Medical & Rx


Your health is everything. Mercury provides valuable benefits that help you and your family stay healthy and pay for care if you get sick or injured.

Overview

Our benefits program includes medical plan options with a range of coverage levels and costs, so you can choose the one that’s best for you. You can enroll as a new hire, during Open Enrollment, or if you have a qualifying life event. Review your rates and enroll in UKG.

Medical plans
Blue Shield $aver/HSA plan
Blue Shield Super $aver/HSA plan

Take charge of your spending through lower rates, higher deductibles, and a tax-free Health Savings Account (HSA) (with contributions from Mercury) that you own for life.

Kaiser Permanente Deductible HMO
Blue Shield HMO
Blue Shield HMO Trio

Receive coverage for in-network care only, coordinated by your primary care provider (PCP).

Blue Shield EPO

A deductible applies to some services, except for most commonly used services and goods, such as PCP office visits and prescription medications.

Key features at a glance

All our medical plans provide:

image
Comprehensive, affordable coverage

for a wide range of health care services. Tip: If you need extra protection from large or unexpected medical expenses, you may also choose to enroll in supplemental medical coverage.

Free in-network preventive care

with services such as annual physicals, recommended immunizations, and routine cancer screenings covered at 100%. See more covered preventive services.

Prescription drug coverage

included with each medical plan. Prescription benefits are provided by Blue Shield.

Financial protection

through annual out-of-pocket maximums that limit the amount you’ll pay each year.

Diabetes Programs

Blue Shield Members: The Virta program is currently available for Free as part of your Blue Shield program. Virta Health delivers nutrition-first care for sustainable weight loss and diabetes reversal. For more information about Virta and to enroll, HMO and PPO plan members can visit www.virtahealth.com



1 Available in California only

2 Available outside California only

$aver Plans

The Blue Shield $aver/HSA plan and Blue Shield Super $aver/HSA plan offer low rates and high-deductible coverage. With these plans, you’ll save money when you choose in-network providers (check out the network provider infographic for details), though you also have the option to use out-of-network providers.

Both plans allow you to participate in a tax-advantaged Health Savings Account (HSA) that helps you save money and plan ahead for future medical expenses. This combination gives you more control over your money and rewards you for making healthy, cost-conscious choices. As an added bonus, Mercury will contribute to your HSA — $600 for team member-only coverage, $950 for team member + 1 coverage, or $1,200 for family coverage.

 

 
How the Blue Shield $aver/HSA plan and Blue Shield Super $aver/HSA plan work

You pay the plan rates from your paycheck to have coverage.



HSA

You can set aside tax-advantaged money from your paycheck and receive company contributions to help cover your costs — now, or in the future.

Deductible

You pay 100% of your medical and prescription costs until you meet the annual deductible.

Coinsurance

After meeting the deductible, you and the plan share the cost of covered medical care and prescriptions, with the plan paying the majority.

Out-of-Pocket maximum

You’re protected by an annual limit on costs — the plan pays 100% of eligible expenses for the rest of the year.

Keep in mind: 
  • You pay nothing for in-network preventive care — it’s covered in full.

  • This Plan cross accumulates Participating Provider and Non-Participating Provider Calendar Year Deductibles and Out of Pocket Maximums. This means that any Deductible or Out of Pocket amounts you pay towards your Participating Providers also count towards your Non-Participating Providers. Also, any Deductible or Out of Pocket amounts you pay towards your Non-Participating Providers will count towards your Participating Providers except for any changes above the “Allowable Amount”.

HMO Plans (CA only)

The Kaiser Permanente Deductible HMO, Blue Shield HMO, and Blue Shield HMO Trio plans provide coverage only when you receive care from providers within the HMO network. Your primary care provider (PCP) will coordinate your care to help manage costs.


 

How the HMO works



Copay

You pay a set fee at the time of service for doctor visits and prescriptions.

Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.

Please see the below Trio Guide that will provide you with all IPA/medical groups available under the Trio plan.  Additionally, we have included a network comparison for the HMO Trio and HMO Access + so you can see if your IPA/county falls within the HMO Trio network.  


Blue Shield EPO (Outside CA)

The Blue Shield EPO offers lower copays, no deductibles and lower out-of-pocket maximums in exchange for higher rates and staying within a specified network. With this plan, your costs are more predictable, but you’ll likely still have out-of-pocket expenses.



 

How the Blue Shield EPO works



Deductible

For certain services, you pay 100% of your medical costs until you meet the annual deductible. For most commonly used services and goods, such as PCP office visits and prescription medications, you pay no deductible.

