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The Core Medical Plan

Effective 1/1/22
In addition to providing coverage in the event of illness, the Core Medical Plan (also referred to Medical Plan throughout this document) 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.
Two Options
The Medical Plan offers two "Consumer Driven Health Plan" options, and you choose whether your coverage is provided through Aetna or Cigna. 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 Aetna and Cigna have networks of selected health care providers, and you are strongly encouraged to go to in-network providers, as this saves both you and the Medical Plan money. However, you have the option to use out-of-network providers if you choose. The Prescription Drug Plan is part of the Medical Plan and is administered by CVS Caremark — regardless of which option or health care company you choose.
The Medical Reimbursement Account
When you enroll in Option 1 or Option 2 through Aetna or Cigna, 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 Eligible U.S. Employees in Arizona and Ohio, the Simplified Medical Plan
If you are an eligible U.S. employee living in Arizona or Ohio, your JPMorgan Chase medical coverage is available via the Simplified Medical Plan, not the Core Medical Plan. For details, see the Simplified Medical Plan overview. If you are an eligible U.S. employee living in California, your JPMorgan Chase medical coverage includes the Kaiser HMO option, described in the Kaiser HMO section.
If You Are Enrolled in the JPMC Medical Plan and Move Your Place of Residence
If you are enrolled in Option 1 or 2 of the JPMC Medical Plan and move to Arizona or Ohio, you'll automatically be enrolled in the JPMC Simplified Medical Plan, effective when you submit your address change. Please note that your health care company (Aetna/Cigna), election (Option 1 or 2) and dependent coverage will remain the same and cannot be changed as a result of your move.
Changes to your plan election can be made during annual enrollment.
Our Health Care Companies
JPMorgan Chase has selected Aetna and Cigna 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.
Provider Directories
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.
For questions or concerns regarding the Medical Plan, please contact your health care company (Aetna or Cigna) or the prescription drug plan administrator, CVS Caremark:
(800) 468-1266
8 a.m. to 8 p.m. all times zones
(800) 790-3086
CVS Caremark
(866) 209-6093
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.