Savings
Acute Care Savings Example
Under the Physician/Hospital program you will experience savings averaging
10% to 40%. The following is an example of the savings you may receive, however, savings vary by provider and area of the country. Member is responsible to pay the reduced fee to the provider at the time of service. |
| Acute
Care Savings
Examples |
| Benefit |
Retail
Cost
|
CARExpress
|
| Hospital Inpatient |
$14,000
|
$9,100
|
| Hospital Outpatient Procedure |
$3,000
|
$2,250
|
| Laboratory |
$650
|
$390
|
| Mental Health Therapy |
$120
|
$80
|
| MRI |
$1,500
|
$1,125
|
| Physician Visit |
$125
|
$90
|
33%
Average Savings
|
Family Savings Example
| Today, regularly scheduled exams are more important to your family's overall health than ever before. Regular check-ups help maintain a healthy lifestyle and provide early identification of potentially serious health concerns. The following is an example of how CARExpress can assist in reducing your healthcare costs. |
|
Family Savings Example |
| Mom
42, Dad 49, Son 18, Daughter 14, Grandmother
75 |
| Benefit |
Retail
Cost
|
CARExpress
|
Savings |
| Dental Care |
$3,255
|
$1,953
|
$1,302 |
| Doctor/Diagnostic |
$1,100
|
$660
|
$440 |
| Hospital |
$12,500
|
$8,125
|
$4,375 |
| Long Term Care |
$35,600
|
$30,580
|
$5,020 |
| Prescription |
$1,630
|
$1,160
|
$470 |
| Vision Care |
$680
|
$360
|
$320 |
Annual
Savings = $11,927
|
Dental Care Savings Example
| This sample schedule is an abbreviated list of common dental procedures indicating the reduced fees for services provided by participating dental providers. Fee schedules vary by region of the country. Member is responsible to pay the reduced fees to the provider at the time of service. |
| Dental
Care Savings Example* |
Dental
Code |
Benefit |
Retail
Cost
|
CARExpress
|
0120 |
Periodic oral exam |
$41
|
$21
|
0150 |
Comprehensive oral evaluation |
$70
|
$31
|
0210 |
Intraoral-complete series (including bitewings) |
$117
|
$60
|
0272 |
Bitewings, 2 Films |
$35
|
$18
|
0274 |
Bitewings-4 films |
$54
|
$27
|
0330 |
Panoramic film |
$100
|
$47
|
1110 |
Prophylaxis-adult |
$80
|
$47
|
1120 |
Prophylaxis-child |
$58
|
$32
|
1351 |
Sealant-per tooth |
$48
|
$27
|
2140 |
Amalgam-one surface, permanent |
$108
|
$47
|
2150 |
Amalgam-two surfaces, permanent |
$136
|
$61
|
2160 |
Amalgam-three surfaces, permanent |
$166
|
$75
|
2330 |
Resin-based composite-one surface, anterior |
$130
|
$61
|
2331 |
Resin-based composite-two surface, anterior |
$164
|
$81
|
2332 |
Resin-based composite-three surfaces, anterior |
$201
|
$108
|
2750 |
Crown-porcelain fused to high noble metal |
$995
|
$579
|
2952 |
Cast post and core in addition to crown |
$382
|
$200
|
3330 |
Root canal therapy, molar (excluding final rest.) |
$900
|
$498
|
3310 |
Root canal, anterior |
$535
|
$326
|
4341 |
Periodontal scaling and root planing, per quadrant |
$228
|
$101
|
4910 |
Periodontal maintenance procedures |
$123
|
$76
|
5110 |
Complete denture-maxillary |
$1350
|
$759
|
7110 |
Extraction, single tooth |
$128
|
$ 56
|
7210 |
Surgical removal of erupted tooth |
$243
|
$114
|
8010-30 |
Orthodontic treatment, adolescent |
$5285
|
$2894
|
| * Dental
fee schedules vary depending upon the region of the country |
|
|
Vision Care Savings Example
| You and your covered dependents can save up to 50% off the retail cost of eyewear and contact lenses at Vision One network locations. Our nationwide locations include Pearle Vision, Sears Optical, JCPenney Optical, Target Optical and thousands of Doctors of Optometry and Ophthalmology. Member is responsible to pay the reduced fee to the provider at the time of service.
