The company provides a monthly subsidy of $476.00/employee (75% of the 3500 HSA plan rate).
| Benefit Feature | AFA OAAS 3500 50% HSA | AFA OAAS 1000 80% |
|---|---|---|
| Network & General Provisions | ||
| Network Type | National Open Access | National Open Access |
| Referrals Required | No | No |
| Preventive Care (Routine Wellness) | $0 (Covered 100%) | $0 (Covered 100%) |
| Doctor & Specialist Visits | ||
| Primary Care Office Visit | $35 after deductible | $25 Copay |
| Specialist Office Visit | $75 after deductible | $75 Copay |
| Urgent Care Center | 50% after deductible | $75 Copay |
| Hospitalization & Emergency Care | ||
| Annual Deductible (Ind / Fam) | $3,500 / $7,000 | $1,000 / $2,000 |
| Embedded Deductible | Yes | Yes |
| Inpatient Hospital Stay | 50% after deductible | 20% after deductible |
| Outpatient Surgery / Hospital | 50% after deductible | 20% after deductible |
| Emergency Room (ER) | 50% after deductible | $300 Copay + 20% after deductible |
| Annual Out-of-Pocket Maximum | $7,500 / $15,000 | $5,000 / $10,000 |
| Prescription Drugs (Rx) | ||
| Pharmacy Deductible | Subject to Medical Deductible | None |
| Tier 1 (Generic) | $3 or $10 after deductible | $3 or $10 Copay |
| Tier 2 (Preferred Brand) | $50 after deductible | $45 Copay |
| Tier 3 (Non-Preferred Brand) | $100 after deductible | $75 Copay |
| Tier 4 / Specialty | 50% max $250/$500 after ded. | 20% max $250 / 40% max $500 |
Looking for lower out-of-pocket payroll costs? Sedera offers a non-insurance medical cost sharing community combined with Direct Primary Care (DPC).
Watch this 5-minute video walkthrough to see how Health Share & IUA work.
Target Non-Medical Effective Date: December 1st, 2026
Renaissance Dental: Employer pays 50% of Low PPO employee rate ($11.24/mo credit applied to any plan/tier elected).
Renaissance Vision: Employer pays 50% of employee-only rate. Full exams and eyewear allowances.
OneAmerica: $10,000 term policy — 100% Employer-Paid for all eligible full-time team members.
Protect yourself and your family with pre-negotiated multi-year rate guarantees: