tenneco-logo-white

Annual Enrollment for 2023 Benefits is October 26 – November 15, 2022

2022 BENEFITS
2022 BENEFITS

Medical Overview

Choose from two medical plan options: HSA or PPO.

Tenneco offers two options for medical coverage to help you and your family with medical expenses: the HSA Medical Plan, which comes with a Health Savings Account (HSA), and the PPO Medical Plan. You choose the plan that best fits your and your family’s health care needs and budget.

Both medical plans cover the same services—from preventive care and office visits to prescription drugs, hospital services and telemedicine. The difference is in how you and the plan share costs for those services.

While both plans cover in-network and out-of-network care, you’ll pay more if you go out-of-network. For the highest benefits, use in-network providers. The chart below gives a high-level look at how your medical options compare when it comes to in-network care. For more details including out-of-network benefits, see the HSA Medical Plan or PPO Medical Plan.

Medical Options at a Glance
In-Network Benefits

HSA Plan PPO Plan
HSA-Eligible? Yes No
HSA Funding $250 seed + match up to $500 Not applicable
Annual Deductible (Single/Family) $1,500 / $3,000 $750 / $1,500
Annual Out-of-Pocket Maximum (Single/Family) $3,750 / $7,500 $4,250 / $8,500
Office Visits You pay 20% after deductible You pay $30 PCP / $60 specialist
Inpatient/Outpatient Care You pay 20% after deductible You pay 20% after deductible
Emergency Room You pay 20% after deductible You pay $150 per visit
Prescription Drugs Medical deductible and out-of-pocket limit apply No deductible; medical out-of-pocket limit applies

Contacts

Medical

Clean Air & Powertrain
BCBSAL

Motorparts & Performance Solutions
BCBSIL

Prescription Drugs

CVS Caremark

HSA and FSAs

HealthEquity