Medical

Dahmes is proud to offer two medical plans administered by Health Plans, Inc. (HPI) for the 2026 plan year. HPI offers excellent customer care and utilizes the United Healthcare Choice network of providers. You may choose between the PPO 3000 Plan and the HSA 5500 Plan.

 

Important Documents

The PPO 3000 plan offers first dollar coverage for services like office visits, Urgent Care visits, and prescription drugs. For most other services, you are responsible for a deductible and coinsurance until you meet your out-of-pocket maximum. Please be aware that copays do not count towards your deductible, only your out-of-pocket maximum. Preventive care is always covered at 100% before the deductible.

The HSA 5500 plan is a High Deductible Health Plan (HDHP) which qualifies participants to contribute to a Health Savings Account (HSA). If you elect the HSA plan, you are not required to open or contribute to a Health Savings Account (HSA), however, those who do contribute to an HSA will reduce their taxable income and be able to pay for medical, dental, vision, and prescription expenses federal income-tax-free. See the Health Savings Account (HSA) page for more information - including how to receive up to $40 per pay period in employer contributions. This plan has the lowest premiums and highest deductible. All services, including pharmacy, are subject to the deductible and coinsurance, and there are no copays with this plan. Once you meet your deductible/out-of-pocket maximum, all INN services will be covered at 100% for the remainder of the year.

 

Preventive care is always covered 100% in-network before the deductible. However, for preventive care to be covered in full, the service must be coded as preventive. 

In-Network Medical Coverage


Dr On Demand


See a doctor now, wherever you are. 

It's Fast and Easy

  • Connect virtually with a physician in minutes
  • Video visits held online or through the mobile app
  • Pay only your office visit/PCP-level cost share
  • Referrals are not required
  • Paperless prescriptions are sent directly to your pharmacy

 

Medical Urgent Care Visits

Doctors can diagnose, treat, and write prescriptions for many conditions, including: 

  • Coughs/colds/flu
  • Sore/strep throat
  • Pediatric issues
  • Sinus and allergies
  • Nausea/diarrhea
  • Rashes and skin issues
  • Women's health
  • Sports injuries

PPO 3000: $25 Copay

HSA 5500: Deductible then covered at 100%

 

Behavioral Health Visits

Psychologists support you using talk therapy, while psychiatrists will also look for biological imbalances and can prescribe medicine as part of a treatment plan.

 

How It Works: 

  1. Download the app on your mobile device or access doctorondemand.com/health-plans-inc.
  2. Create your account and enter insurance (choose Health Plans, Inc.) and pre-consult information.
  3. Complete a questionnaire of current symptoms and medical history.
  4. Pay cost-share via app or website.
  5. Consult with a Doctor On Demand board certified provider.
  6. Receive email follow up after the visit to share with your PCP, or request that it be sent directly to your PCP.

The details of your consultation will not be forwarded to your PCP without your consent.

 

HPI Online Access


With HPI's My Plan Portal, you can access your Medical ID Card online and manage your account 24/7.

 

Register in Minutes!

  1. Go to https://hpitpa.com/.
  2. Visit the Members section and click the link to register.
  3. Enter your information to create your username and password.

 

Access all of your account details* in one secure location anytime, anywhere!

  • Review your claims
  • Check your benefits
  • Access your prescription drug plan
  • Search your provider network
  • Download a report of your claims
  • Request claim reimbursements
  • View, print, or order your member ID card
  • View or print applicable tax forms
  • Find a Primary Care Provider (PCP)
  • View your health spending account details

Garner - Your Medical Concierge


Find the BEST Doctors In Your Area

Garner is a free benefit that helps you find the highest quality doctors while saving you up to $6,850 in costs from that care.

Contrary to popular opinion, the best doctors are often the least expensive. Missed diagnoses, unnecessary surgeries, and bad health outcomes are expensive. By setting you up with the best doctors, you not only get better care, but the cost is also lower for both you and Dahmes. As a result, Dahmes covers your medical bills when you use Garner.

How Does It Work?

  • A member must use Garner to get a recommendation before visiting the provider.
  • Visit the provider recommended by Garner, and the member will be reimbursed for their eligible out-of-pocket medical bills.
  • For those on the HSA plan, the Garner benefit starts once you’ve paid $1,700 ($3,400 for families) out-of pocket, which is required by the IRS.

Garner Reimbursement

  • PPO 3000: Up to $6,850 (Individual) / $13,700 (Family)
  • HSA 5500: Up to $3,800 (Individual) / $7,600 (Family)

HPI's Pathways Concierge


Healthcare can be confusing—we’re here to help!

The concierge team knows all about your benefits and can help you with anything related to healthcare. These services are part of your benefit plan, so they will never charge you for their help.

