Overview of Available Plans
NOVA offers medical, dental, vision, spending accounts, life and disability insurance, supplemental health and additional benefits.
Benefits At A Glance
| Category | Carrier | Plan Names |
|---|---|---|
| Medical | UNITEDHEALTHCARE | PPO $1,000, HSA $1,750, HSA $5,000 |
| Dental | UNITEDHEALTHCARE | Base Plan (Non-Orthodontics), Buy-Up Plan (Orthodontics) |
| Vision | UNITEDHEALTHCARE | UnitedHealthCare |
Medical
- Carrier
- UNITEDHEALTHCARE
- Plan Names
- PPO $1,000, HSA $1,750, HSA $5,000
Dental
- Carrier
- UNITEDHEALTHCARE
- Plan Names
- Base Plan (Non-Orthodontics), Buy-Up Plan (Orthodontics)
Vision
- Carrier
- UNITEDHEALTHCARE
- Plan Names
- UnitedHealthCare
Bi-Weekly Employee Benefit Costs — Medical
| Coverage Tier | PPO $1,000 - You Pay | PPO $1,000 - NOVA Pays | HSA $1,750 - You Pay | HSA $1,750 - NOVA Pays | HSA $5,000 - You Pay | HSA $5,000 - NOVA Pays |
|---|---|---|---|---|---|---|
| Employee | $64.48 | $399.39 | $49.28 | $316.62 | $19.23 | $253.98 |
| Employee + Spouse | $282.95 | $644.76 | $223.38 | $508.41 | $163.48 | $382.94 |
| Employee + Child(ren) | $262.64 | $618.69 | $207.18 | $488.02 | $151.49 | $367.62 |
| Family | $385.00 | $774.64 | $304.38 | $610.35 | $223.43 | $459.61 |
Employee
- PPO $1,000 - You Pay
- $64.48
- PPO $1,000 - NOVA Pays
- $399.39
- HSA $1,750 - You Pay
- $49.28
- HSA $1,750 - NOVA Pays
- $316.62
- HSA $5,000 - You Pay
- $19.23
- HSA $5,000 - NOVA Pays
- $253.98
Employee + Spouse
- PPO $1,000 - You Pay
- $282.95
- PPO $1,000 - NOVA Pays
- $644.76
- HSA $1,750 - You Pay
- $223.38
- HSA $1,750 - NOVA Pays
- $508.41
- HSA $5,000 - You Pay
- $163.48
- HSA $5,000 - NOVA Pays
- $382.94
Employee + Child(ren)
- PPO $1,000 - You Pay
- $262.64
- PPO $1,000 - NOVA Pays
- $618.69
- HSA $1,750 - You Pay
- $207.18
- HSA $1,750 - NOVA Pays
- $488.02
- HSA $5,000 - You Pay
- $151.49
- HSA $5,000 - NOVA Pays
- $367.62
Family
- PPO $1,000 - You Pay
- $385.00
- PPO $1,000 - NOVA Pays
- $774.64
- HSA $1,750 - You Pay
- $304.38
- HSA $1,750 - NOVA Pays
- $610.35
- HSA $5,000 - You Pay
- $223.43
- HSA $5,000 - NOVA Pays
- $459.61
Bi-Weekly Employee Benefit Costs — Dental
| Coverage Tier | Base Plan (Non-Orthodontics) - You Pay | Base Plan (Non-Orthodontics) - NOVA Pays | Buy-Up Plan (Orthodontics) - You Pay | Buy-Up Plan (Orthodontics) - NOVA Pays |
|---|---|---|---|---|
| Employee | $5.12 | $10.78 | $6.43 | $13.66 |
| Employee + Spouse | $10.16 | $22.10 | $12.84 | $27.91 |
| Employee + Child(ren) | $9.71 | $20.73 | $12.26 | $26.18 |
| Family | $12.98 | $27.97 | $16.40 | $35.33 |
Employee
- Base Plan (Non-Orthodontics) - You Pay
- $5.12
- Base Plan (Non-Orthodontics) - NOVA Pays
- $10.78
- Buy-Up Plan (Orthodontics) - You Pay
- $6.43
- Buy-Up Plan (Orthodontics) - NOVA Pays
- $13.66
Employee + Spouse
- Base Plan (Non-Orthodontics) - You Pay
- $10.16
- Base Plan (Non-Orthodontics) - NOVA Pays
- $22.10
- Buy-Up Plan (Orthodontics) - You Pay
- $12.84
- Buy-Up Plan (Orthodontics) - NOVA Pays
- $27.91
Employee + Child(ren)
- Base Plan (Non-Orthodontics) - You Pay
- $9.71
- Base Plan (Non-Orthodontics) - NOVA Pays
- $20.73
- Buy-Up Plan (Orthodontics) - You Pay
- $12.26
- Buy-Up Plan (Orthodontics) - NOVA Pays
- $26.18
Family
- Base Plan (Non-Orthodontics) - You Pay
- $12.98
- Base Plan (Non-Orthodontics) - NOVA Pays
- $27.97
- Buy-Up Plan (Orthodontics) - You Pay
- $16.40
- Buy-Up Plan (Orthodontics) - NOVA Pays
- $35.33
Bi-Weekly Employee Benefit Costs — Vision
| Coverage Tier | UnitedHealthCare - You Pay | UnitedHealthCare - NOVA Pays |
|---|---|---|
| Employee | $4.56 | $0.00 |
| Employee + Spouse | $8.61 | $0.00 |
| Employee + Child(ren) | $8.10 | $0.00 |
| Family | $10.13 | $0.00 |
Employee
- UnitedHealthCare - You Pay
- $4.56
- UnitedHealthCare - NOVA Pays
- $0.00
Employee + Spouse
- UnitedHealthCare - You Pay
- $8.61
- UnitedHealthCare - NOVA Pays
- $0.00
Employee + Child(ren)
- UnitedHealthCare - You Pay
- $8.10
- UnitedHealthCare - NOVA Pays
- $0.00
Family
- UnitedHealthCare - You Pay
- $10.13
- UnitedHealthCare - NOVA Pays
- $0.00