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Health

MEDICAL &
PRESCRIPTION DRUGS

Health

MEDICAL &

PRESCRIPTION

DRUGS

OVERVIEW

East West Bank recognizes that associates have different needs when it comes to medical needs. We provide you with plan choices that offer comprehensive benefits, prescription drug coverage plus, in-network preventive care at no cost to you. The plans available to you may vary based on where you live.

You can enroll as a new hire, during Open Enrollment, or if you have a Life Event. To see your Monthly Rate and enroll, log in to the UKG.

Medical-Dental-Vision Opt Out

You may choose to waive East West Bank coverage if you have access to alternative coverage (e.g. through a spouse’s employer). To waive medical coverage, you must provide proof (e.g. Medical ID card). Please refer to How to Waive Coverage for information.

Medical Plans

Key Features At A Glance

ALL OUR MEDICAL PLANS PROVIDE

ALL OUR MEDICAL PLANS PROVIDE

HEALTH MAINTENANCE ORGANIZATION (HMO) PLANS

How an HMO works?

You pay the plan premiums from your paycheck to have coverage.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.

Copay

You pay a small fee at the time of service for doctor visits and prescriptions.

No deductible

There is no annual deductible.

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.

Do you have a PCP?

With an HMO, you’re required to select a primary care provider (PCP) who will manage your care and provide referrals if you need to see a specialist. Find a doctor

Save money with an FSA!

A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for health care. But, be sure to plan your FSA contributions carefully. the money in your FSA does not carry over to the next plan year; you must “use it or lose it.”

Preferred Provider Organization (PPO) Plans

How the PPO works?

You pay the plan premiums from your paycheck to have coverage.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.

Copay

You pay a small fee at the time of service for doctor visits and prescriptions.

Deductible

For some services like hospitalization or emergency visits, you pay 100% of the cost 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.

Save money with an FSA!

A Health Care Flexible Spending Account (FSA) lets you take advantage of tax-free savings when paying for health care. But, be sure to plan your FSA contributions carefully: the money in your FSA does not carry over to the next plan year; you must “use it or lose it.”

Blue Shield Savings Plus PPO

How the Blue Shield Savings Plus PPO works

You pay the plan premiums from your paycheck to have coverage.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.
*With the Blue Shield Savings Plus PPO, if you have other family members on the plan, each family member must meet their own individual deductible until the total amount of deductible expenses paid by all family members meets the overall family deductible.

HSA

You can set aside tax-free money from your paycheck to help cover your health care 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 HSA to save money and plan ahead!

Contributing to your HSA is a great way to budget for deductibles and other out-of-pocket expenses while also saving money — your HSA contributions are tax-free!* And, once your HSA balance reaches $1,000, you can invest the funds.

Keep in mind:

The Blue Shield Savings Plus PPO costs you less from your paycheck, so you may have extra money available to put in your HSA.

You can only spend HSA money that’s actually been deposited into your account. If you don’t have enough money in your HSA when you need it, you can pay another way and reimburse yourself later so you take full advantage of your HSA’s tax savings.

You will never forfeit any money left in your HSA — it rolls over year after year. If you know about future expenses or want to save for your health care costs in retirement, set aside a little extra each paycheck so your balance can grow over time.

You can change your HSA contribution amount throughout the year as needed to keep up with any changes in your situation.

*Contributions are not subject to federal income tax. However, HSA contributions are currently subject to state income tax in CA and NJ. Consult with your tax advisor to understand the potential tax implications of enrolling in an HSA. Money in an HSA can be withdrawn tax-free as long as it is used to pay for qualified health-related expenses. If money is used for ineligible expenses, you will pay ordinary income tax on the amount withdrawn, plus a 20% penalty tax if you withdraw the money before age 65.

PLAN COMPARISON

Please note: The Bank’s benefits plan year runs from June 1 to May 31. However, our medical plan deductibles and out-of-pocket maximums run on a calendar year from January 1 to December 31. This means your deductible and out-of-pocket maximum will start over again January 1.

