your FSA contributions carefully: You can only carry over up to $550 of unused money in your FSA to the next year; you will forfeit any remaining amount above $550.
Take advantage of these resources to manage your care and your costs.
When you enroll in an Informatica Aetna medical plan, you automatically receive prescription drug benefits through Aetna. If you live in California and enroll in Kaiser HMO, prescription drug benefits are provided through Kaiser.
The cost of your prescription drugs depends on the tier of the medication:
For ongoing maintenance medication, you can take advantage of the convenience and cost savings of using the mail order program.
The cost of prescription drugs is rising faster than many other health care services and supplies. But, there are ways for you to save on your cost of prescriptions.
Specialty pharmacies provide medications that are used to treat certain complex conditions. Aetna has established a network of retail pharmacies experienced in dispensing and monitoring these special medications. To learn more about the specialty pharmacy network, call Aetna at (888) 792-3862.
Start or refill a mail order prescription, compare costs, and more.
Take advantage of these valuable resources to better manage your health and financial well-being.
Seek medical advice from board-certified physicians who are available 24/7, 365 days a year to consult with you over the phone or through live video right from your mobile device or computer. Teladoc physicians can provide fast, convenient diagnosis and treatment for many common conditions. The cost is just $20 per visit in the Aetna PPO and $40 per visit in the Aetna Saver. Visit Teladoc or call (855) 835-2362 to enroll or learn more.
If you’re enrolled in an Aetna medical plan and are hospitalized or diagnosed with an ongoing condition, you’ll get personal assistance from a Nurse Care Manager — who will help you work better with your doctor, get needed follow-up care, and much more.
Your Nurse Care Manager will be your single point of contact and personal health advocate, with whom you can build a lasting, trusting relationship. He or she can:
Your Nurse Care Manager will call you if you have an ongoing condition or a hospital stay, so you don’t have to figure out the next steps. Of course, you can always call Aetna at (800) 784-3985. For more information, see the Aetna Nurse Care Manager Flyer.
Aetna offers the Beginning Right® maternity program to support members throughout pregnancy. The program is included at no cost to you if you enroll in an Aetna medical plan through Informatica. And remember, Informatica offers support after pregnancy, too, with the section.
Learn more about the Beginning Right program:
Get free, personalized assistance to help you navigate the health care system, from understanding claims to choosing providers and negotiating fees. Available to you and your family members (including parents and parents-in-law), this service can save you time and money. Help is just a phone call away at (866) 695-8622. Learn more at Health Advocate.