Medical/Rx
Cintas offers multiple medical plans that provide you with choices to help meet your health care needs. All plans include prescription drug coverage through Anthem CarelonRx.
Similarities Between the Medical Plans
All Cintas medical plan options provide the same quality medical coverage, which includes:
- 100% coverage for preventive care (annual physicals, screenings and immunizations)
- An out-of-pocket maximum to protect you by limiting the amount you have to pay out-of-pocket during a single year
- Provider choice — you can choose from in-network and out-of-network providers but you’ll save the most when you choose in-network providers
Differences Between the Medical Plans
The differences between the plans has to do with how much you pay:
| Premiums |
|---|
|
The amount you pay weekly depends on the plan you choose.
Keep in mind that deductions will also vary based on who you are covering and if you are eligible for the premium discount. |
| Out-of-Pocket Expenses |
|
How much you pay depends on whether or not you use in-network providers, the plan you elect and the amount of medical care you receive. In all plans:
In a PPO Plan: You know exactly how much you will pay when you visit an in-network doctor or an urgent care clinic or visit the emergency room because the PPO Plan has copays. You also have copays for prescription drugs. In a high-deductible health plan: You must pay the full cost of health care services until you reach your deductible. This includes the cost of prescription drugs.
|
Differences Between the Medical Plans
| Premiums |
|---|
The amount you pay weekly depends on the plan you choose.
Keep in mind that deductions will also vary based on who you are covering and if you are eligible for the premium discount. |
| Out-of-Pocket Expenses |
How much you pay depends on whether or not you use in-network providers, the plan you elect and the amount of medical care you receive. In all plans:
In a PPO Plan: You know exactly how much you will pay when you visit an in-network doctor or an urgent care clinic or visit the emergency room because the PPO Plan has copays. You also have copays for prescription drugs. In a high-deductible health plan: You must pay the full cost of health care services until you reach your deductible. This includes the cost of prescription drugs.
|
Prescription Drug Coverage
Anthem CarelonRx is the prescription drug provider for all Medical Plans. Anthem CarelonRx provides you with access to many local pharmacies and major retail chains, including CVS, Walmart, Target and Kroger.
How Coverage Works
- Partners enrolled in the PPO Plans pay coinsurance and co-pays.
- Partners enrolled in the Core Choice, Core Value or Essential Plan must meet their Medical Plan deductible before prescription drugs are covered and then pay any applicable coinsurance.
- If you take ongoing maintenance medications, you’ll be required to get 90-day supplies after two 30-day fills of your prescription. Note: You must get your 90-day supply filled at a local CVS retail pharmacy OR Anthem’s CarelonRx Mail Order Pharmacy. Anthem CarelonRx’s Mail Pharmacy will deliver right to your door with free standard shipping.
- If you have a complex health condition and need specialty drugs, you’ll be required to fill them through BioPlus Specialty Pharmacy. With the CarelonRx’s Cost Relief program, partners enrolled in a PPO option can receive co-pay or coinsurance assistance.
Manage Your Prescriptions
You can see and manage your prescriptions on anthem.com (register using your new member ID card, then go to My Plans and select Pharmacy). You can also use the Sydney HealthSM app.
2026 Medical Premiums with Premium Discount for Full-Time Partners
| PREMIUM PRO* | BASIC PPO | CORE CHOICE | CORE VALUE | ESSENTIAL | |
|---|---|---|---|---|---|
| Partner only | $38.20 | $25.25 | $17.00 | $7.50 | $0.00 |
| Partner + Spouse | $95.95 | $68.60 | $51.70 | $25.40 | $11.70 |
| Partner + Child(ren) | $80.25 | $54.70 | $39.85 | $15.60 | $7.00 |
| Partner + Family | $137.90 | $98.05 | $74.60 | $33.50 | $18.70 |
*The Premium PPO Plan is only available to partners who were benefits-eligible before January 1, 2012 or are grandfathered into the Plan.
2026 Medical Premiums without Premium Discount for Full-Time Partners
| PREMIUM PRO* | BASIC PPO | CORE CHOICE | CORE VALUE | ESSENTIAL | |
|---|---|---|---|---|---|
| Partner only | $53.20 | $40.25 | $32.00 | $22.50 | $15.00 |
| Partner + Spouse | $125.95 | $98.60 | $81.70 | $55.40 | $41.70 |
| Partner + Child(ren) | $95.25 | $69.70 | $54.85 | $30.60 | $22.00 |
| Partner + Family | $167.90 | $128.05 | $104.60 | $63.50 | $48.70 |
*The Premium PPO Plan is only available to partners who were benefits-eligible before January 1, 2012 or are grandfathered into the Plan.
Surcharges
In some cases, partners may need to pay the following surcharges that increase the amount that comes out of your paycheck.
- Tobacco or Smoker Surcharge — If you or your spouse are a smoker or tobacco-user, which means that on average (in the last six months) you smoke or use tobacco more than once weekly, you will pay a surcharge of $15 per week per smoker/tobacco-user (e.g., if you and your spouse both smoke/use tobacco, you will pay a surcharge of $30 per week). Tobacco and smoking products include, but are not limited to, cigarettes, cigars, pipes, electronic devices (such as e-cigarettes, vape pens, tanks, juuls), snuff, chew, snus and dissolvables (such as orbs, sticks, strips, lozenges, tablets). Cintas offers the Quit For Life® Tobacco Cessation Program to help you quit and remove the tobacco surcharge. Call 866.QUIT.4.LIFE (866.784.8454) or visit quitnow.net/cintas.
- Spousal Surcharge — If your spouse is eligible for coverage through his or her employer and you chose to cover them under Cintas’ Medical Plan, you will pay a spousal surcharge of $20 per week.