|
| Vision
Care Savings Examples |
| Benefit |
Retail
Cost
|
CARExpress
|
| Eyeglass Exam |
|
$5.00 off
|
| Contact Lens Exam |
|
$10.00 off
|
| Frames, Priced up to $60 retail |
|
$25
|
| Frames, Priced from $61 to $80 retail |
|
$35
|
| Frames, Priced from $81 to $100 retail |
|
$45
|
| Frames, Priced over $100 retail |
|
35% off retail
|
| Single Vision |
$56
|
$30
|
| Bifocal |
$87
|
$50
|
| Trifocal |
$94
|
$60
|
| Lenticular |
$145
|
$100
|
| Standard Progressive (No-Line Bifocal) |
$90
|
$50
|
| Polycarbonate |
$55
|
$30
|
| Scratch Resistant Coating |
$21
|
$12
|
| Ultraviolet Coating |
$21
|
$12
|
| Solid or Gradient Tint |
$15
|
$8
|
| Glass (only for non-minors) |
$29
|
$15
|
| Photochromatic |
$58
|
$30
|
| Anti-Reflective Coating |
$65
|
$35
|
| Contact Lenses |
|
20% off
|
| Laser Vision Correction (Lasik) |
|
15% off
|
| Mail Order Contact Lens Replacement |
|
Up to 50% off
|
|
Prescription Savings Example
| The following savings example shows the Top 100 Prescriptions with the discounted CARExpress price at the pharmacy and an average retail price. Please note that these prices are subject to change at any time. If you would like a price quote on your Rx and it is not on the list, please call our customer service center at 1-866-635-9532. Member is responsible to pay the reduced fees at the time of service. |
| Prescription Savings
Example |
| Benefit |
CARExpress
Pharmacy Price
|
CARExpress
Mail Order Price
|
| Accolate/20mg/30 each |
$45.54
|
$40.61
|
| Accupril/20mg/30 each |
$45.44
|
$40.51
|
| Accutane/20mg/30 each |
$369.78
|
$353.53
|
| Actos/30mg/30 each |
$182.40
|
$172.69
|
| Advair/100mg/60 dose |
$146.96
|
$138.49
|
| Aggrenox/25-20mg/30 each |
$71.16
|
$84.65
|
| Allegra, 60 mg/30 tabs |
$48.40
|
$43.37
|
| Allegra/180mg/30 each |
$80.66
|
$74.50
|
| Altace/5mg/30 each |
$51.07
|
$45.94
|
| Amoxicillin/250mg/30 each |
$5.72
|
$2.18
|
| Atenolol/50mg/30 each |
$7.80
|
$4.30
|
| Augmentin/250mg/30 each |
$103.88
|
$96.91
|
| Avapro/150mg/30 each |
$55.06
|
$49.80
|
| Bactroban/15gm 2% Cream/1 tube |
$29.91
|
$25.90
|
| Biaxin/250mg/30 each |
$28.27
|
$23.94
|
| BuSpar/10mg/30 each |
$51.40
|
$46.26
|
| Calan SR, 120 mg/30 tabs |
$51.65
|
$46.51
|
| Cardizem CD/240mg/30 each |
$83.23
|
$76.99
|
| Cardura/4mg/30 each |
$43.99
|
$39.11
|
| Ceclor/250mg/30 each |
$64.66
|
$59.06
|
| Ceftin/250mg/30 each |
$35.22
|
$30.65
|
| Cefzil/250mg/30 each |
$26.24
|
$21.98
|
| Celebrex/200mg/30 each |
$98.83
|
$92.04
|
| Celexa/10mg/30 each |
$86.72
|
$80.35
|
| Cephalexin/250mg/30 each |
$33.38
|
$41.72
|
| Cipro/250mg/30 each |
$141.46
|
$133.19
|
| Clonazepam/1mg/30 each |
$9.71
|
$6.21
|
| Coumadin/5mg/30 each |
$30.77
|
$26.36
|
| Cozaar/100mg/30 each |
$76.98
|
$70.95
|
| Detrol/2mg/30 each |
$61.47
|
$55.98
|
| Diabeta/5mg/30 each |
$29.60
|
$25.23
|
| Diazepam/5mg/30 each |
$8.28
|
$4.65
|
| Diflucan/100mg/30 each |
$282.71
|
$269.51
|
| Diovan/80mg/30 each |
$59.84
|
$54.41
|
