The Medical Plan
This section is the summary plan description (SPD) and the plan document for the Medical Plan. Please retain this section for your records. Other sections may also constitute the complete SPD/plan document, including the Plan Administration section.
In addition to providing coverage in the event of illness, the Medical Plan offers full coverage for eligible preventive care and eligible preventive generic prescription drugs, along with an integrated Wellness Program to help you and your family stay healthy and a Medical Reimbursement Account (MRA) to help you pay for eligible out-of-pocket costs. You can earn funds for your MRA when you (and in some cases, your covered spouse/domestic partner) participate in wellness activities.
This section of the Guide will provide you with a better understanding of how your Medical Plan coverage works, including how and when benefits are paid.
Be sure to see important additional information about the Plan, in the sections titled About This Guide, What Happens If… and Plan Administration.
The Medical Plan offers two "Consumer Driven Health Plan" options, and you choose whether your coverage is provided through Cigna or UnitedHealthcare. Both options offer the same coverage for medically necessary services and supplies, including prescription drugs. The key difference between the two options is the level of payroll contributions versus deductibles and coinsurance maximums.
Here's how the two Medical Plan options compare:
- Option 1 — Higher medical payroll contributions; lower annual deductibles and annual coinsurance maximums.
- Option 2 — Lower medical payroll contributions; higher annual deductibles and annual coinsurance maximums.
Both Cigna and UnitedHealthcare have networks of selected health care providers, and you are strongly encouraged to go to in-network providers, as this saves both you and JPMorgan Chase money. However, you have the option to use out-of-network providers if you choose. Regardless of which Medical Plan option or carrier you choose, the prescription drug plan is administered by CVS Caremark.
JPMorgan Chase partners with Cigna and UnitedHealthcare to administer our Medical Plan. Both are large, established companies that offer broad nationwide provider networks.
They also offer strong, well-established clinical programs and provide tools and resources to help you research and understand your health treatment alternatives. You can choose to have one of these health care companies administer your Medical Plan, regardless of whether you choose Option 1 or Option 2.
You can easily check which health care providers participate in the various JPMorgan Chase Medical Plan options by accessing your health care company's website at My Health.
Please Note: You should always check with your health care provider to ensure that he or she plans to continue participating in the network of the Medical Plan option you choose. If your health care provider decides to leave the network, it does not qualify as an event that allows you to change your health care company during the year.
When you enroll in Option 1 or Option 2 through Cigna or UnitedHealthcare, you will automatically be set up with a Medical Reimbursement Account (MRA). The MRA is a company-funded account that you can use to help pay for eligible out-of-pocket medical and prescription drug expenses (deductibles, coinsurance, and copayments). You can earn Wellness Rewards for your MRA when you (and in some cases, your covered spouse/domestic partner) participate in certain wellness activities.
For questions or concerns regarding the Medical Plan, please contact your health care company (Cigna or UnitedHealthcare) or the prescription drug service provider, CVS Caremark:
For additional specialty resources, consult the Contacts section.
The JPMorgan Chase U.S. Benefits Program is available to most employees on a U.S. payroll who are regularly scheduled to work 20 hours or more a week and who are employed by JPMorgan Chase & Co. or one of its subsidiaries to the extent that such subsidiary has adopted the JPMorgan Chase U.S. Benefits Program. This information does not include all of the details contained in the applicable insurance contracts, plan documents and trust agreements. If there is any discrepancy between this information and the governing documents, the governing documents will control. JPMorgan Chase & Co. expressly reserves the right to amend, modify, reduce, change or terminate its benefits plans at any time. The JPMorgan Chase U.S. Benefits Program does not create a contract or guarantee of employment between JPMorgan Chase and any individual. JPMorgan Chase or you may terminate the employment relationship at any time.