REGIONAL HEALTH PLANS
Please select the plan below to view details.
MNA PPO Plus Plan
MNA PECSH’s PPO Plus plan pairs optionally with a health care Flexible Savings Account (FSA).
MNA PPO Plus Health ONLY Plan Benefits at a Glance (BAAG)
MNA PPO Plus RxBenefits ONLY Plan Summary
MNA PPO Plus plan overview:
MNA PPO Plus plan is a preferred provider organization (PPO) which allows team members to have services performed either in or out of network.
Offers lower out-of-pocket costs, including no deductible or co-insurance on in-network medical services.
No co-share on most services in-network, including durable medical equipment, after the deductible is met.
Three-tier prescription drug coverage, limited to UM Health-Sparrow pharmacies.
- Enrollment requirements:
- Team members covered by a high-deductible health plan (HDHP) may not enroll in a non-HDHP (plans) or make or receive FSA contributions
- Non-HDHP coverage includes Medicare, Medicaid, Tricare
- Team members enrolled in the Gold Plan should not make or receive HSA contributions, but can participate in the health care FSA
- Team members covered by a high-deductible health plan (HDHP) may not enroll in a non-HDHP (plans) or make or receive FSA contributions
- FSA Contribution limits (2026 listed):
- $3,300
Contributions are pre-tax, and FSA funds can be used on eligible items. FSA funds do not rollover year after year, but there is a 2 ½ month grace period where you can incur expenses from Jan. 1 to March 15 of the following plan year to use up unspent funds.
- Eligible expenses: Eligible expenses include out-of-pocket expenses related to doctor visits, prescription medications, dental/vision exams and much more!
- Check eligible expenses on our vendor’s (Wex) website!
- F.S.A. card: WEX debit card tied to individual health care FSA accounts will be issued. Team members can request additional cards from the vendor.
- Employer contribution: There are no FSA employer contributions; all funds are team member contributions only.
MNA PPO Plus Pharmacy Benefit Manager information (RxBenefits):
- RxBenefits – Pharmacy Benefit Manager (PBM)
- Contact for support with pharmacy claims, RxBenefits pharmacy insurance cards, or support with pharmacy prior authorizations.
- Group Number: TBD
- Website: Member.RxBenefits.com
- Pharmacy Network Search Link
- Email: customercare@rxbenefits.com
- Customer Service: 800-334-8134
- Formulary:
- Current RxBenefits Formulary (2026 not yet available)
- Upcoming Formulary Changes
- Maintenance medications
- UM Health-West team members must fill all maintenance medications at a U-M Health owned pharmacy
- UM Health-Sparrow team members must fill listed maintenance medications (click to open) at a U-M Health owned pharmacy
- First-fills are an exception for all regional plans
- Need specialty medications?
- Contact UM Health-West Pharmacy at 616-252-RxRx (616-252-7979) or UM Health-Sparrow Specialty Pharmacy at 833-485-0222
Additional F.S.A. resources:
More on Flexible Spending Accounts
Wex contact information:
Contact Wex for questions about debit cards (including requesting new cards), mobile app/website support, etc.
Benefits Account Login | Benefits Administration Acct Login | WEX Inc. Login
Important compliance note:
Team members electing FSA benefit options are responsible for managing compliance with IRS FSA rules.
UNION HEALTH PLANS
If you are a union-represented team member, please select the applicable union below.