Coinsurance

For services that require an annual deductible, once you meet the deductible, you and the plan share the cost of those services, with the plan paying the majority.

Copay

For most commonly used services, such as doctor visits and prescriptions, you pay a set fee at the time of service.

Out-of-Pocket Maximum

You’re protected by an annual limit on costs — the plan pays 100% of any further covered expenses for the rest of the year.

Keep in mind: You pay nothing for in-network preventive care — it’s covered in full.


 
 

Prescription Drugs

When you enroll in a Mercury medical plan, you automatically receive prescription benefits through either Blue Shield or Kaiser Permanente depending on your choice of medical plan.

 

Drug tiers

The cost of your prescription drugs under each medical plan depends on the tier of the medication — generic, preferred, or non-preferred. All prescription carriers have a formulary, or list of preferred drugs based on effectiveness and cost.


Generic formulary drugs

Same active ingredients as brand-name equivalents and meet the same standards for quality and effectiveness, but usually cost much less. You pay: $

Brand formulary drugs

Brand-name medications included on the formulary and favored by your prescription carrier. You pay: $$

Brand non-formulary drugs

Brand-name medications not preferred by your carrier. They may still be covered, but may require prior authorization and cost more. You pay: $$$

Specialty drugs

Complex drugs that are used to treat complex or rare chronic conditions and are often injectable or infused. You pay: $$$$


Save money on your prescriptions!

The cost of prescription drugs is rising faster than many other health care services and supplies. But, there are ways for you to save.

  • Ask your doctor about generic formulary medications. Generic medications are generally just as effective as brand-name medications, but they typically cost between 80% and 85% less.
  • Use the home delivery program. If you take maintenance medication to treat a chronic condition — such as an allergy, heart disease, high blood pressure, or diabetes — the convenience and cost savings of the home delivery prescription programs through a Blue Shield network pharmacy will save you time and money. You can get 90-day fills of prescription drugs through a Blue Shield network pharmacy, or at a retail pharmacy.

Prescription management programs

Your pharmacy benefits include several programs aimed at ensuring your safety and making sure you receive the most clinically appropriate and cost-effective medication.


Formulary

Your pharmacy plan has an extensive listing of generic and brand-name prescription medications that offer the greatest overall value. This list will determine how your prescription will be covered. Keep in mind that the medications on the formulary may change as the result of regular reviews and updates.

Mail service pharmacy

Blue Shield plan members have can save money and stay on track when refilling maintenance medications. When you fill your prescription at a Blue Shield network pharmacy, you pay less for a 90-day supply of medication than you would purchasing three 30-day supplies of medication at full price.


Did You Know!

If you are enrolled in any of our medical, dental or vision plans, please note that you should never be turned away from care. If your providers office cannot verify your eligibility for some reason, please ask that they allow you to sign off on an authorization form that says you will be responsible if they bill your insurance and are in fact not eligible/covered. 

If you opted for paperless, you will not receive a physical ID card. Otherwise, for Blue Shield HMO enrollees, every member will receive an ID card. For Blue Shield PPO enrollees, your ID card will say Individual/Family and 2 ID cards will be mailed. If you have Apple/Android Mobile Wallet, check to see if a Blue Shield Medical, digital ID has been auto uploaded for your convenience.  

You may be able to retrieve a digital ID card by registering/login to the following:

Blue Shield Member Login and Registration or call 855-747-5800

Kaiser Permanente Login and Registration www.kp.org or call 800-464-4000

Delta Dental www.deltadentalins.com or call DHMO: 800-422-4234 or DPPO: 888-335-8227

VSP Vision http://www.vsp.com/ or call 800-877-7195 

Please contact Mercury’s HR Team for further assistance: MyBenefits@MercuryInsurance.com or call 877-716-6372, Option 3.”


Plan Comparison

Medical
Plan Name Carrier Name Effective Dates Select plan to compare
HMO Blue Shield of California Jan-01-2026 to Jan-01-2027
HMO Trio Blue Shield of California Jan-01-2026 to Jan-01-2027
EPO Blue Shield of California Jan-01-2026 to Jan-01-2027
PPO $aver/HSA Plan Blue Shield of California Jan-01-2026 to Jan-01-2027
PPO Super $aver/HSA Plan Blue Shield of California Jan-01-2026 to Jan-01-2027
Deductible HMO (Northern CA) Kaiser Permanente Insurance Company Jan-01-2026 to Jan-01-2027
Deductible HMO (Southern CA) Kaiser Permanente Insurance Company Jan-01-2026 to Jan-01-2027