The following section highlights the Consumer Driven Health Plan (CDHP), the Preferred Provider Organization (PPO) plan, and additional prescription drug coverage offered by Haworth.
If you are participating in Open Enrollment and do not log in to make elections, you will be re-enrolled in the same coverage you elected for 2027 but will automatically waive purchased vacation and other benefit accounts.
If you are a new hire and do not make a benefit election by enrolling or waiving coverage within 30 days of your hire date, you will automatically be enrolled in the Consumer Driven Health Plan at the Member Only level.
Select “Download All” to download a printable PDF of all coverage tables.
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| Medical | Plan Level | CDHP/HSA | PPO |
|---|---|---|---|
| Deductible | Member Only | $2,000 | $1,000 |
| Member +1 | $4,000 | $2,000 | |
| Family | $4,000 | $3,000 | |
| Coinsurance | 80% | 80% | |
| Out-of-Pocket Max (Includes Deductible) | Member Only | $4,000 | $3,250 |
| Member +1 | $8,000 | $6,500 | |
| Family | $8,000 | $9,750 | |
| Preventitive Care | Covered 100% | Covered 100% | |
| Office Visit (PCP and Specialist) | 80% after deductible | $30 copay/$50 copay | |
| Emergency Room | 80% after deductible | $250 copay | |
| Urgent Care | 80% after deductible | $75 copay | |
| Inpatient Care | 80% after deductible | 80% after deductible | |
| Haworth Match Contribution to the HSA* | Member Only | Up to $375 | N/A |
| Member +1 and Family | Up to $1,000 | N/A | |
| Haworth Gift Contribution to the HSA** | Member Only | Up to $125 | N/A |
| Member +1 and Family | Up to $250 | N/A |
| 2027 Bi-Weekly Per Pay Period Premium | CDHP/HSA | PPO |
|---|---|---|
| Member Only | $26.35 | $46.45 |
| Member +1 | $58.25 | $116.05 |
| Family | $81.45 | $171.60 |
*Matching Contribution (Haworth matches the money you put in, dollar-for-dollar, up to a limit. The match is added by the end of the month after the quarter you make your own contribution.)
**Gifted Contribution (This is a bonus for enrolling in an HSA-eligible high deductible plan. The money is added to your HSA by the end of the month after the quarter you enroll. For example, if you enroll during open enrollment, you get the gift in late January; if you enroll in May, you get it in July.)
Members can elect the medical and prescription drug plan without enrolling in the dental or vision plan.
Prescription Drug Plan
When you enroll in a Haworth medical plan, you automatically receive prescription drug coverage administered by Judi Rx. Your prescription drug information is included on your Priority Health ID card, so no separate pharmacy ID card is needed.
Members can fill prescriptions at participating pharmacies, use mail-order services for eligible medications, and access support for specialty prescriptions through Haworth's pharmacy benefit program.
Judi Rx Member Portal & Mobile App
Manage your prescription benefits anytime with the Judi Rx member portal and mobile app. You can find pharmacies, compare prescription costs, access a digital pharmacy ID card, view claims history, check covered medications, and more.
To register, visit app.cap-rx.com/register and follow the prompts to create your account and verify your email address. You can also download the Judi Rx mobile app and select Register Now to register directly from your device.
For more information, visit Hometown > HR Help and search for "Judi Rx."
| 2027 Pharmacy In-Network Copays | Plan Level | CDHP/HSA | PPO |
|---|---|---|---|
| Rx Deductible | Member Only | Included in medical deductible | $100 |
| Member +1 | Included in medical deductible | $200 | |
| Family | Included in medical deductible | $300 | |
| Retail (30-day supply) | After Rx Deductible: | ||
| Tier 1: Generic | $10 after deductible | $10 copay | |
| Tier 2: Preferred Brand | $20 after deductible | $20 copay | |
| Tier 3: Non-Preferred Brand | $40 after deductible | $40 copay | |
| Preferred Specialty | $75 after deductible | $75 copay | |
| Non-Preferred Specialty | $100 after deductible | $100 copay |
Mail order 2x 30-day supply for Generic, Preferred Brand, and Non-Preferred Brand.





