HOURLY EMPLOYEES
Medical Coverage for Hourly Employees
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Medical Plan D
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ENROLLMENT GUIDE
Medical Plan D Hourly Employees
Your EMI Health Medical Plan
If you are an hourly employee with Alpine School District, Plan D is your medical coverage option. This plan is a Qualified High Deductible Health Plan (QHDHP), which is designed to give you more control over how you spend your healthcare dollars—while keeping your monthly premiums lower.
Plan D - QHDHP
How This Plan Works
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Lower monthly premium — so more of your paycheck stays with you
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Higher deductible — you’ll pay the full cost for most services until you meet your deductible
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Health Savings Account (HSA) eligibility — save pre-tax dollars to cover qualified medical expenses, including copays, prescriptions, and more
Once your deductible is met, the plan begins to share the cost of services through coinsurance. After you reach your out-of-pocket maximum, EMI Health covers 100% of eligible in-network expenses for the rest of the year.
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Monthly Premiums: Lower
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Upfront Costs: You pay full cost until deductible is met
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Budget Predictability: Less predictible but allows for long-term savings
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HSA Eligibility: Yes—only QHDHPs like this plan qualify
Check Your Plan Summary - Refer to your plan summary for your specific coverage in your enrollment booklet, or log in to the EMI Health member portal after enrolling.

Your built-in support system for feeling better and staying healthy, with free resources and tools from WebMD to help you build healthier habits that last.

Preventive care is always covered at 100% when you use in-network providers, even before you meet your deductible.
- You Pay 100% Until Your Deductible Is Met
At the start of the year, you pay the full cost of most services until you reach your deductible. This includes things like doctor visits, lab work, or outpatient care. - After That, You Share Costs with EMI Health
Once you meet your deductible, coinsurance kicks in. That means you pay a portion of the costs (like 20% or 30%), and EMI Health pays the rest. This continues until you hit your out-of-pocket maximum. - We Cover 100% After You Hit the Max
When you reach your annual out-of-pocket maximum, EMI Health pays for 100% of eligible in-network expenses for the rest of the year.

EMI Health's Care Plus Network offers comprehensive coverage through:
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Intermountain Healthcare (IHC): A trusted, nonprofit health system with a significant presence in Utah, including 33 hospitals and over 385 clinics and outpatient centers.
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Expanded Provider Access: EMI Health contracts with additional hospitals, specialty clinics, and provider groups, bringing the total number of in-state providers to over 30,000.
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Out-of-State Coverage: For services outside Utah, your plan may utilizes the Aetna National PPO network, providing nationwide access to quality care
Need to find a provider near you?
Use the tools below to see who’s in-network and where to go for care across the state:
What is Garner?
Garner is a Health Reimbursement Arrangement (HRA) that helps you find the very best providers within EMI Health’s medical network. When you visit these Top Providers, Garner will reimburse your qualifying out-of-pocket medical costs.
The Garner App automatically comes with all Alpine medical plans.
Set Up Your Garner Account
Once you've enrolled in your medical plan and have your EMI Health Member ID number, you can get the app and register your account with Garner.

