2023 Benefits SummaryThis benefit summary reflects the most common version of the LM HealthWorks Plan. Your plan design may differ slightly. Please refer to your Collective Bargaining Agreement (CBA) or the Lockheed Martin Employee Service Center (LMESC) Online for your specific benefit plan design. HealthFund
* The HealthFund is an account set up for you by Lockheed Martin to help offset your deductible and/or certain covered out-of-pocket expenses. You (and your enrolled spouse/domestic partner) may add to your HealthFund by completing the RealAge Test and other Healthy Actions. Click here to learn more. In addition to the amounts listed above, pregnant members may earn another $150 by registering in the Aetna® Maternity Program. Click here to learn more. Any unused HealthFund balance rolls over at year-end as long as you continue to be enrolled as the subscriber in the LM HealthWorks Plan. Medical Plan
Preventive Care
Physician Office Visits
Prescription Drug Coverage
Prescription Drug Out-of-Pocket Maximum
Diagnostic X-ray and Lab
Complex Imaging Services
Emergency Medical Care
Maternity
Mental Health
Hospital Services
Substance Abuse
Other Services
Precertification Penalty
Lifetime Maximum
Pre-existing Conditions
Dependent Limiting AgePlan covers eligible dependent children from birth to age 26. Claims Administrator InformationMedical Administered by: Aetna Prescription Administered by: CVS Caremark Out-of-Area Plan DefinitionIn some locations in the United States, employees may have limited or no access to a provider network. If the medical claims administrator determines you reside in one of these locations, you are eligible for out-of-area benefits. Once the determination is made, it will be valid for the remainder of the year. Out-of-area coverage is the same as out-of-network coverage except that the plan reimbursement is generally 80% (not 65%) of the reasonable and customary charge* (after the deductible) for most covered medical expenses. The deductibles and out-of-pocket maximums are the same as the in-network deductibles and out-of-pocket maximums. If you receive medical care from a network provider, covered expenses are reimbursed at the in-network level. * The reasonable and customary charge is the charge most often made for a given health care service or supply in a geographical area. Benefits paid by the LM HealthWorks Plan for out-of-network or out-of-area care are based on reasonable and customary charges. This document is not intended as a summary plan description or plan document. If there is any conflict between this summary and the official plan documents, the official plan documents will govern. Disclaimer:The information provided in this "Benefits Summary" is for informational purposes only and is neither an offer of coverage nor medical advice. It contains only a partial, general description of plan benefits or programs and does not constitute a contract. Consult the formal plan documents to determine governing plan provisions, including procedures, exclusions and limitations relating to the plan. While this information is believed to be accurate as of the plan effective date (January 1, 2023), it is subject to change. * Benefits paid by the LM HealthWorks Plan for out-of-network and out-of-area care are based on Reasonable and Customary charges. Reasonable and Customary charges are those most often made for a given health care service or supply in a geographical area. Please note that plan provisions and eligibility for union represented employees are based on the terms of the collective bargaining agreement. This document is not intended as a summary plan description or plan document. If there is any conflict between this summary and the official plan documents, the official plan documents will govern. |