Medical
Elmet Technologies offers three medical plans administered by Health Plans, Inc. (HPI). HPI offers excellent customer care and utilizes
- The Harvard Pilgrim Health Care (HPHC) network of providers - Inside New England
- The United Healthcare (UHC) Choice Plus network of providers - Outside New England
You may choose between the HSA Plan, PPO Silver Plan, and PPO Gold Plan.
This will be different for union members hired before April 15th, 2013. If you are enrolled in the union-contracted Allegiant Care plan, you are not eligible to elect these plans.
The HSA plan is a High Deductible Health Plan (HDHP) which qualifies participants to contribute to a Health Savings Account (HSA). If you elect the HSA plan, you are not required to open or contribute to a Health Savings Account (HSA), however, those who do contribute to an HSA will reduce their taxable income and be able to pay for medical, dental, vision, and prescription expenses federal income-tax-free. See the Health Savings Account (HSA) page for more information. Preventive care is always covered at 100% before the deductible.
The PPO plans offer copays for services like office visits, ER visits, and prescription drugs. For most other services, you are responsible for your deductible and coinsurance until you meet your out-of-pocket maximum. Please be aware that copays do not count towards your deductible, only your out-of-pocket maximum. Services are covered at 100% after a copay, as long as you stay in-network. Otherwise, you are responsible for the out-of-network deductible and coinsurance until you meet your out-of-pocket maximum.
Preventive care is always covered at 100% before the deductible. However, for preventive care to be covered in full, the service must be coded as preventive. If the service is coded as diagnostic, there will be a member out-of-pocket (deductible, copay, or coinsurance depending on the service) associated with the claim.
Medicare
For active employees with spouses who are enrolled in Medicare and not disabled, the HPI medical plan is primary. The spouse is not required to elect Part B (medically necessary services such as outpatient care and preventive care) until the active employee retires. However, the spouse will automatically receive Part A (hospital insurance).
HPI Medical Plans
***Please note that the above is meant to be a summary of the plan's In-Network benefits. The above does not illustrate the plan's Out-of-Network benefits. Please see the plan documents for a description of Out-of-Network benefits that are included within the plan. While every effort has been made to ensure that the above reflects the true benefits of the plan, if there is ever a discrepancy between the above and the plan document, the plan document information shall prevail.***
HPI Online Access
With HPI's My Plan Portal, you can access your Medical ID Card online and manage your account 24/7.
Register in Minutes!
- Go to https://hpitpa.com/.
- Visit the Members section and click the link to get registered.
- Enter your information to create your username and password.
Access all of your account details* in one secure location anytime, anywhere!
- Review your claims
- Check your benefits
- Access your prescription drug plan
- Search your provider network
- Download a report of your claims
- Request claim reimbursements
- View, print or order your member ID card
- View or print applicable tax forms
- Find a Primary Care Provider (PCP)
- View your health spending account details
Healthcare Centers of Excellence
We believe that distance and cost should never get in the way of you receiving the best possible medical care. Elmet employees have full access to top hospitals in New England, Ohio, and Michigan at zero out-of-pocket costs for complex medical conditions and procedures. As you explore these options, we want you to know that all possible barriers have been removed, and travel expenses will be covered for you and a companion. All employees, spouses, and dependent children who are enrolled in an Elmet health plan are eligible.
The Healthcare Centers of Excellence Program covers the following procedures:
- Cancer Treatment
- Joint Replacement
- Back Surgery
- Heart Procedures
- Organ Transplant
Additional medical procedures may be included on a case-by-case basis. Learn more by contacting the Elmet Benefits Service Center.
HPI's Pathways Concierge - HPI Plans Only
Healthcare can be confusing—we’re here to help!
The concierge team knows all about your benefits and can help you with anything related to healthcare. Our services are part of your benefit plan—so we’ll never charge you for our help.
Your Personal Healthcare Concierge—Whenever You Need It
- What is MyConcierge?