Medical Comparison Chart — CA Associates

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Click any of the following to show/hide the column (up to maximum of 4):

Blue Shield PPO Blue Shield Savings Plus PPO Blue Shield HMO Kaiser CA HMO (Not available for new enrollees)
HSA Features
HSA Eligible No Yes No No
Calendar Year Deductible
In-network / Out-of-network Individual: $250; Family: $500 Individual: $1,600; Family: $3,200 ($3,200 per individual in family coverage) None None
Coinsurance
In-network 10% after deductible 20% after deductible No charge No charge
Out-of-network 30% after deductible 40% after deductible Not covered Not covered
Calendar Year Out-of-Pocket Maximum
In-network Individual: $2,250; Family: $4,500 Individual: $4,500; Family: $9,000 Individual: $2,000; Family: $4,000 Individual: $1,500; Family: $3,000
Out-of-network Individual: $5,250; Family: $10,500 Individual: $4,500; Family: $9,000 Not covered Not covered
Health Care Visits: Doctor Visits
In-network $10/visit; deductible does not apply 20% after deductible $20/visit $20/visit
Out-of-network 30% after deductible 40% after deductible Not covered Not covered
Health Care Visits: Preventive Care
In-network No charge No charge No charge No charge
Out-of-network 30% after deductible Not covered Not covered Not covered
Health Care Visits: Hospitalization
In-network 10% after deductible 20% after deductible $500/admission $500/admission
Out-of-network 30% after deductible up to $600 per day 40% after deductible up to $600 per day Not covered Not covered
Health Care Visits: Emergency Visit
In-network $100 + 10% after deductible (copay waived if admitted) $100 + 20% after deductible (copay waived if admitted) $100/visit $100/visit
Out-of-network $100 + 10% after deductible (copay waived if admitted) $100 + 20% after deductible (copay waived if admitted) $100/visit in case of true emergency $100/visit in case of true emergency
Health Care Visits: Urgent Care
In-network $10/visit; deductible does not apply 20% after deductible $20/visit $20/visit
Out-of-network 30% after deductible 40% after deductible Not covered Not covered
Health Care Visits: Ambulance
In-network 10% after deductible 20% after deductible No charge $50/trip
Out-of-network 10% after deductible 20% after deductible Not covered Not covered
Retail Prescriptions – 30-Day Supply: Your Costs
Tier 1 or Generic (in-network) $10 $10 after deductible $5 $10
Tier 1 or Generic (out-of-network) 25% + $10 25% + $10 after deductible Not covered Not covered
Tier 2 or Preferred Brand (in-network) $15 $25 after deductible $10 $20
Tier 2 or Preferred Brand (out-of-network) 25% + $15 25% + $25 after deductible Not covered Not covered
Tier 3, Tier 4, or Non-Preferred Brand (in-network) $30 $40 after deductible $40 $20
Tier 3, Tier 4, or Non-Preferred Brand (out-of-network) 25% + $30 25% + $40 after deductible Not covered Not covered
Mail Order Prescriptions – 90-Day Supply for PPOs and 100-Day Supply for HMOs: Your Costs
Tier 1 or Generic (in-network) $20 $20 after deductible $10 $20
Tier 1 or Generic (out-of-network) Not covered Not covered Not covered Not covered
Tier 2 or Preferred Brand (in-network) $30 $50 after deductible $20 $40
Tier 2 or Preferred Brand (out-of-network) Not covered Not covered Not covered Not covered
Tier 3, Tier 4, or Non-Preferred Brand (in-network) $60 $80 after deductible $80 $40
Tier 3, Tier 4, or Non-Preferred Brand (out-of-network) Not covered Not covered Not covered Not covered

Medical Comparison Chart — WA Associates

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Click any of the following to show/hide the column (up to maximum of 3):

