Medical & Pharmacy Plans
Quantum Health is your one stop resource for all your benefits. Starting on January 1, 2024, access all of your plan details at SoteraHealthBenefits.com or contact your Care Coordinators at 866.920.1968.
Don’t forget to download the Quantum Health app for on-the-go guidance whenever you need help with your healthcare and benefits.
There are four medical plans from which you can choose. Each plan offers a different deductible and out-of-pocket maximum, as well as different premiums (the amount taken pre-tax from your paycheck) so you can decide which plan works best with your budget and healthcare needs.
All medical plans have in and out-of-network benefits. You will experience lower out-of-pocket costs when choosing an in-network doctor or hospital. You can choose to select an out-of-network provider, but your out-of-pocket costs will be greater.
PLATINUM PPO PLAN
A traditional PPO medical plan that offers greater coverage when you select an in-network provider. Copays and coinsurance coverage is provided under this plan, please review the chart to follow. You are eligible to participate in a health care Flexible Spending Account (FSA).
GOLD PLAN
A High Deductible Health Plan (HDHP) with mid-range premiums and deductibles. This plan comes with a contribution into your Health Savings Account (HSA) from Sotera Health to help cover your medical costs.
SILVER PLAN
A High Deductible Health Plan similar to the Gold Plan but with lower premiums and higher deductibles. This plan comes with a contribution into your Health Savings Account (HSA) from Sotera Health.
BRONZE PLAN
A High Deductible Health Plan, the Bronze plan has the highest deductible and out-of-pocket costs with the lowest premiums. This plan comes with a contribution into your Health Savings Account (HSA) from Sotera Health.
Key Terms
Coinsurance - your share of the cost of a covered medical or prescription drug service after you’ve met your deductible for the calendar year. If you reach your out-of-pocket maximum, the medical and prescription plans pay 100% of the allowed amount of all covered services for the remainder of the calendar year.
Copay - a fixed amount you pay for a services like a doctor's office, urgent care, or emergency room visit, or prescription drugs.
Deductible - this is the amount you pay out of your own pocket before the plan will begin paying for care. You can use funds from your HSA to pay for eligible expenses and help meet your deductible.
Out-of-pocket maximum - the most you’ll spend on eligible medical and prescription drug expenses in a single year. Your plan covers all eligible expenses after this limit is reached in a calendar year.
Preventive care - the care you receive to prevent illnesses or diseases such as screenings and immunizations. Our health plans provide 100% coverage for recommended preventive medical care services.
The Premium Designated Provider program evaluates physicians in various specialties using evidence-based medicine and national standardized measures to help you locate quality and cost efficient doctors. Contact your Quantum Health Care Coordinator or look on SoteraHealthBenefits.com to find a Premium Designated Provider.
Lower cost sharing will apply if you use a premium designated provider. If you are enrolled in the Gold, Silver, or Bronze plan, the copays will apply after your deductible.
- $10 copay for PCP visits
- $40 for specialists
Choosing a network pharmacy may help you save on costs. You may contact your Quantum Health coordinator to help you find a pharmacy that will best support your needs at 866.920.1968 or go online to SoteraHealthBenefits.com. Your OptumRx Group Number is 76-416472.
New for 2024 is the Critical Drug Affordability Program. This program covers crucial medications for enrolled members at 100%. Covered drugs include insulins, glucagon, epinephrine, albuterol, and naloxone. Optum Rx Critical Drug Affordability Program
You have access to TalkSpace online therapy through any of Sotera Health's medical plans. With Talkspace online therapy, you can regularly communicate with a therapist, safely and securely from your phone or desktop. No office visit required. Talkspace is convenient, safe and secure.
2024 Summary of Benefits & Coverage (SBC)
2024 Summary Plan Description (All Plans)
Telemedicine and Second Opinion Support
Telemedicine through Teladoc and Second Opinion Support through Quantum Health
Access Teladoc's Virtual Visits to contact board-certified physicians 24/7 - whether you're at work, home, or traveling.
Use a Virtual Visit for everyday medical conditions like
• Allergies
• Bronchitis
• Eye infections
• Flu
• Headaches/migraines
• Rashes
• Sore throats
• Stomachaches
Call 800.835.2362, visit TeladocHealth.com or download the Teladoc Health app. You can always contact your Quantum Health Care Coordinator for more information and assistance.
Teladoc Expert Second Opinion
The Expert Medical Opinion benefit gives you access to U.S. board certified internists, family doctors, pediatricians, and more from the comfort of your home. They provide expert medical guidance that’s personalized just for you, so you can get the answers you need to make the best decisions about your health. These leading medical specialists average 20 years of experience across 450 specialties and are licensed to practice in our state. Of those who have used this benefit:
• 72% get different treatment plans
• 37% get improved diagnoses
• 37% avoid unnecessary surgery
You should use this service when you or someone covered by your plan benefits are unsure about a diagnosis or need help choosing the right care
You can download the Teladoc Health app by calling 855.380.7828, or visiting TeladocHealth.com/Medical-Experts or, you can contact Your Care Coordinators at Quantum Health.
Airrosti: A Solution for Muscle and Joint Pain
Airrosti is a covered benefit for Sotera Health employees enrolled in one of our medical plans.
Airrosti provides highly effective, personalized care for acute and chronic musculoskeletal (MSK) pain and conditions. Each virtual Airrosti treatment plan, includes:
- Thorough assessment and orthopedic testing to provide an accurate diagnosis and injury education.
