Veritas Benefits — Employee Benefits Survey

Section 01

Understanding & Usage

1.Which services have you used in the past 12 months? (Select all that apply) *

Preventive care (annual physical, screenings)

Primary care (non-preventive visits)

Specialist care

Urgent care

Emergency room

Inpatient hospital stay/surgery

Outpatient procedure/imaging (MRI/CT/X-ray/ultrasound)

Lab work

Mental health (therapy/psychiatry)

Prescription medications

Physical therapy/chiropractic

Maternity/fertility care

No medical services used in past 12 months

Please select at least one option.

2.How confident are you that you understand how your medical plan works? (deductible, copays, coinsurance, out-of-pocket max) *

Not confident at allVery confident

Please select a rating.

3.In the past 12 months, did you delay or avoid care? *

Yes

If yes, why did you delay care? (optional)

Please select an option.

4.What care did you delay or avoid, if any? (Select all that apply)

Primary care

Specialist care

Mental health care

Imaging/labs

Prescription medication

Procedure/surgery

N/A

Section 02

Your Out-of-Pocket Costs

Dollars spent on healthcare outside of payroll premiums.

5.Approximately how much did you pay out-of-pocket in the last 12 months (excluding premiums)? *

$250–$750

$751–$1,500

$1,501–$3,000

$3,001–$6,000

$6,001–$10,000

$10,000+

Please select an option.

6.Did you hit your deductible in the LAST 12 months? *

Yes

Please select an option.

7.Did you hit your out-of-pocket maximum in the LAST 12 months? *

Yes

Please select an option.

8.Do you expect to hit your deductible or OOP maximum in the NEXT 12 months? *

Deductible

Out-of-Pocket Maximum

Both

Neither

Please select an option.

9.Have any costs been burdensome to you or your dependents? (Select all that apply) *

Monthly premium

Deductible

Specialist copays/coinsurance

ER/urgent care costs

Imaging (MRI/CT)

Lab costs

Prescription drug costs

Mental health costs

Hospital/outpatient procedure bills

Dental/vision costs

Surprise/out-of-network bills

None

Please select at least one option.

Section 03

Conditions & Medications

Helps us understand how the plan supports ongoing health needs.

10.Are you currently managing an ongoing health condition (yourself or a dependent)? *

Myself

My dependents

Both myself and my dependents

Neither

Please select an option.

11.If managing a condition — which areas apply? (Select all that apply)

Diabetes / metabolic

Cardiovascular (BP, cholesterol, heart)

Respiratory (asthma/COPD)

Autoimmune/inflammatory

Gastrointestinal

Musculoskeletal/chronic pain

Neurological (migraine, etc.)

Cancer (active treatment)

Mental health condition (anxiety, depression, ADHD, etc.)

Women's health (endometriosis, menopause, etc.)

Fertility/maternity

Pediatric/special needs dependent

Not managing a condition

12.Have you had any challenges managing or accessing care with the current plan? (yourself or a dependent) (Select all that apply)

Finding in-network providers with availability

Prior authorization delays

High deductible/out-of-pocket costs

Pharmacy coverage restrictions (formularies/step therapy)

Denials/appeals

Confusing billing/EOBs

Coordinating care across providers

Mental health access

Specialty drug access

Not managing an ongoing condition / N/A

13.List any specialty, high-cost, or hard-to-access medications and your typical out-of-pocket cost. (Write "none" if not applicable) *

Please enter a response (or "none").

Section 04

Navigating Insurance & Billing

14.How easy or difficult is it to find accurate cost information before getting care? *

Very difficultVery easy

Please select a rating.

15.In the past 12 months, have you received a bill you didn't expect or didn't understand? *

Yes

Please select an option.

16.If yes — what type of bill was it? (Select all that apply)

Out-of-network / surprise bill

Facility fee (separate hospital/clinic charge)

Lab billed separately

Imaging billed separately

Anesthesia or radiology billed separately

Balance bill after insurance

Claim denial or partial payment

Hospital bill

17.What support, information or resources would help you with your health plan or care needs, if any? (optional)

Section 05

Impact on Work

18.In the past 12 months, how often have health issues affected your ability to work? *

Never

Rarely

Sometimes

Often

Always

Please select an option.

19.Anything else you'd like to share about your benefits experience? (optional)

Thank you for your feedback.

Your response has been submitted. For support, please reach out to our team — employeesupport@veritasbenefits.co