Blue Shield PPO Blue Shield Savings Plus PPO Kaiser WA HMO (Not available for new enrollees)
HSA Features
HSA Eligible No Yes. One-time Upfront Contribution from the Bank only During 2024-2025 Open Enrollment – $500 for individual coverage and $1,000 for family coverage No
Calendar Year Deductible
In-network / Out-of-network Individual: $250; Family: $500 Individual: $1,600; Family: $3,200 ($3,200 per individual in family coverage) None
Coinsurance
In-network 10% after deductible 20% after deductible No charge
Out-of-network 30% after deductible 40% after deductible Not covered
Calendar Year Out-of-Pocket Maximum
In-network Individual: $2,250; Family: $4,500 Individual: $4,500; Family: $9,000 Individual: $1,500; Family: $3,000
Out-of-network Individual: $5,250; Family: $10,500 Individual: $4,500; Family: $9,000 Not covered
Health Care Visits: Doctor Visits
In-network $10/visit; deductible does not apply 20% after deductible $20
Out-of-network 30% after deductible 40% after deductible Not covered
Health Care Visits: Preventive Care
In-network No charge No charge No charge
Out-of-network 30% after deductible Not covered Not covered
Health Care Visits: Hospitalization
In-network 10% after deductible 20% after deductible $200
Out-of-network 30% after deductible up to $600 per day 40% after deductible up to $600 per day Not covered
Health Care Visits: Emergency Visit
In-network $100 + 10% after deductible (copay waived if admitted) $100 + 20% after deductible (copay waived if admitted) $75 (copay waived if admitted)
Out-of-network $100 + 10% after deductible (copay waived if admitted) $100 + 20% after deductible (copay waived if admitted) $75 (copay waived if admitted) in case of true emergency
Health Care Visits: Urgent Care
In-network $10/visit; deductible does not apply 20% after deductible $20
Out-of-network 30% after deductible 40% after deductible Not covered
Health Care Visits: Ambulance
In-network 10% after deductible 20% after deductible 20% after deductible
Out-of-network 10% after deductible 20% after deductible Not covered
Retail Prescriptions – 30-Day Supply: Your Costs
Tier 1 or Generic (in-network) $10 $10 after deductible $10
Tier 1 or Generic (out-of-network) 25% + $10 25% + $10 after deductible Not covered
Tier 2 or Preferred Brand (in-network) $15 $25 after deductible $20
Tier 2 or Preferred Brand (out-of-network) 25% + $15 25% + $25 after deductible Not covered
Tier 3, Tier 4, or Non-Preferred Brand (in-network) $30 $40 after deductible $40
Tier 3, Tier 4, or Non-Preferred Brand (out-of-network) 25% + $30 25% + $40 after deductible Not covered
Mail Order Prescriptions – 90-Day Supply for PPOs and 100-Day Supply for HMOs: Your Costs
Tier 1 or Generic (in-network) $20 $20 after deductible $20
Tier 1 or Generic (out-of-network) Not covered Not covered Not covered
Tier 2 or Preferred Brand (in-network) $30 $50 after deductible $40
Tier 2 or Preferred Brand (out-of-network) Not covered Not covered Not covered
Tier 3, Tier 4, or Non-Preferred Brand (in-network) $60 $80 after deductible $80
Tier 3, Tier 4, or Non-Preferred Brand (out-of-network) Not covered Not covered Not covered

MEDICAL COMPARISON CHART — NON-CA ASSOCIATES

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Click any of the following to show/hide the column (up to maximum of 2):

