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Coverage

Your coverage includes a range of benefits to help keep you and your family healthy. 

Medical Benefits

Gallagher is continuing to offer 3 plan options. Each plan includes either a Health Savings Account (HSA) or a Health Care Account (HCA) to help offset the plan deductible and other expenses.

Summary of Coverage and Benefits

2024

2023

Gallagher will contribute company money to your HSA or HCA: $450 for Employee Only coverage and $900 for Employee + Spouse, Employee + Child, and Family coverage.

Use this side-by-side comparison to determine which medical plan is best for you and your family.

Your Pharmacy Network – Your network is called the Advantage Network. Advantage Network pharmacies include national and regional pharmacy chains, as well as independent pharmacies.

Performance Drug List – View the Performance Drug List. If your medication is not referenced here, please call a BVA to verify coverage.

Please note: There is no coverage for using out-of-network pharmacies. Log in to MyPrime.com and select "Find a Pharmacy" or call Customer Service at 1-800-203-3765 to find a network pharmacy that works for you.

Prescription Drug Generic Equivalent Incentive – Through Blue Cross and Blue Shield of Illinois (BCBSIL), your prescription drug benefit uses a Member Pay the Difference pharmacy benefit designed to encourage you to use medicines that have been shown to be safe, and cost-effective. If you fill a prescription through a contracting pharmacy for a covered brand name drug where a generic equivalent is available, you will pay more.

Log in to Blue Access for MembersSM to learn more about your prescription drug benefit and access online resources.

Member Rewards – Member Rewards is a program that offers cash rewards when a lower-cost, quality provider is selected from several possibilities. Did you know that prices for the same quality medical services can differ by thousands of dollars within the same region and health plan network? When your doctor recommends a procedure, Member Rewards can help you identify a cost-effective location to have it performed.

To get started, call your Benefits Value Advisor today at 1-800-203-3765.

Important Facts About Your Coverage

Benefits Value Advisor (BVA) Call Requirement: You must call a BVA prior to scheduling non-emergent Outpatient CT Scans and/or Outpatient MRIs to receive full benefits. If you don't call a BVA before your procedure, your benefits will be reduced by $100. Call 1-800-203-3765 to talk to a BVA.

Additional Services: Telehealth is available under the plan. Information on this benefit, which is available outside of BCBSIL, is available at Connect2MyBenefits.

Additional Benefits

Prescription Drug Benefit – Prescription drugs are managed by Prime Therapeutics, an affiliate of Blue Cross and Blue Shield of Illinois (BCBSIL). Find out what medications are covered and where you can get your prescriptions filled to maximize your benefits.

Blue365® Member Discount Program – Your go-to resource for discounts on health-related products, health and fitness clubs, weight-loss programs and so much more. Start enjoying the discounts and deals today.

* Blue365 is only available to Blue Cross and Blue Shield of Illinois (BCBSIL) members with active health plan coverage. Members who don’t have an active health plan with BCBSIL won’t be able to register on the Blue365 website.

Other Benefit Providers

Gallagher provides certain benefits under its medical plan options that are administered separately from BCBSIL. Learn more about these benefits Learn more about these benefits.