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Doctor's Desk

Medical Plans

All four of Otsuka’s medical plans are Preferred Provider Organization (PPO) plans, offered through Anthem.

 

They all share the same network of doctors, pharmacies, and hospitals. The plans differ in how you pay for care and how much you contribute from your paycheck.

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Traditional PPOs​​

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  • Premier PPO Plan

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  • Choice PPO Plan

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Consumer-Directed Health Plans (CDHPs)

  • Consumer Select PPO Plan
  • Consumer Value PPO Plan

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 * Includes a Health Savings Account (HSA)

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The Consumer Select and Consumer Value PPO Plans include a Health Savings Account (HSA). Otsuka contributes to your HSA at different levels based on the plan you choose and coverage category.

 

If you are participating in the Premier and Choice Plans, you are not eligible for an HSA, but can participate in a Flexible Spending Account (FSA).  For more information on an FSA, please click here.

 

To learn more about all four plans, how they work, and how an HSA can benefit you, review the educational document below:

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For escalated personalized support please contact Anthem Concierge Support at OtsukaConcierge@anthem.com.

Prescription Plans

All Anthem plans include your prescription drug coverage. For detailed information visit the Prescription Plan page here.​

Medical and Prescription Drug Coverage Plan Comparisons

Your medical and prescription drug coverage plan comparisons can be accessed below.​

Click below to see a side-by-side comparison of your medical plans and your prescription drug coverage. 

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$0 Telehealth through LiveHealth Online (LHO)

If you are enrolled in any Otsuka medical plan you can meet with licensed providers from the comfort of your home—at no cost to you.

 

Visits conducted through LHO only are exempt from copays and deductibles, making it easier and more affordable to access care when you need it. Whether you’re managing a minor illness, following up on treatment, or seeking medical advice, telehealth offers a safe, convenient, and affordable way to stay on top of your health.​​

Cancer Care through Transcarent

Anthem plans include comprehensive Cancer Care Support through Transcarent.

 

Anthem plans include comprehensive Cancer Care Support through Transcarent. Employees and covered dependents enrolled in an Otsuka medical plan have access to Cancer Care Support through Transcarent.

 

Transcarent offers expert guidance, tools, and support across every stage of care—from prevention and early detection to treatment and survivorship. Services include:

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  • Screening and early detection

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  • Expert diagnosis

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  • High-quality treatment with vetted providers

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  • Survivorship and workplace support

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  • And more to support you​​

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To contact Transcarent, visit member.transcarent.com or call 888-541-3160.

Hawaii Employees Only

For employees in Hawaii, you are offered a single medical plan administered by Hawaii Medical Service Association (HMSA).  For additonal information on your medical and prescription plan, access the document below.

The HMSA plan is available to only those residing in Hawaii:

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Have questions about the PPO medical plans? Contact Anthem

Have questions about the PPO prescription benefits? Contact Anthem

Have questions about the HMSA medical plan? Contact HMSA

Benefits Eligibility

You’re eligible to participate in the Otsuka benefits program if you are a regular, full-time employee or a part-time employee scheduled to work at least 15 to 30 hours per week.

 

Eligible Dependents

You may enroll your eligible dependents for certain levels of benefit coverage. Eligible dependents include:

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  • Your spouse or domestic partner

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  • Your children or your domestic partner’s children, up to age 26

 

If you’re enrolling anyone other than yourself, you may be required to provide proof of their eligibility. You may not enroll any dependents without enrolling yourself in Otsuka’s plans.

Your Benefits Guide

See all the benefit options available to you in your employee benefits guide!

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