Blue Shield PPO Blue Shield Savings Plus PPO
HSA Features
HSA Eligible No Yes. One-time Upfront Contribution from the Bank only During 2024-2025 Open Enrollment – $500 for individual coverage and $1,000 for family coverage.
Calendar Year Deductible
In-network / Out-of-network Individual: $250; Family: $500 Individual: $1,600; Family: $3,200 ($3,200 per individual in family coverage)
Coinsurance
In-network 10% after deductible 20% after deductible
Out-of-network 30% after deductible 40% after deductible
Calendar Year Out-of-Pocket Maximum
In-network Individual: $2,250; Family: $4,500 Individual: $4,500; Family: $9,000
Out-of-network Individual: $5,250; Family: $10,500 Individual: $4,500; Family: $9,000
Health Care Visits: Doctor Visits
In-network $10/visit; deductible does not apply 20% after deductible
Out-of-network 30% after deductible 40% after deductible
Health Care Visits: Preventive Care
In-network No charge No charge
Out-of-network 30% after deductible Not covered
Health Care Visits: Hospitalization
In-network 10% after deductible 20% after deductible
Out-of-network 30% after deductible up to $600 per day 40% after deductible up to $600 per day
Health Care Visits: Emergency Visit
In-network $100 + 10% after deductible (copay waived if admitted) $100 + 20% after deductible (copay waived if admitted)
Out-of-network $100 + 10% after deductible (copay waived if admitted) $100 + 20% after deductible (copay waived if admitted)
Health Care Visits: Urgent Care
In-network $10/visit; deductible does not apply 20% after deductible
Out-of-network 30% after deductible 40% after deductible
Health Care Visits: Ambulance
In-network 10% after deductible 20% after deductible
Out-of-network 10% after deductible 20% after deductible
Retail Prescriptions – 30-Day Supply: Your Costs
Tier 1 or Generic (in-network) $10 $10 after deductible
Tier 1 or Generic (out-of-network) 25% + $10 25% + $10 after deductible
Tier 2 or Preferred Brand (in-network) $15 $25 after deductible
Tier 2 or Preferred Brand (out-of-network) 25% + $15 25% + $25 after deductible
Tier 3, Tier 4, or Non-Preferred Brand (in-network) $30 $40 after deductible
Tier 3, Tier 4, or Non-Preferred Brand (out-of-network) 25% + $30 25% + $40 after deductible
Mail Order Prescriptions – 90-Day Supply: Your Costs
Tier 1 or Generic (in-network) $20 $20 after deductible
Tier 1 or Generic (out-of-network) Not covered Not covered
Tier 2 or Preferred Brand (in-network) $30 $50 after deductible
Tier 2 or Preferred Brand (out-of-network) Not covered Not covered
Tier 3, Tier 4, or Non-Preferred Brand (in-network) $60 $80 after deductible
Tier 3, Tier 4, or Non-Preferred Brand (out-of-network) Not covered Not covered

PRESCRIPTION DRUGS

Drug tiers

Generic drugs

Same active ingredients as brand-name equivalents and meet the same standards for quality and effectiveness, but usually cost much less.

You pay: $

Preferred drugs

Brand-name medications included on the formulary and favored by your prescription carrier.

You pay: $$

Non-preferred drugs

Brand-name medications not preferred by your carrier. They may still be covered, but may require prior authorization and cost more.

You pay: $$$

Check the formulary

See how medications are covered by logging in to Blue Shield’s, Kaiser Permanente of California’s, or Kaiser Permanente of Washington’s website and review your plan’s prescription drug formulary.

Why use home delivery?

Prescriptions are shipped to you for free — no waiting in line at the pharmacy.
You save money with a reduced cost for a three-month supply.
You can set up automatic refills.

Specialty drugs

All prescriptions for specialty medication, such as those used to treat complex conditions like rheumatoid arthritis, multiple sclerosis, or psoriasis, must be filled through your medical plan’s Specialty Pharmacy. You’ll have access to a dedicated team led by a pharmacist and nurse who are specialists in your condition to help you with your medication regimen. Learn more on the Blue Shield’s, Kaiser Permanente of California’s, or Kaiser Permanente of Washington’s website.

Prescription management programs

Your pharmacy benefits include several programs aimed at ensuring your safety and making sure you receive the most clinically appropriate and cost-effective medication.

TELEMEDICINE

Both Blue Shield and Kaiser offer telehealth programs as a convenient and cost-effective way to get quick medical advice by computer, tablet or on your mobile device about many non-emergency conditions.

Why Use Telehealth

Common Reasons to Call

Allergies
Anxiety issues
Back problems
Bronchitis
Cold and flu symptoms
Ear infections

Find A Doctor

Using in-network providers saves you money. Here’s how to find doctors in your medical plan network.

