Medical Plan Options

Amgen’s medical plans are designed with a focus on wellness and preventive care. Staff members in most locations can choose from two medical plan options: the Anthem Traditional PPO and the Anthem Value PPO. Staff members in select locations may also choose from a local health maintenance organization (HMO) plan. Staff members in New England states (CT, MA, ME, NH, RI and VT) may choose from a local EPO plan. See PPO Medical Plans for plan highlights and Medical Premiums for biweekly contribution rates.

Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO)

As an alternative to the Traditional PPO or Value PPO, you may be eligible to elect medical coverage with a local HMO (CA) or EPO (CT, MA, ME, NH, RI and VT). Generally, HMO participants need to select a PCP to provide or coordinate all care. An HMO does not have a deductible. However, care obtained outside the HMO and EPO network generally is covered only in emergencies, as defined by the plan.

If you work in Hawaii, visit the Amgen Benefits Center for information about the HMSA medical plan option.

Prescription Drug Coverage

All plans cover short-term prescriptions (up to a 30-day supply) purchased at a network retail pharmacy and, in most cases, 90-day supplies through a mail-order service. Copayments vary by plan.

Medical Surcharges

Staff members in certain situations are asked to help share the cost of coverage.

  • Tobacco surcharge: $150 per month if a staff member uses tobacco. Tobacco cessation resources are available on MyAmgen Wellness and the Amgen Benefits Center.
  • Working spouse/domestic partner surcharge: $100 per month if a staff member’s working spouse/domestic partner declines coverage available through his or her own employer and joins Amgen medical coverage. The surcharge is applicable even for staff members choosing Amgen coverage as secondary coverage for their spouse/domestic partner.

Support for Biologics

Amgen believes patients should choose the most appropriate therapy for their diagnosis and individual physiology while also expecting to pay a fair price for the elected treatment. If a covered patient requires biologic therapy and takes proper steps to confirm it is the most appropriate treatment approach, they will pay no more than the fixed copayment for the branded non-biologic treatment. Support for biologics and additional valuable programs and benefits are available through Anthem/ESI. Note: Benefits are different for HMO enrollees.