- Conservative manual treatment to restore function, increase mobility, and reduce pain.
- Personalized, active rehab and at-home exercises designed to speed recovery and prevent future injuries.
Airrosti’s goal is to give patients a quick and safe return to activity. Airrosti runs through the medical plan as an in-network provider.
Care Options
Airrosti provides highly effective care to help you live life pain free. Experience the Airrosti difference!
- Expert Diagnosis - Your provider will perform a thorough orthopedic and functional evaluation to accurately diagnose your injury and develop your targeted care plan.
- Effective Care - Airrosti’s safe and efficient care results in increased strength, function and range of motion, as well as a dramatic decrease in pain.
- Personalized Plan - You will receive a customized exercise and recovery plan designed to target the source of your pain and speed recovery
Contact your Quantum Health Care Coordinator or reach out directly:
(800) 404-6050
Monthly Webinars
You can register for a webinar to learn more about Airrosti and the conditions it can treat. See here for a list of webinar topics. You can register at: https://airrosti.zoom.us/webinar/register/WN_KvDbIiX0RkGwTFyKG7Yuqg#/registration
Dental Plan
Vision Plan
Disability - STD & LTD
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Income Replacement: 70% of weekly base salary up to $3,000 per week
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When Benefit Begins: 8 calendar days
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Maximum Benefit Period: 26 weeks (including benefit waiting period)
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Benefit Tax Treatment: Taxable
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Type of Injury/Illness: Non-occupational only
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Income Replacement: 60% of monthly base salary, up to $10,000 monthly maximum benefit
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When Benefit Begins: 181st calendar day
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Maximum Benefit Period: Your Normal Social Security Retirement Age if first disabled prior to age 62; if disabled age 62 or later, benefits may continue according to a graded schedule
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Benefit Tax Treatment: Taxable
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Type of Injury/Illness: Occupational & Non-occupational only
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Notify your supervisor
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Call Voya at 888.305.0602, anytime. You can speak to a trained disability specialist or follow the prompts to record your disability information
FMLA, State and Company Leaves
Voya FMLA Intake: 888.464.3652 or voya.absenceresources.com
Visit Voya's Employee Benefit Resource Center (ERBC) for additional information on Voya Absence Resources: https://presents.voya.com/EBRC/SoteraHealth
Life & AD&D, including Supplemental Life
Voluntary Benefits
New for 2024: Voluntary Benefits
Sotera Health is pleased to offer accident, critical illness, and hospital indemnity coverage through UNUM and pet insurance through ASPCA.
Accident Insurance provides a cash benefit if you or a family member is injured due to an accident. The amount of the benefit varies based on the severity of the injury.
Critical Illness pays a lump sum if you or a family member are diagnosed with a serious health condition like
cancer, heart attack, stroke, Multiple Sclerosis, ALS, Parkinson’s, or Alzheimer’s Disease. The benefit is $20,000 for an employee, and $10,000 for children.
Hospital Indemnity pays a benefit when you are admitted to the hospital, whether it is for an accident, illness, medically necessary procedure, or the birth of a child. The benefit is $1,000 per admission and $100 per day (up to 30 days). The benefit is doubled if you are admitted to and stay in the ICU
Access this website for more information: https://flimp.live/v3qr9qsxm
All UNUM plans include a $50 Be Well Benefit each year if you and other covered family members receive
an annual physical, immunization, or recommended preventive screening.
ASPCA offers a customizable pet insurance plan for your dog or cat. The cost is based on your pet’s information and the plan you design. Pre-existing conditions are excluded. Enroll at:
www.aspcapetinsurance.com/SoteraHealth
priority code EB23SoteraHealth.
You can also call ASPCA at 877.343.5314.
You will be billed directly by ASPCA for your pet insurance.
Legal Notices
- Medicare Part D Notice
- 2024 Annual Notices
- 2024 Wrap Document
- Surprise Billing Notice
- Sotera Illinois Disclosure Notice
- 2024 Medical Summary Plan Description
- 2024 FSA Summary Plan Description
- Summary Annual Report for the Sotera Health Flexible Benefits
- Summary Annual Report for the Sotera Health 401k Plan
- Summary Plan Description for the Sotera Health 401k Plan
- Summary of Material Modification for the Sotera Health 401k Plan
2024 US Holiday Schedule
Transit Benefit
Transit Benefit accounts allow you to put aside money to pay for eligible transit expenses. The money going into these accounts is tax-free (no payroll tax is withheld) which saves you money on services you are already paying for to commute to work. This benefit is available to employees living in New Jersey or Illinois.
You can use your transit benefit for any pass, token, fare card, voucher for mass transit transportation. By enrolling in transit benefits, you may save up to 30% on your commuting costs.
Enrollment Materials
We heard you!
For 2024 we are offering:
More Choice
- New Platinum PPO Plan
- Voluntary insurance coverage including critical illness, hospital indemnity, accident and pet insurance
More Coverage
- Improved coverage for certain critical medications through the Critical Drug Affordability Program
- Expanded vision benefits
More Support
- Health Care Coordinators through Quantum Health to support our employees with their benefits and navigate you and you family’s healthcare journey
- Employee Assistance Program with Workplace Options
- PLANselect decision tool to help you decide which medical coverage will work best for you and your family
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Review your options. Utilize the full benefit guide (posted below) and this website.
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Once you have selected your benefits, save and print your confirmation statement for future reference.
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Any Questions? Email us at benefits@soterahealth.com