If you are searching for Blue Shield providers in California, follow these instructions:

1. Visit blueshieldca.com
2. Click “Find a Doctor” and choose the type of provider you’re looking for
3. If you have your Blue Shield member username and password, log in and search by a provider’s name, medical group, or location.
4. If you do not have a member log in, click “Continue as a Guest,” then enter your ZIP code
5. Click/tap “Select a plan”

For the HMO plan, select “Access + HMO” for both medical and sub-plan
For either PPO plan, select “Blue Shield of California PPO Network”

If you are searching for Blue Shield providers outside California, follow these instructions:

1. Visit bcbs.com
2. Hover over “Find a Doctor” and click the “In the United States” option
3. Enter the first three letters of the East West Bank member ID: IEC
4. Search by doctor, hospital, specialty, or location

If you are searching for Kaiser providers, follow these instructions:

1. Visit kp.org/finddoctors
2. Choose your plan location
3. Use the search tools to find a provider near you

Don’t have a primary care doctor? You should. Here’s why.

TOOLS & RESOURCES

Take advantage of these valuable programs and resources to better manage your health and financial well-being.

Blue Shield Resources

Blue Card Program for Blue Shield PPO

The BlueShield BlueCard Program can help you and your family get the care you need when you’re away from home. Wherever you travel, you have access to urgent and emergency care with a network of doctors and hospitals in 170 countries and territories around the world. Remember these important tips for when you travel:

• Consider bringing a list of providers to your destination, so you’re prepared if you need care
• Always bring your Blue Shield member ID card, so the providers have the information they need.

Find a BlueCard Provider for domestic travel (outside of CA, within the U.S.)

1. Go to blueshieldca.com/fad.
2. Scroll down to “Accessing Care Outside CA” and click “Providers Outside of CA.”
3. Click “Leave Blue Shield Website.”
4. Enter your location, then at the top right, click “PLAN Prefix AAA.”
5. Enter the first three letters or numbers of your member ID, or click “Find a different plan,” then “Browse a list of plans,” and click “BlueCard PPO/EPO.”
6. Enter the type of doctor or facility, then click the “Search” icon.

You may also call 800.810.BLUE (800.810.2583) (available 24/7) to look for PPO providers outside of California and within the U.S. This number is located on your Blue Shield member ID card.

International Travel

In a foreign country, you can call 804.673.1177 collect, 24 hours a day to locate a Blue Shield Global Core Network provider.
If you experience an emergency while out of the country, you should seek medical attention immediately and contact the medical assistance vendor if you are hospitalized.

To search for providers outside the U.S.:

1. Go to blueshieldca.com/fad.
2. Scroll down to “Accessing Care Outside CA” and click “Providers Outside of CA.”
3. Click “Leave Blue Shield Website.”
4. Scroll down and click “Search for Doctors” under “Locate Doctors Worldwide.”
5. Accept the terms and conditions, enter the first three letters or numbers of your member ID or enter XEA, and click “Go.”
6. Select a provider type: Doctor/Dentist, Hospital/Facility or Pharmacy.
7. Enter city, country, mile radius and specialty if relevant. Then click “Search.”

Away From Home Care for Blue Shield HMO

Enjoy the benefits of your HMO health plan coverage while you’re away from home. Blue Shield Away From Home Care allows you and your dependents to travel for extended periods while staying covered by your HMO. The Away From Home Care program is ideal for:

• Long-term travelers (covered when you travel outside your plan’s service area and in another state between 90 and 180 days, as long as you return to your permanent residence).
• Families living apart (dependents are covered who reside outside of CA when the custodial parent or dependent child lives out of state).
• Students (dependents are covered when they attend school outside of California but still permanently reside with you).

For more information, call the program coordinators at 800.622.9402 (Monday – Thursday, 8:30am – 5:30pm PT. Friday, 9am – 5pm PT).

Prenatal Program

Blue Shield and Maven are here to support your pregnancy journey every step of the way. You and your partner can get 24/7 access to specialist virtual support for pregnancy, postpartum, returning to work and newborn care at no cost to Blue Shield members.

