Medical Plans & Rates - California

Options for you and your family's health and financial well-being

Choosing the right medical plan is like choosing the right car. When buying a car, you take into consideration the cost of the car along with related expenses such as insurance and gas.

Apply the same logic to making the right medical plan decision. First consider the premium. Then think about expenses the plans does not cover such as deductibles and coinsurance.

2026 Select Plus
Monthly Premiums for California
Monthly Premium Firm's Portion Employee Portion
Employee Only $881 $608 $273
Employee & Spouse $1,926 $1,328 $598
Employee & Child(ren) $1,653 $1,123 $530
Employee & Family $2,753 $1,954 $799
2026 HDHP
Monthly Premiums for California
Monthly Premium Firm's Portion Employee Portion
Employee Only $656 $514 $142
Employee & Spouse $1,433 $1,123 $310
Employee & Child(ren) $1,229 $963 $266
Employee & Family $2,047 $1,604 $443

*Partner pays total monthly premium.

Our two medical plan options are offered through United Healthcare. Need to connect?

Preventive Care Services

To use this document:

  1. Request the CPT codes from the ordering physician they will use when filing the claim.
  2. Search the document for the code.
  3. If the code is found, the criteria (e.g., age or gender related) will be listed considered preventive.
  4. If the code is not found, this indicated it will be considered diagnostic.

Compare Plan Options

Select Plus
High Deductible
Select Plus Coverage Information
In Network Out Of Network
General Services
Annual Deductible/Individual $800 $1,600
Annual Deductible/Family $1,600 $3,200
Annual Out-of-Pocket Limit/Individual $4,000 $7,000
Annual Out-of-Pocket Limit/Family $8,000 $14,000
Office Services
Office Visit/Exam $20 40% coinsurance
Specialist Visit $40 40% coinsurance
Urgent Care $40 $40
Preventative Services 100% Covered 40% coinsurance
Hospital Services
Inpatient Hospital 20% After Deductible 40% coinsurance
Outpatient Surgery $20 40% coinsurance
Emergency Room $300 + 20% After Deductible $300 + 20% After Deductible
Select Plus Prescription Drugs Coverage Information
In Network Out Of Network
Retail (30 day supply)
Generic $10 No Coverage
Brand $30 No Coverage
Non-Formulary $50 No Coverage
Specialty $200 No Coverage
Retail Maintenance (90 day supply)
Generic $30 No Coverage
Brand $90 No Coverage
Non-Formulary $150 No Coverage
Specialty Available 30 days retail only No Coverage
Mail Order (90 day supply)
Generic $30 No Coverage
Brand $90 No Coverage
Non-Formulary $150 No Coverage
Specialty Available only 30 days retail No Coverage
HDHP Coverage Information
In Network Out Of Network
General Services
Annual Deductible/Individual $1,800 $4,000
Annual Deductible/Family $3,600 $8,000
Annual Out-of-Pocket Limit/Individual $5,000 $8,000
Annual Out-of-Pocket Limit/Family $10,000 $16,000
Office Services
Office Visit/Exam 20% After Deductible 40% After Deductible
Specialist Visit 20% After Deductible 40% After Deductible
Urgent Care 20% After Deductible 20% After Deductible
Preventative Services 100% Covered 40% coinsurance
Hospital Services
Inpatient Hospital 20% After Deductible 40% After Deductible
Outpatient Surgery 20% After Deductible 40% After Deductible
Emergency Room Care 20% After Deductible 20% After Deductible
Emergency Medical Transportation 20% After Deductible 20% After Deductible
HDHP Prescription Drugs Coverage Information
In Network Out Of Network
Retail (30 day supply)
Generic $10 After Deductible No Coverage
Brand $30 After Deductible No Coverage
Non-Formulary $50 After Deductible No Coverage
Specialty $200 After Deductible No Coverage
Retail Maintenance (90 day supply)
Generic $30 After Deductible No Coverage
Brand $90 After Deductible No Coverage
Non-Formulary $150 After Deductible No Coverage
Specialty Available 30 days retail only No Coverage
Mail Order (90 day supply)
Generic $30 After Deductible No Coverage
Brand $90 After Deductible No Coverage
Non-Formulary $150 After Deductible No Coverage
Specialty Available only 30 days retail No Coverage

The Preferred Provider Organization (PPO) plan includes an FSA in which you can contribute pre-tax dollars to use for eligible medical expenses. Each time you visit the doctor or receive health care services, you can use your pre-tax dollars towards the expenses.

