When is open enrollment?
December. The plan year begins January 1 until December 31.
What life changing events qualify for making changes to my benefit elections?
Marriage, adoption, childbirth, and loss of coverage.
I heard I can only see specialists if Dr. Sasser refers me, is that true?
It depends on the specialty! The current contracts Dr. Sasser has are as follows:
Orthopedic - Bone & Joint
Imaging - Imaging Center of Baton Rouge
Optometrist (Medical not Vision Insurance) - Eye Specialist of LA
Lab Work - LabCorp
In order to be In-Network for our medical insurance, you must see a Dr. Sasser or a Provider who is “In-Network” with our plan.
FUN FACT: Did you know you can sign up for Colonial at any time? There’s no waiting period!
If I choose not to participate in Direct Primary Care (Dr. Sasser), are all of my visits out-of-network?
No, please review the two networks that Patient Plus partners with - Verity & Multiplan.
If I need to go to the emergency room, do I have to go to a specific hospital to be in-network?
Yes! With Patient Plus’ health insurance partner, Verity, you must go to Baton Rouge General.
I never received an insurance card for vision/dental. What do I do?
For vision, just let the vision center know that you have Blue Cross Blue Shield of Louisiana and give them your social security card or full legal name.
For dental, please contact Human Resources to have your card reissued to your home address.
Who do I direct my claim questions to?
All claim questions can be directed to 90 Degree Benefits - Call (318) 747-0577 or visit their website 90degreebenefits.com.
Medicare Notices - 2025
FUN FACT: Did you know that prescriptions with Drexi contribute to your deductible?
401K
When can I sign up and/or terminate my contributions?
A team member can join the 401k or make changes to their current contributions at the start of any quarter (Jan 1, April 1, July 1, or Oct 1). Team members can terminate their contributions at any time.
How do I qualify?
A new team member will be eligible to join once they have worked a full year for Patient Plus, as long as they have worked at least 1,000 hours during that year. A team member that does not work the required 1,000 hours during their first 12 months of employment will not be eligible until they work 1000 hours in a calendar year.
How much can I contribute a year?
Team members can contribute up to $19,000 a year. If the team member is 50 years old or older, they can contribute an additional $6000 to “catch up”.
How much does Patient Plus match?
Patient Plus will match 50% of a team members contribution, as long as the team member’s contributions are no more than 4% of the team member’s pay. In other words, Patient Plus will match up to 2% of the employee’s pay. If the employee contributes 3%, Patient Plus will match 1.5%.
FUN FACT: Our 401k plan is not currently considered a “safe harbor plan”. This means that high-earning team members that contribute large amounts may have some contributions refunded if there is not enough participation in the 401k plan.
When am I vested?
When a team member is “vested” they can take out all of their own contributions and all of the contributions made by Patient Plus. Until the team member is 100% vested, they can only take out their own contributions and a portion of Patient Plus’ contributions.
a. <1 year = 0% vested
b. 1 year = 33.33% vested
c. 2 years = 66.67% vested
d. 3 years = 100% vested
Will there be any distributions?
No “in-service” distributions are allowed. In other words, if you’re working at Patient Plus, your money stays in the 401k. However, Employees can take out a loan against the 401k if they want.
I’m leaving Patient Plus, how do I get my contributions in the 401k plan?
If separated, a team member can, at any time, take a lump sum or leave their money in the 401k. Majority prefer to roll the amount over into the 401k of their new employer.