Your Personal Healthcare Concierge—Whenever You Need It

  • What is Pathways Concierge?
    • With Pathways Concierge, you have direct access to an experienced, compassionate Member Advocate who will serve as your personal healthcare concierge whenever you have a question about your health plan, claims, or how to use your benefits.
  • What will Pathways Concierge do for me?
    • Pathways Concierge is here to help with all things healthcare-related, ensuring you and your family members receive the right care at the right time.
    • Pathways Concierge:
      • They can help with things like coordinating prescriptions or calling a provider about a bill
      • They are trained to know everything about your health plan benefits.
      • They will take the time to get to know you and your family
  • A Few Ways Pathways Concierge Can Help You
    • They can help you understand your benefits coverage and claims
    • Find in-network specialty providers
    • Recognize when support from other resources may be needed
    • Leverage available resources
    • Coordinate time with a care manager or health coach

Just one more thing to know:

  • MedWatch is the name of the company that provides these services. They’re part of the Health Plans, Inc. (HPI) family of companies, and they may reach out to you to help you with your healthcare needs.

 

Help is just a phone call away.

To get in touch with a Member Advocate, call (888) 340-5487 (M-F, 8 am-8 pm, ET)

 

***Don’t worry, your information is completely confidential and secure, which means they'll never share it with anyone without your permission first.***

Medxoom: Mobile App


Now you can take advantage of your benefits directly from your smartphone. Access your ID cards and find what you need, when you need it. Your benefits will be right at your fingertips when you download the Medxoom app or visit member.medxoom.com for online access.

  • Open the app and register using your social security number and date of birth (don’t worry, your information is kept private and secure)
  • Review your profile information by clicking your name in the upper right hand corner

 

Features:

  • Medical/Rx Insurance ID Card
  • Claims history
  • Explanation of Benefits (EOB)
  • Deductible & Out-of-Pocket
  • Links to program vendors

 

The Medxoom App is only available to members enrolled in the Dahmes medical plans.

CANARX - Pharmacy Benefits


$0 Copay Prescription Savings Program

CANARX is a voluntary international mail order prescription program that is available to eligible employees and their dependents of Dahmes Stainless, Inc. This benefit allows you to obtain a 90-day supply of select brand-name medications for zero copay.

Brand-name medications, in the original factory-sealed manufacturer’s packaging, are delivered direct to your mailbox from certified pharmacies in Canada, the United Kingdom and Australia.

Benefits of Joining the CANARX program:

  • $0 Copay
  • 300+ Free Brand-Name Medications
  • Easy Online Refills
  • No Additional Costs 
  • Fully Insured

How It Works:

  1. Visit canarx.com/plan-login,enter your WebID to view eligible medications, and complete your enrollment online. (WebID: DAHMES)
  2. After you upload your ID, our friendly customer service representatives will contact you to help complete the next steps.

 

For more information, visit canarx.com or call 1-866-893-6337.

 

All medications are required to be filled through VytlOne (the PBM) first as a first fill to ensure that all plan design criteria are met. If you cannot get a medication through the plan because you do not meet the criteria, you will not be able to get it through this program.

ElectRx - Pharmacy Benefits


Dahmes offers you and your eligible dependents access to free brand- name and specialty medications through our partnership with ElectRx. This benefit is part of your employer-sponsored prescription drug program and is provided through the Personal Importation (PI) Program. Medications are sourced from licensed brick and mortar pharmacies in Canada, the UK, Australia, and New Zealand. 

All eligible medications are $0 cost to you; there is no deductible, no copay, and no coinsurance. To qualify, your medication must be covered by your employer’s plan and have been filled at least once.

All medications are required to be filled through VytlOne (the PBM) first as a first fill to ensure that all plan design criteria are met. If you cannot get a medication through the plan because you do not meet the criteria, you will not be able to get it through this program.

 

Get Started in 3 Easy Steps:

1. Call ElectRx at (855) 353-2879. Have your current medication list and any medical or allergy questions ready.

2. Have your doctor send your prescription to:

  • EScribe
    • Mail: A&M Pharmacy – NCPDP: 2338514
    • 8282 Woodward Ave., Detroit, MI 48202
    • Fax: (313) 875-2869
  • ElectRx 
    • Fax: (833) 353-2879

3. Your prescriptions will arrive at your door in 10–15 business days, at no cost to you. After that, you’ll get automatic refill reminders to make it even easier.

 

Questions? Call (855) 353-2879.

Dependent Eligibility Verification


If you choose to cover dependent(s) on your medical, dental, or vision plan(s), you will receive an email from the Benefits Service Center following enrollment requesting dependent verification documents. Please be sure to provide the dependent(s) verification by the deadline so that your dependents remain covered.  

  • Only legal spouses and registered domestic partners are eligible for coverage.
  • Children are eligible until their 26th birthday. 

You will receive detailed information on the required documentation after your enrollment, if applicable.