The High Deductible Health Plan (HDHP) plan includes an HSA which covers incurred expenses by paying them from this allocation until the contribution dollars are exhausted.

Choosing between the two plans is a very important and personal decision. As you make your selection, there are many things to consider. See some examples below:

Assess your typical annual health care costs 
    • Do you anticipate your costs to increase, decrease, or stay the same for the coming year?
    • Did you meet your deductible last year?
    • How would you have fared if you were on the other plan the previous year—would you have been in a better or worse position?
Consider the tax savings options for each plan
    • Both plans have tax savings options, but they vary based on plan type.
    • The Choice Plus plans provide tax savings through a Flexible Spending Account (FSA). A health care FSA allows you to set aside pretax dollars to pay for qualified expenses. Once elected, your participation is locked in for the full year. If the amount elected exceeds the expenses incurred during the calendar year, you may carry over up to $680 to use in the following plan year. Any remaining portion over the $680 maximum carryover amount will be forfeited back to the plan, so it’s important to carefully consider the amount you elect to contribute to an FSA.
    • The High Deductible Health Plan (HDHP) provides tax savings through a Health Savings Account (HSA). An HSA is a tax-exempt savings account funded with your tax-free dollars to be used exclusively for qualified expenses. The funds in an HSA can be carried over from year to year. The funds in an HSA account also may earn interest or be otherwise invested.
    • Please see the Tax Savings Plans section for more information regarding these types of plans.
Weigh the reward against the risk
    • Both plans will provide you and your family with comprehensive medical coverage. Deciding which plan to select may come down to choosing between the reward of spending less in premiums and potential risk of paying more in deductibles and out-of-pocket maximums if you experience a health issue.

 

To assist with estimating potential out-of-pocket expenses for both plans, an Employee Medical Plan Cost Calculator is available in the Quick Links section of this page. Do the math and determine which plan is the best fit for you and your family’s personal and financial situation.

As health care costs continue to rise, we should look for ways to control costs where we can. With a self-funded plan, both Forvis Mazars and the participants should be wise health care consumers. Please keep in mind the tips below as you weigh your health care options.

Use In-Network Providers

Using in-network providers generates higher discounts, reducing overall plan costs and out-of-pocket expenses.

Seek the Appropriate Level of Care

Seeking the appropriate level of care helps reduce overall plan costs and maintain the continuity of care. An emergency room visit can cost more than seven times what physician’s office or urgent care visits typically cost. 

  • Take advantage of the 100 percent coverage for preventive care, which may result in early detection and increase prevention awareness.
  • Be informed about the cost of tests and treatment plans.

Effective January 1, 2023, eligible employees and partners retiring from the firm can continue to remain on the Forvis Mazars Medical, Dental and Vision plans until they meet the eligibility requirements for Medicare.  When the retiree becomes Medicare eligible, their spouse can remain on the plan(s) until they become Medicare eligible.  Dependent children can remain on the plan until they reach age 26 or otherwise maintain eligibility.

To be considered a retiree, you must be at least age 52, with the sum of the retiree’s age and years of service (including with a legacy firm) equaling 65 or more and be enrolled in the applicable plan(s) at the time of retirement.  

Forvis Mazars does not contribute any funds towards the cost of the retiree coverage.  The premiums for retiree coverage are fully paid for by the retiree (or dependents, if applicable).  The Medical premiums are 120 percent of the full monthly premium, and the Dental and Vision premiums are 100 percent of the full monthly premium. 

If you never received your health insurance card or you simply need a replacement, contact United Healthcare at 1-844-638-8700.   You may also print a personalized temporary ID card after registering on the United Healthcare site.  Log in to your account and from your Dashboard, select ID Card from the options under Quick Links. 

Note:  If you enrolled in medical coverage recently, United Healthcare indicates 5 – 7 business days of administrative time is needed to complete your coverage setup and generate an ID card.  

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