| Ditropan XL/10mg/30 each |
$98.86
|
$92.07
|
| Effexor XR/75mg/30 each |
$109.69
|
$102.52
|
| Elocon Cream/0.1%/1-45gm tube |
$52.32
|
$47.01
|
| Estradiol/1mg/30 each |
$12.18
|
$8.68
|
| Evista/60mg/30 each |
$95.51
|
$88.84
|
| Flexeril/10mg/30 each |
$56.75
|
$51.42
|
| Flomax/0.4mg/30 each |
$62.88
|
$57.34
|
| Flonase Spray/50mcg 120 dose/1 each |
$68.89
|
$62.63
|
| Flovent Inhaler/220mcg/13g/1 inhaler |
$132.72
|
$122.79
|
| Fosamax/70mg/4each |
$80.52
|
$74.37
|
| Furosemide/20mg/30 each |
$11.29
|
$7.56
|
| Gemfibrozil/600mg/30 each |
$15.76
|
$12.26
|
| Glucophage/500mg/30 each |
$30.04
|
$25.65
|
| Glyburide/2.5mg/30 each |
$10.46
|
$6.96
|
| Hytrin/10mg/30 each |
$65.87
|
$60.23
|
| Hyzaar/12.5mg/30 each |
$54.33
|
$67.91
|
| Imitrex/100mg/9 each |
$182.22
|
$172.52
|
| Inderal/60mg/30 each |
$40.97
|
$36.20
|
| Lamisil/250mg/30 each |
$379.32
|
$362.75
|
| Lanoxin/250mc/30 each |
$11.53
|
$7.79
|
| Lasix/20mg/30 each |
$11.29
|
$7.56
|
| Lescol/40mg/30 each |
$71.44
|
$65.61
|
| Levaquin/750mg/10 each |
$210.05
|
$199.38
|
| Levitra/20mg/30 each |
$327.84
|
$313.06
|
| Levoxyl/100mc/30 each |
$24.90
|
$31.12
|
| Lipitor/20mg/30 each |
$116.15
|
$108.76
|
| Lorabid/200mg/100 each |
$409.80
|
$392.16
|
| Macrobid/100mg/30 each |
$75.48
|
$69.51
|
| Metoprolol Tartrate/50mg/30 each |
$7.12
|
$3.62
|
| Monopril/20mg/30 each |
$43.19
|
$38.34
|
| Naproxen/250mg/30 each |
$10.45
|
$6.95
|
| Nexium/20mg/30 each |
$145.31
|
$136.90
|
| Norvasc/2.5mg/30 each |
$54.15
|
$48.92
|
| Ortho Tri-Cyclen 7/7/7 Disp Pack/28 |
$45.85
|
$40.91
|
| Paxil/20mg/30 each |
$95.29
|
$88.62
|
| Pepcid/20mg/30 each |
$56.82
|
$51.50
|
| Plavix/75mg/30 each |
$130.11
|
$122.23
|
| Prednisone/20mg/30 each |
$8.39
|
$4.89
|
| Premarin/0.625mg/30 each |
$42.19
|
$37.37
|
| Prevacid/15mg/30 each |
$145.76
|
$137.34
|
| Prilosec/10mg/30 each |
$118.76
|
$111.27
|
| Provera/2.5mg/30 each |
$26.27
|
$22.01
|
| Prozac/20mg/30 each |
$149.63
|
$141.06
|
| Retin-A/20gm 0.1%/1 tube |
$44.46
|
$39.61
|
| Rhinocort Aqua Nasal Spray/5ml 32mcg/1 |
$41.83
|
$37.13
|
| Risperdal/2mg/30 each |
$195.32
|
$185.16
|
| Serzone/50mg/30 each |
$49.74
|
$44.66
|
| Soriatane/25mg/30 each |
$591.36
|
$567.39
|
| Tambocor/100mg/30 each |
$114.61
|
$107.26
|
| Toprol XL/200mg/30 each |
$66.31
|
$60.65
|
| Tricor/160mg/30 each |
$95.28
|
$88.61
|
| Ultram/50mg/30 each |
$40.12
|
$35.38
|
| Valtrex/500mg/30 each |
$163.93
|
$154.87
|
| Vasotec/10mg/30 each |
$45.08
|
$40.17
|
| Viagra/50mg/30 each |
$327.81
|
$313.03
|
| Wellbutrin SR/100mg/30 each |
$76.96
|
$70.94
|
| Zantac/150mg/30 each |
$91.98
|
$85.43
|
| Zestril/10mg/30 each |
$40.25
|
$35.50
|
| Zithromax/250mg/30 each |
$252.65
|
$240.50
|
| Zofran/24mg/30 each |
$3,074.70
|
$2,964.10
|
| Zoloft/100mg/30 each |
$86.23
|
$79.88
|
| Zyban/150mg/30 each |
$82.46
|
$76.24
|
| Zyprexa/10mg/30 each |
$336.36
|
$321.28
|
| Zyrtec/10mg/30 each |
$70.19
|
$64.40
|
20%
to 50% Average Savings
|
|
|
|