Medical

Here’s where you can find information about REI’s medical plan options. Check out the Benefits Plan Information and Costs Tool to compare what you pay in premiums each paycheck and what you pay when you receive care.

Medical Plan Comparison Video

Not sure which medical plan is right for you? Watch this video to learn about the REI Saver and Choice Medical Plans and find out which plan best meets your health care needs.

This plan is a Consumer-Directed Health Plan (CDHP) administered by Aetna that allows you to:

  • Open a Health Savings Account (HSA). REI will contribute a particular amount per pay period based on your coverage (individual or family). You can also contribute your own money to use toward qualified health care expenses.
  • Pay lower payroll deductions but requires you to meet a higher deductible.

Check out the medical FAQs for answers to frequently asked questions about the REI Saver Medical Plan and for more information about the HSA.

This plan, administered by Aetna, works like a PPO plan in which you:

  • Can choose an in-network provider or facility (better coverage) or go outside the network.
  • Meet a deductible before the plan pays, then pay coinsurance for most services (except in-network preventive care).
  • If you live in Washington, California or Colorado, you may enroll in a Kaiser medical plan if you live in a Kaiser service area ZIP code.
  • Kaiser plans restrict where you can receive care. For more information on plan services and costs, visit the Benefits Plan Information and Costs Tool or visit my.kp.org/rei (for Kaiser California or Colorado) or kp.org/wa (for Kaiser Washington) to find a provider.

Preventive Care Benefits

Solving health problems is good. Preventing them is better. That’s why you won’t have to pay coinsurance or meet your deductible for in-network preventive care in any of our medical plans. In addition, for medical plans administered by Aetna/Express Scripts, certain preventive drugs will be covered at 100% or will not be subject to the deductible.

Benefits Plan Information and Costs Tool

Medical Cost Estimator Tool

Benefits Eligibility Estimator Tool

Affordable Care Act

If you’re eligible for an REI-sponsored medical plan, you will not be eligible to receive a premium subsidy or health insurance tax credit for medical coverage purchased from a state or federal Health Insurance Marketplace plan. Once you become eligible for an REI-sponsored medical plan, you need to notify the Health Insurance Marketplace to remove your subsidy or you could receive a tax penalty.

Not eligible for an REI medical plan? Use the Health Coverage Decision Tool to figure out the right coverage options for you or visit healthcare.gov for more information.

What to Know If You’re Considering Obtaining Coverage Through the Marketplace

  • Information about REI’s coverage: You’ll need these details to complete your application for coverage.
  • Marketplace contact details: If you need more details, visit healthcare.gov.
  • Use the Kaiser Subsidy Calculator to estimate your eligibility for subsidies and how much you could spend on health insurance.
REI Saver and Choice Medical Plans

Aetna

REI Health Guide
1-800-451-2967

Claim status & explanation of benefits
aetna.com

Participating provider list
aetna.com/docfind/custom/rei/

Member ID/group number
aetna.com > View Member ID cards

Express Scripts

Prescription plan for Aetna/REI Saver and Choice Medical Plans

Claim status and drug comparison
1-800-462-5916

Member ID/group number
express-scripts.com/REI > Benefits > Forms & Cards

Kaiser Permanente (Washington)

Member services
1-888-901-4636

Western Washington nurseline
1-800-297-6877

Central and Eastern Washington nurseline
1-800-826-3620

Member services
kp.org/wa

Member ID/group number
Visit kp.org/wa

Kaiser Permanente (Colorado)

Denver and Boulder member services
1-800-632-9700

Southern Colorado member services
1-888-681-7878

Denver and Boulder nurseline
1-303-338-4545 or 1-800-632-9700

Southern Colorado nurseline
1-719-867-2184

Other areas nurseline
Refer to your membership card for the resource in your area.

Denver and Boulder claims department
1-303-338-3600 or 1-800-632-9700 for claims outside the service area

Southern Colorado claims department
1-888-681-7878 for claims outside the service area

Denver and Boulder mail-order pharmacy automated service
1-866-938-0077

Southern Colorado mail-order pharmacy automated service
1-866-523-6059

Member services
my.kp.org/rei/

Member ID/group number
Visit my.kp.org/rei/

Kaiser (California)

Member services
1-800-464-4000

Nurseline
Call member services for the resource in your area.

Member services
my.kp.org/rei/

Member ID/group number
Visit my.kp.org/rei/

Aetna International

If you need help and are outside the U.S call 1-855-888-9046 (TTY:711) or 959-230-8220 (TTY:711) Ask for the Aetna Special Case Precertification Unit