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Health care

To help you maintain your health, Klaviyo offers a variety of benefits and resources for you and your eligible dependents, including medical, dental, and vision coverage.
Medical
Dental
Vision

Medical

You can choose from three medical plan options through Blue Cross Blue Shield of Massachusetts. Each pays for preventive care at 100%, includes prescription drug coverage, and offers telehealth, mental health care, and a 24/7 nurse hotline. So, whether you just need an annual wellness checkup or you’re dealing with a major illness, your Klaviyo medical plans have you covered.

Compare the plans

All three plans provide comprehensive medical and prescription drug coverage and no-cost in-network preventive care. Note: The PPO and HDHP (PPO Saver) plans are both national networks. The HMO Blue plan is the only one restricted to the states in New England.

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Here’s how the plans differ:

HDHP Saver Plan (HSA eligible)
PPO Plan
HMO Plan
HSA company contribution
$1,000 individual
$2,000 family
N/A – not an HSA-eligible plan
N/A – not an HSA-eligible plan
Provider network
National PPO Network
National PPO Network
HMO Blue New England
Deductible
$2,000 individual
$4,000 family**
Family deductible must be met before coinsurance applies
$500 individual
$1,250 family
$500 individual
$1,000 family
Out-of-pocket maximum (medical)
$6,450 individual
$12,900 family
$4,950 individual
$9,650 family
$4,950 individual
$9,650 family
Out-of-pocket maximum (prescription)
Included in medical deductible
$1,000 individual
$2,000 family
$1,000 individual
$2,000 family
Prescription drugs
After meeting the plan’s deductible, you pay a copay per prescription
The plan deductible does not apply; you pay a copay per prescription
The plan deductible does not apply; you pay a copay per prescription
Cost of premium per paycheck
$
$$$
$$

* Out-of-network benefits are available, but you will pay more out-of-network.
** If enrolled in the BCBSMA HDHP Saver plan, the entire family deductible must be satisfied before benefits are provided for any one member enrolled for coverage.

Biweekly cost of medical coverage

HDHP Saver Plan (HSA eligible)
PPO Plan
HMO Plan
Employee
$47.15
$69.88
$66.53
Employee + spouse or domestic partner
$94.28
$139.76
$133.06
Employee + children
$84.60
$125.40
$119.39
Family
$142.58
$211.34
$201.21
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Dental

Keep your smile healthy with dental coverage through Blue Cross Blue Shield of Massachusetts. The DPO plan uses a national network and covers preventive, basic, and major services, which include exams, fillings, crowns, root canals, and orthodontic care for you and your enrolled dependents.

How services are paid

Calendar-year maximum
$1,500 per covered person
Deductible
$50 individual, $150 family
Preventive and diagnostic care (exams, cleanings, fluoride, space maintainers, sealants, X-rays)
100%
Basic restorative (fillings, extractions, oral surgery, endodontics, periodontal scaling, root planing, surgical services)
80% after deductible
Major restorative (dentures and adjustments or relining, crowns, inlays, onlays, bridges, implants)
50% after deductible
Prosthodontics
50% after deductible
Orthodontia care (adults and children)
50% up to a $1,500 lifetime maximum

Biweekly cost of dental coverage

Employee only
Family
DPO Plan
$4.06
$11.79
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Vision

Set your sight on your future with clearer vision and healthier eyes with vision coverage through EyeMed. Coverage includes eye exams, lenses and frames, and contacts for you and your eligible dependents through their national network.

When you go to an EyeMed PLUS Provider, you pay nothing for the eye exam, and your frame allowance increases by $50.

How services are paid

Frequency
Once every 12 months
Exam
Covered 100%
Lenses
Single-vision, bifocal, trifocal – $10 copay
Standard progressive – $75 copay
Frames
Any available frame at PLUS Providers – $200 allowance, 20% off balance over $200
Frames at standard providers – $150 allowance, 20% off balance over $150
Contacts
Conventional – $150 allowance, an additional 15% off balance over $150
Disposable – $150 allowance

Biweekly cost of vision coverage

Employee
Employee + spouse or domestic partner
Employee + children
Family
EyeMed Vision
$0.81
$1.54
$1.62
$2.38
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Contacts

Medical

Blue Cross Blue Shield of Massachusetts

800-262-2583, option 3
Website

Dental

Blue Cross Blue Shield of Massachusetts

800-262-2583, option 3
Website

Vision

EyeMed

866-939-3633
Website