- With MyConcierge, you have direct access to an experienced, compassionate Member Advocate who will serve as your personal healthcare concierge whenever you have a question about your health plan, claims, or how to use your benefits.
- What will my Member Advocate do for me?
- Member Advocates are here to help with all things healthcare related, ensuring you and your family members receive the right care at the right time.
- Member Advocates:
- Can help with things like coordinating prescriptions or calling a provider about a bill
- Are trained to know everything about your health plan benefit
- Will take the time to get to know you and your family
- A Few Ways MyConcierge Can Help You
- Understand your benefits coverage and claims
- Find in-network specialty providers
- Recognize when support from other resources may be needed
- Leverage available resources
- Coordinate time with a care manager or health coach
Just one more thing to know:
- MedWatch is the name of the company that provides these services. They’re part of the Health Plans, Inc. (HPI) family of companies, and they may reach out to you to help you with your healthcare needs.
Help is just a phone call away
To get in touch with a Member Advocate, call (888) 340-5487 (M-F, 8am-8pm, ET)
***Don’t worry, your information is completely confidential and secure, which means we’ll never share it with anyone without your permission first.***
Pharmacy Benefits - HPI Medical Plans
- For the PPO Plan
- Generic, Preferred Brand, and Non-Preferred Brand Drugs are covered in full, after the applicable tier copay
- Specialty Drugs are covered at 80% coinsurance
- For the HSA Plan (High Deductible Health Plan)
- Prescription drugs are subject to deductible and then coinsurance, similar to other medical services.
International Pharmacy Programs:
- Avid Health is a voluntary prescription drug program that offers $0 copays for members and dependents enrolled in Elmet’s employee health benefit plans. Enrolling in this program allows you access to FREE prescriptions delivered to your home. To get started, call (833) 227-8732 or email support@avid-health.com.
AchieveHealth Tobacco Cessation Program
A tobacco-free life is within reach!
Your health goals are unique to you; your tobacco cessation program should be, too. With AchieveHealth, you’ll get a coaching approach tailored to you, your life and your health — to help you quit smoking, for good.
The program is:
- Free to you
- Individualized
- Convenient—you’ll talk with your coach over the phone when it works best for you.
How we can help
Together, you and your health coach will:
- Create your customized quit plan
- Identify barriers to quitting
- Explore new ways to cope with triggers and cravings
How it works
- Appointments range from 15-30 minutes.
- Your coach will call you at your scheduled appointment time, anytime Monday - Thursday 8:00am to 10:00pm (EST) and Friday 8:00am to 6:00pm (EST).
- Outside of scheduled appointments, you’ll be able to contact your coach through a toll-free number.
Not quite ready to quit?
That’s okay. Give us a call and we’ll talk about quitting when and how it works best for you.
Transparency in Coverage - Machine-Readable Files (MRFs) - HPI Medical Plans
As part of the Transparency in Coverage Final Rule issued by the U.S. Department of the Treasury, the U.S. Department of Labor, and the U.S. Department of Health and Human Services, health insurers and self-funded health benefit plans must post machine-readable files (MRFs) on a public internet website that includes:
- Negotiated rates for all covered items with in-network providers, and
- Historical payments to and billed charges from out-of-network providers.
These files will permit the public access to health plan payment information to help understand pricing and costs for health care services. The MRFs are accessible free of charge, without establishing a user account, password, or other credentials, and without submitting identifying information such as a name, email address, or telephone number. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.
Download machine-readable files (MRFs) here
For more information, please visit the HPI Transparency in Coverage - Machine Readable Files page
Dependent Eligibility Verification
If you choose to cover dependent(s) on your medical, dental, or vision plan(s), you will receive an email from the Benefits Service Center following enrollment requesting dependent verification documents. Please be sure to provide the dependent(s) verification by the deadline in order for your dependents to remain covered.
- Only legal spouses and registered domestic partners are eligible for coverage.
- Children are eligible until their 26th birthday.
You will receive detailed information on the required documentation after your enrollment, if applicable.
