Start Here
Congratulations on joining Family Health Centers of San Diego!
Whether this is your first job or your 100th, navigating and enrolling in new benefits can be confusing. You want to be sure you’re picking the right coverage for you and your family. Now let’s get started!
Step 2: Enrollment Deadline and Effective Date
Next, you will determine your deadline for enrolling in benefits and when they will become effective based on your hire date.
Benefits Effective Date | ||
If Your First Day of Work is Between... | Enrollment Deadline | Date Your Benefits Will Start On |
DEC 3 - JAN 2 | JAN 22 | FEB 1 |
JAN 3 - JAN 30 | FEB 22 | MAR 1 |
JAN 31 – MAR 2 | MAR 22 | APRIL 1 |
MAR 3 – APRIL 1 | APR 22 | MAY 1 |
APR 2 – MAY 2 | MAY 22 | JUNE 1 |
MAY 3 – JUNE 1 | JUNE 22 | JULY 1 |
JUNE 2 – JULY 2 | JULY 22 | AUG 1 |
JULY 3 – AUG 2 | AUG 22 | SEPT 1 |
AUG 3 – SEPT 1 | SEPT 22 | OCT 1 |
SEPT 2 – OCT 2 | OCT 22 | NOV 1 |
OCT 3 – NOV 1 | NOV 22 | DEC 1 |
NOV 2 – DEC 2 | DEC 22 | JAN 1 |
DEC 3 – JAN 2 | JAN 22 | FEB 1 |
Medical
Key Medical Benefits | Cigna Scripps Select HMO | Cigna Full HMO | Kaiser Permanente Deductible HMO | SIMNSA HMO * | Cigna OAP PPO | |
---|---|---|---|---|---|---|
In-Network Only | In-Network Only | In-Network Only | In-Network Only | In-Network | Out-of-Network (1) | |
Deductible (per calendar year) Individual / Family | None | None | $750 | None | $750 / $1,500 | $1,500 / $3,000 |
Out-of-Pocket Max (per calendar year) Individual / Family | $2,000 / $4,000 | $3,000 / $6,000 | $3,000 / $6,000 | $6,350 / $12,700 | $2,250 / $4,500 | $4,500 / $9,000 |
Office Visits (physician/specialist) | $20 / $40 copay | $20 / $40 copay | $25 / $25 copay | $7 copay | 10%* | 30%* |
Routine Preventive Care | No charge | No charge | No charge | No charge | No charge | Not covered |
Emergency Room | $100 copay waived if admitted | $150 copay waived if admitted | 20% after deductible | $250 copay | 10%* | |
Urgent Care Facility | $25 copay | $25 copay | $25 copay | $25 copay; $50 copay out of area | 10%* | 30%* |
Retail Pharmacy (30-day supply) | $10 / $25 / $35 | $10 / $25 / $35 | $10 / $30 / Not covered | $10 / $10 / Not covered | $10 / $30 / $50 | Not covered |
Your Cost (Per Pay Period) | ||||||
Employee Only | $57.50 | $81.50 | $97.50 | $41.00 | $88.50 | |
Employee + Spouse | $134.50 | $183.50 | $220.00 | $43.00 | $210.00 | |
Employee + Child(ren) | $116.50 | $159.00 | $191.00 | $46.00 | $180.00 | |
Employee + Family | $190.00 | $258.00 | $304.50 | $48.50 | $296.00 | |
SIMNSA HMO: only eligible for Mexican Nationals (a person born in Mexico, a person born in another country with a Mexican father or a Mexican mother, or both a foreign woman or man who marries a Mexican man or woman and lives in Mexico, a foreigner who becomes naturalized in Mexico) |
Please view Medical Plan Highlights in the Health section.
Additional Resources:
FHCSD Flyer_A Guide to Transgender Benefits
Dental
Key Dental Benefits | Cigna DHMO | Cigna PPO | SIMNSA DHMO* | |
In-Network Only | In-Network | Out-of-Network (1) | In-Network Only | |
Deductible (per Calender year) Individual / Family | None | $50 / $150 | None | |
Benefit Maximum (per Calender year; preventive, basic, and major Services combined) | ||||
Per Individual | None | $1,500 per person (2) | None | |
Covered Services | ||||
Preventive Services | No charge | No charge | No charge | No charge |
Basic Services | View Schedule of Benefits | 10%* | 20%* | View Schedule of Benefits |
Major Services | View Schedule of Benefits | 40%* | 50%* | View Schedule of Benefits |
Orthodontia (Child and Adult) | $984 child max / $1,488 adult max | 50%; $1,500 lifetime max | 50%; $1,500 lifetime max | $50 per visit |
Your Cost (Per Pay Period) | ||||
Employee Only | $8.90 | $26.24 | $8.66 | |
Employee + Spouse/Registered Domestic Partner | $18.23 | $52.22 | $15.75 | |
Employee + Child(ren) | $19.56 | $55.37 | $10.82 | |
Employee + Family | $27.11 | $79.32 | $27.05 | |
*SIMNSA DHMO only eligible for Mexican Nationals (a person born in Mexico, a person born in another country with a Mexican father or a Mexican mother, or both, a foreign woman or man who marries a Mexican man or woman and lives in Mexico, a foreigner who becomes naturalized in Mexico) |
Please view Dental Plan Highlights in the Health section.
Vision
Key Vision Benefits | In-Network | Out-of-Network Reimbursement |
Exam (once every 12 months) | $20 copay | $20 copay, then plan pays up to $45 |
Materials | $20 copay | $20 copay |
Lenses (once every 12 months) | No charge after materials copay | Up to $30 |
Single Vision | ||
Bifocal | Up to $50 | |
Trifocal | Up to $65 | |
Frames (once every 24 months) | Up to $130 plus 20% off amount over | Up to $70 |
Contact Lenses (once every 24 months; in lieu of glasses) | Up to $150 | Up to $105 |
Your Cost (Per Pay Period) | ||
Employee Only | $3.89 | |
Employee + Spouse/Registered Domestic Partner | $6.66 | |
Employee + Child(ren) | $6.80 | |
Employee + Family | $10.96 |
Please view Vision Plan Highlights in the Health section.
Step 4: Come Prepared
Prior to your first day, complete the Benefit Pre-Election Form. Bring it with you on Day 1 so you will be ready to enroll right away.
Login to Workday
Login to Workday to enroll in benefits
Enrollment Guide
How To Enroll in Your Benefits
Additional Assistance
Watch the Step by Step Guide Video Above
My Benefit Champion Line: (877)679-2011 ext. 4200
champion@hubinternational.com