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 Plan ONLY Benefits at a Glance (BAAG)
MNA PPO Plus Health Plan ONLY Benefits at a Glance (BAAG) 2027
MNA PPO Plus Health Plan ONLY Summary of Benefits and Coverage (SBC)
MNA PPO Plus RxBenefits ONLY Pharmacy Benefit Coverage (PBC)
MNA PPO Plus RxBenefits ONLY Pharmacy Benefit Coverage (PBC) 2027
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?
- SaveOnSP copay assistance program does apply to the MNA PPO Plus health plan; see the main health plan page for more information.
- 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.
