Healthcare may seem complicated. With a little bit of knowledge, you can be in control of finding the best care at the best value for your specific needs.
Read below for Frequently Asked Questions (FAQs) and common healthcare terms you should know.
You can also use the video library to watch brief, one minute videos that explain your Endeavor benefits and other common terms.
What is the High Deductible Health Plan with HSA (HDHP)? The HDHP, or High Deductible Health Plan, is a type of health insurance plan that has a higher deductible than traditional health insurance plans. HDHPs typically have lower monthly contributions, but higher out-of-pocket costs. When you enroll in the HDHP, you can also contribute money to a tax-advantaged Health Savings Account (HSA). To learn more about the HSA, go to the Spending and Savings Accounts page.
What is the Open Access Network Only 80/0? The Open Access Network Only 80/0 provides coverage only when you receive care from in-network providers, unless you need immediate care in a medical emergency. This plan has the lowest deductible and is the second least expensive plan in terms of paycheck contributions.
What is the Choice POS II 80/60 Plan? The Choice POS II 80/60 Plan has a higher deductible and higher contributions than the Open Access Network Only 80/0. It offers the flexibility to see out-of-network providers. Even though you can see any provider you wish, you’ll pay less when you stay in-network.
What is the Choice POS II 90/80 Plan? The Choice POS II 90/80 Plan offers the lowest in-network copays and coinsurance, but you’ll pay the most out of your paycheck for coverage. The annual deductible is higher than the Open Access Network Only 80/0 and Choice POS II 80/60 Plan, and lower than the High Deductible Health Plan with HSA (HDHP). With this plan, you can see any provider you wish, but you will pay less when you stay in-network.
How can I decide which medical plan would make most sense with my situation? You can review each of Endeavor’s health plans and receive a recommended health plan based on your current medical needs by using the Health Plan Cost Estimator Tool.
What’s the difference between an out-of-pocket (OOP) maximum and a deductible?
Learn more about out-of-pocket maximums and deductibles by clicking here.
Should I be receiving a Medical, Dental and Vision ID card in the mail? Medical ID cards are sent via mail, but dental and vision providers (Delta Dental and VSP) do not issue ID cards. No ID is needed for dental and vision appointments, just provide your SSN and insurance carrier information. For dental appointments, provide your group number (21412).
How can I access my Aetna ID online (or though the Aetna app) to obtain a temporary ID card?
- Go to www.aetna.com
- Click log in, then register as a first-time user.
- Use your ID number or SSN to register.
- You now have access to the member site. Click name/profile, then “ID Card.”
- Click the printer icon to print a temporary ID card.
To access an ID card via the Aetna App, simply download the app to your phone and register as a first-time user. Once registered, the digital ID card is available on the landing page of the app for quick and easy access.
What is an HSA? An HSA, or Health Savings Account, is a tax-advantaged savings account that is used in conjunction with a High Deductible Health Plan (HDHP) to help individuals pay for qualified medical expenses.
How do HSAs work with HDHPs? If you have the HDHP, you can contribute pre-tax dollars to your HSA, which can then be used to pay for qualified medical expenses. The funds in an HSA can be used to pay for deductibles, copayments, and other out-of-pocket expenses. Your HSA dollars will roll over year to year, so you can spend on medical expenses now or you can invest the HSA dollars and save for the future.
Who is eligible for an HSA? Typically, only those enrolled in an HDHP are eligible for an HSA. Review eligibility details here.
How much can I contribute to an HSA? The amount is updated annually, per the IRS. Visit the Saving and Spending Accounts page for the latest contribution limits.
Are there any tax benefits to contributing to an HSA? Yes, there are several tax benefits to contributing to an HSA. Contributions are tax-deductible, which means that they can reduce your taxable income. Additionally, any interest or investment earnings in the account are tax-free, and you can withdraw your HSA dollars tax-free when you spend it on qualified medical expenses. That is a triple-tax savings!
What happens to the funds in an HSA if I don't use them? Unlike a Flexible Spending Account (FSA), funds in an HSA roll over from year to year. This means that if you don't use all of the funds in your HSA in a given year, they will still be available to you in future years.
Can I use my HSA to pay for non-medical expenses? Check if your expense is eligible here.
What is a Limited Purpose FSA? A Limited Purpose FSA is a type of Flexible Spending Account (FSA) that can only be used to pay for eligible dental and vision expenses. It is designed to work in conjunction with an HDHP that has an HSA.
Are there contribution limits for a Limited Purpose FSA? The amount is updated annually, per the IRS. Visit the Spending and Savings Accounts page for the latest contribution limits.
What are some examples of eligible expenses that can be paid for with an HSA or Limited Purpose FSA (LPFSA)?