Activate your no cost membership at blueshieldca.com/maven and review the brochure for details.

Blue Shield offers Wellvolution

The digital platform that guides you on your health journey. Through Wellvolution, you have access to lifestyle-based tools and support designed to help you lose weight, treat diabetes, nurture mental health, and more at no extra cost to Blue Shield members.

Take advantage of all the tools available through Wellvolution to get started or contact 866.671.9644 for questions and assistance.

Fitness Your Way

The Fitness Your Way program lets you get healthy and feel good on your own terms with the flexibility to work out at any network fitness location at a low price: $25 per month, per person plus a $25 one-time initiation fee. See participating locations.

Get started and enroll today:

1. Go to fitnessyourway.tivityhealth.com/bsc.
2. Click Enroll
3. Complete the five easy steps to enrollment

You can also enroll over the phone at 833.283.8387, Monday through Friday, 5 a.m. to 5 p.m. Pacific time.

Kaiser Resources

Getting Care Away from Home

Your Kaiser medical coverage allows you to get and receive care in any of Kaiser’s service areas, which include all or parts of California, Colorado, Georgia, Hawaii, Maryland, Oregon, Virginia, Washington, and Washington, D.C. Find locations at kp.org > select your region > Doctors & Locations.

If you’re outside of Kaiser’s service areas, don’t stress – you’re covered for urgent and emergency care anywhere in the world. Routine services are not covered, though, so make sure to get them before you travel. Routine services include prevention, exams, checkups, and services for ongoing medical conditions. Learn more about getting care away from home here.

Maternity Care

Kaiser’s maternity care program provides you with great care when you’re expecting. You can access support and resources for every stage of pregnancy, including choosing a doctor or midwife, preparing a birth plan, and specialized care for high-risk pregnancies. Plus, you can register for classes and programs, too. Go to kp.org > select your region > Health & Wellness > Maternity for in-depth resources and click here for more information about Kaiser’s programs.

Choose Healthy

Kaiser’s ChooseHealthy program offers lower prices on many specialty health and fitness services, including acupuncture, chiropractic care, massage therapy, and access to 9,000 participating fitness centers – plus online wellness information, activity tracking, and a health and wellness library at no additional cost.

Get started at kp.org  > select your region > Health & Wellness.

Mental Health Resources

Kaiser’s Mental Health and Wellness Care offers a variety of resources to help you navigating life’s daily changes and challenges.

• Mental health providers with a range of therapy and treatment options.
• Resources including classes, self-assessment tools, support groups, and more.
• Free access to well-being apps, Calm and Headspace Care.

Visit kp.org > select your region > Health & Wellness for more information. You can also call 800.900.3277, available 24/7. We can help you access crisis intervention and guidance, get referrals, and more. Call 911 in case of emergency.

MONEY SAVING TIPS

Telemedicine Doctor’s office Urgent care clinic Emergency room
Use it for A common, non-emergency medical issue that can be diagnosed by phone or online A condition that doesn’t need immediate attention and can wait until the next day A condition that needs immediate care but is not life- or limb-threatening A life-threatening or potentially crippling condition that needs immediate attention
Examples
  • Colds and allergies, flu/cough
  • Ear infections, pink eye
  • Behavioral health
  • Sore throat, fever
  • Routine exam, screening
  • Checkup, vaccine, prescription refill
  • Broken bone, severe sprain or strain
  • Cut requiring stitches
  • Anxiety attack
  • Sudden weakness, dizziness, or loss of consciousness
  • Uncontrollable bleeding
  • Chest pain, difficulty breathing
Cost You pay: $ You pay: $ You pay: $$ You pay: $$$
Find it Visit Blue Shield’s Teladoc or Kaiser’s Video Visits website to get started Call your regular doctor or search for an in-network provider on your medical plan carrier’s website Search for urgent care clinics near you at solvhealth.com/urgent-care Call 911 or search online for the nearest hospital