Scan to Download

Garner FAQ
Does my Garner account serve my entire family?
Your family only needs one account. However, any dependent over the age of 18 who is on your health insurance plan is welcome to create their own account.
What if my current provider isn't listed as a Top Provider?
If a doctor you are seeing currently isn’t a Top Provider, you may be able to add them to your list of approved providers so that out-of-pocket costs for their services will qualify for reimbursement.
To be approved, your doctor must fall into one of these categories:
- Primary care provider
- Pediatrician
- Geriatrician
- Gynecologist
- Therapist Psychologist (not psychiatrist)
Please Note: To be eligible for reimbursement, your chosen providers MUST be pre-selected and added to your Garner App BEFORE your appointment. We recommend adding them when you sign up with Garner.
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Open the Garner Health app and find your doctor’s profile page.
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Click “Request approval.”
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Follow the on-screen workflow to complete the request.
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Once your doctor is approved, go to “Settings” on the home screen.
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Click “Approved providers” to view your list.
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Your approved doctors will appear with an “Added on” date.
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Out-of-pocket costs for services from that doctor are eligible for reimbursement starting from that date.
For issues or questions, please use Garner's Concierge service within the app.
What if my approved provider recommends I see a specialist?
All new providers, including specialists, MUST be Top Providers in order to qualify for the Garner benefit.
If you need to find a new provider, use the Garner Health app to find a Top Provider or contact the Concierge for assistance.
Specialists must be added to your list of approved providers prior to the date of service in order for out-of-pocket medical costs to qualify for reimbursement.
For example, if your PCP recommends that you see a GI specialist for stomach pain, you must check with Garner to ensure the specialist is a Top Provider, and then add them to your list of approved providers before your date of service.
What out-of-pocket medical costs will be reimbursed?
Your out-of-pocket medical costs will qualify for reimbursement if:
- You have created a Garner account and added the provider to your list of approved providers prior to the date of service. (Learn how to add providers to your list.)
- Your provider is in-network and the cost was covered by your health insurance plan. (Check your health insurance plan.)
- The type of cost qualifies for reimbursement under your Garner plan. Depending on your Garner plan, costs for things like prescription drugs or emergency services may or may not qualify for reimbursement. (Check the Your benefit page in the Garner Health app to learn more.)
- If your health insurance plan is paired with an HSA, you will need to incur costs greater than the minimum deductible. (Check the Your benefit page in the Garner Health app to see if this requirement applies.)
How does Garner choose top providers?
Top Providers are the best-performing medical professionals that Garner has identified through an analysis of over 60 billion medical records representing more than 310 million unique patients.
Top Providers are the top 20% of all providers in the industry. They are highlighted in the Garner Health app with a green Top Provider badge and represent the best available doctors near you who are in your network and have appointment availability.
Their analysis determined that patients who see their top providers:
- Diagnose health problems more accurately.
- Prescribe the right treatments based on the latest research
- Have the lowest cases of hospital readmissions
What is the Garner Concierge?
The Garner Concierge is a group of professionals dedicated to answering your questions and helping you find the best care for you and your family.
You can message the Concierge through the Garner Health mobile app, at getgarner.com or by emailing concierge@getgarner.com.
The Concierge team is available Monday through Friday from 8:00 a.m. to 8:00 p.m. ET.. Se habla español.
What if I have an HSA?
An HSA is a Health Savings Account. You and your employer are able to contribute pre-tax dollars to this account. Because of IRS requirements, two main rules apply.
First, if you have a high-deductible health insurance plan (HDHP) that is paired with an HSA, you are required to spend a minimum amount toward your health insurance deductible before you can utilize your Garner HRA.
This amount changes annually and depends on whether you have a family or individual plan. Check the “Your benefit” page in the Garner Health app for more detailed information about this amount. Note that this rule applies even if you are not actively contributing to your HSA this year.
Second, you may not request reimbursement from your Garner HRA for any out-of-pocket cost you have already paid for using funds from your HSA. This is often referred to as double dipping and is prohibited by the IRS.
Does Garner work with FSA's?
If you have a health Flexible Spending Account (FSA), special rules apply to your Garner benefit.
You may not be reimbursed by the Garner HRA for an out-of-pocket medical cost that will also be paid using your FSA. This is often referred to as double-dipping and is prohibited by the IRS.
If your Garner HRA and your FSA cover the same medical cost, we recommend you use and exhaust your Garner funds before using your FSA. You can save your FSA for when your Garner benefit has reached its limit or for out-of-pocket medical costs that do not qualify for reimbursement by Garner.
Prescription Drugs (RX)
EMI Health partners with Express Scripts to bring you flexible, cost-conscious prescription drug coverage. With access to over 68,000 retail pharmacies, a convenient home delivery service, and specialized support for complex conditions, managing your medications is easier than ever.
Medication Tiers & Common Cost Patterns
Tier | Retail (30-day supply) | Home Delivery (90-day supply) |
Generic Drugs | Lowest Cost | Usually 2x Retail |
Preferred Brands | Mid-range Cost | Savings with 90-day fill |
Non-Preferred | Highest Cost | Better Value by mail order |
QHDHP Plan Members
- You’ll pay the full cost of prescriptions until your combined medical and pharmacy deductible is met. After that, your plan starts sharing the cost.
For your exact pricing and benefit details, check your plan summary (found in your enrollment booklet or online member portal).

Tips to Save
- Use generics or preferred brands when available
- Refill maintenance medications through home delivery
Ways to Fill Prescriptions
Retail Pharmacies
Over 68,000 in-network locations for short-term needs
Including:
Home Delivery
Great for ongoing medications; usually saves time and money
Express Scripts SaveOnSp Program
With Accredo, any speciality medications your doctor has prescribed you'll get:
- Personalized care from pharmacists who specialize in your condition
- 24/7 support and medication counseling
- Home delivery with refill reminders
Through the SaveOnSP program, some eligible specialty medications may cost $0 per month.
$25 Insulin & Diabetes Medications
The Patient Assurance Program (PAP) helps manage out-of-pocket costs for certain insulin and Type 2 diabetes medications. If you're eligible:
- Your copay is capped at $25 per 30-day supply
- This applies regardless of deductible status or plan type (HDHP or copay)
- Automatically applied at participating pharmacies
Covered medications include (subject to change):
- Insulin: Humalog®, Semglee® (yf)
- Type 2 Diabetes Medications: Mounjaro®, Rybelsus®, Trulicity®, Jardiance®
Your Benefits, Right at Your Fingertips.
With our mobile app, you can view your digital ID card, check claims, find in-network providers, and track your benefits on the go. It’s the easiest way to stay connected to your coverage.
Key features include:
- Digital ID cards for you and your dependents
- Real-time claim status and benefit details
- Quick access to provider search
- Secure, simple login
Download the app now: Apple/App Store | Android Google Play

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Customer Service
Whether you’re looking for help with benefits, claims, ID cards, or something else—we’ve got a knowledgeable, friendly team ready to assist.
We’re committed to making your experience as smooth as possible. If something doesn’t make sense, just ask—we’ll walk you through it.