- LPFSA qualified expenses: https://www.healthequity.com/lpfsa-qme
- HSA qualified expenses: https://www.healthequity.com/hsa-qme
What is a Health Care Flexible Spending Account (FSA)?
A Health Care FSA is a spending account that allows you to set aside pre-tax dollars from your paycheck to pay for eligible medical expenses. These expenses can include medical, dental, and vision care costs for you and your dependents. You can enroll in a Health Care FSA if you are enrolled in the Open Access Network Only 80/0, Choice POS II 80/60 Plan, or Choice POS II 90/80 Plan.
How does a Health Care FSA work?
When enrolling in a Health Care FSA, you decide how money you want to contribute for the year, up to the maximum allowed by the IRS. Visit the Spending and Savings Accounts page for the latest contribution limits. This amount is deducted from your paycheck on a pre-tax basis, meaning it reduces your taxable income. Throughout the year, you can use the funds in your FSA to pay for eligible medical expenses.
What are some examples of eligible expenses that can be paid for with a Health Care FSA:
- Health Care FSA qualified expenses: https://www.healthequity.com/fsa-qme
What else should I know about the Health Care FSA?
Health Care FSAs are use-it-or-lose it, meaning any funds not used by the end of the plan year may be forfeited. You also choose the amount you want to contribute to your Health Care FSA during enrollment, so make sure you carefully estimate how much you will spend on out-of-pocket medical expenses in the year. You can only change your contribution amount if your personal situation changes.
When am I eligible to start contributing to my 401(k) and how do I access my account? You are eligible to participate in the Plan after 90 days of employment. A “Getting Started Guide” from Empower (our 401(k) provider) will be mailed to your home 45 days prior to your automatic enrollment date. If you do not enroll on your own or opt out of automatic enrollment, you will automatically be enrolled at 6% of your eligible pay with an automatic increase of 1% annually until you reach a contribution rate of 10%. Please note you can change your contribution amount at any time. Endeavor will also contribute to your 401(k).
Will I be auto-enrolled into the 401(k)? Yes, deductions will be withheld from your paycheck after eligibility has been satisfied based on the automatic enrollment percentage or deferral you elected on your own. You must decline automatic enrollment to avoid having deductions taken from your pay, by logging onto https://empowermyretirement.com. You can contribute 1%-80% of your pay to the Plan and you may increase or decrease your contributions at any time.
Does Endeavor match my 401(k) contribution? Yes, Endeavor does match your 401(k) contribution up to a certain maximum. Learn more about Endeavor’s matching contributions on the 401(k) page.
Can I update my medical, dental or vision coverage at any time? No, there are two events that allow you to update your health coverage:
- Annual Open Enrollment in November.
- Qualifying Life Events such as birth/adoption, marriage or involuntary loss/gain of health coverage elsewhere (i.e., no longer covered under parents’ coverage). Learn about the steps you need to take when you experience a life event here.
If I am experiencing a Qualifying Life Event, how do I update my health care coverage? Please email US_Benefits@endeavorco.com to let us know which qualifying event you are experiencing, and we will send you instructions on how to update in Workday.
How do I update my beneficiaries for life insurance and 401(k)? Log in to Workday, click on "View Apps," choose “Benefits Dashboard,” select “change benefits” then click on “Add/Update beneficiaries.” To update your beneficiary for your 401(k) you will need to log into your Empower account at https://empowermyretirement.com/.
How do I make an election for the transit/commuter program? Once your benefit elections have been made in Workday, please wait 3-5 business days to log into the HealthEquity account to make your commuter elections.
How do I update my address in Aenta, Delta Dental, VSP (vision), and/or 401(k) account? You will need to update your address in Workday which will then transfer to all your benefit vendors. It can take up to 5-7 business days for insurance carriers to have your address updated in their eligibility system.
You can find contribution amounts and benefit summaries by visiting Workday and clicking on "All Apps" and then "Benefits Dashboard."
The amount of money you pay each month for your health insurance coverage.
The amount you pay out of pocket for expenses before insurance starts to pay.
The amount you and your insurance company split after you reach your deductible.
The maximum amount of money that you, as an insured individual, are required to pay for covered health care expenses within the year. Once you reach your out-of-pocket maximum, your health insurance plan will cover 100% of your eligible medical expenses.
A fixed amount you pay for services or prescriptions.
Health care services aimed at preventing illnesses and detecting health issues early. Many preventive care services are covered at 100% under the medical plan.
System with a combination of individual and family deductibles, where no single individual on the plan will pay a higher deductible than the individual deductible amount.
System where a family can meet the deductible by pooling deductible expenses, with no limit to the amount one member can pay toward the family deductible.