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Administrator Guide
Last Updated: 2023-06-23
Reference: Field Types for Health Care Expanded Plan Details

Reference: Field Types for Health Care Expanded Plan Details

Workday delivers preconfigured expanded plan details for you to display to your employees. This topic describes the plan types and the coverage details that you can display. Workday also provides custom labels that you can configure for coverages that Workday doesn't provide. Example: You can use custom labels to display coverage details about onsite flu vaccinations for employees and their dependents.

Plan Types and Available Coverage Details

In this table, we specify the type of benefit plan and the details that you can display to employees. We include links to the coverage values for each type of expanded plan detail.
Expanded Plan Detail
Medical
Dental
Vision
Available Coverage Details
Acupuncture
√
Benefits Custom 1
√
√
√
Benefits Custom 2
√
√
√
Benefits Custom 3
√
√
√
Chiropractor
√
Chiropractors, Osteopaths, Acupuncturists, or Dietitians
√
Cleaning/Scaling
√
Coinsurance
√
√
√
Contact Lenses
√
Contact Lenses/Eyeglasses
√
Contact Lenses/Eyeglasses/Laser Eye Surgery
√
Copay
√
√
√
Coverage
√
√
√
Deductible
√
√
√
Dental Extractions
√
Dental Implant
√
Dental Prostheses
√
Diabetes Services
√
Dietician
√
DNA Testing
√
Drug Costs
√
Eyeglasses
√
Eyeglasses Frames
√
Fillings/root canal
√
FSA Employee Contribution
√
Medical (Doesn't include Age Limit, Coverage, Maximum Coverage Per Lifetime, Routine Exam, Specialist, Visits Per Year and Per Person).
FSA Employer Contribution
√
Medical (Doesn't include Age Limit, Coverage, Maximum Coverage Per Lifetime, Routine Exam, Specialist, and Visits Per Year).
FSA Qualified
√
Select to indicate whether the coverage detail is valid.
Hearing Aids
√
Hospital
√
HSA Employee Contribution
√
Medical (Doesn't include Age Limit, Coverage, Maximum Coverage Per Lifetime, Routine Exam, Specialist, Visits Per Year and Per Person).
HSA Employer Contribution
√
Medical (Doesn't include Age Limit, Coverage, Maximum Coverage Per Lifetime, Routine Exam, Specialist, and Visits Per Year).
HSA Qualified
√
Select to indicate whether the coverage detail is valid.
Imputed Income
√
Select to indicate whether the coverage detail is valid.
Infertility Testing/Treatment
√
In Vitro Fertilization (IVF)
√
Laser Eye Surgery
√
Limited FSA Employee Contribution
√
Medical (Doesn't include Age Limit, Coverage, Maximum Coverage Per Lifetime, Routine Exam, Specialist, Visits Per Year and Per Person).
Limited FSA Qualified
√
Select to indicate whether the coverage detail is valid.
Mail-Order Drug Costs
√
Major Services
√
Medical Labs
√
Mental Health and Chemical Dependency
√
Minor Services
√
Non-Network Drug Costs
√
Occupational / Physical / Speech Therapy
√
Office Visits
√
√
√
Orthodontics
√
Orthopedic Footwear/Orthotics
√
Out of Country Coverage
√
Out-of-Pocket Annual Maximum
√
√
√
(Doesn't include Maximum Coverage Per Lifetime, Maximum Coverage Per Year and Visits per Year).
Out-of-Pocket Lifetime Maximum
√
√
√
(Doesn't include Maximum Coverage Per Lifetime, Maximum Coverage Per Year and Visits per Year).
Preventative Services
√
Psychological Counseling
√
Restorative Dental Treatment
√
Retail Drug Costs
√
Vaccinations
√
X-rays
√
√
X-rays/Medical Labs
√
√

Custom Benefits

Workday provides 3 sets of custom labels for you to configure expanded plan details that are unique to your organization. Each custom plan detail has a label along with 4 possible available coverage detail labels. You can configure the custom benefits with the
Maintain Custom Labels
 task.
Example: You can configure coverage details for onsite vaccinations:
Custom Benefit
Custom Label
Benefits Custom 1
Onsite Flu Vaccinations
Benefits Custom 1a
Employee - Free
Benefits Custom 2a
Spouse/Domestic Partner - $10
Benefits Custom 3a
Dependent - $5

Eye Wear

This table lists the coverage details for eye wear that you can configure and identifies whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Yes/No
Custom progressive lens
√
√
√
√
Premium progressive lens
√
√
√
√
Standard progressive lens
√
√
√

Hospital

This table lists the coverage details for hospital care that you can configure and identifies whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Yes/No
Ambulance
√
√
√
√
Deductible
√
√
Emergency Room
√
√
√
√
In Network
√
√
√
√
Inpatient
√
√
√
Out of Network
√
√
√
√
Out-of-Pocket Annual Maximum
√
Out-of-Pocket Lifetime Maximum
√
Outpatient
√
√
√
√
Private Room
√
√
√
√
Semi-Private Room
√
√
√
√
Urgent Care
√
√
√
√

Medical

This table lists the medical coverage details that you can configure and whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Numerical Values
Yes/No
Day/Month/Year
Age Limit
Months or Years
Coverage
√
√
√
Coverage Level 1
√
√
√
Coverage Level 2
√
√
√
Coverage Level 3
√
√
√
Coverage Level 4
√
√
√
Family
√
√
√
Family (Network)
√
√
√
Family (Non-Network)
√
√
√
Individual
√
√
√
√
Individual (Network)
√
√
√
√
Individual (Non-Network)
√
√
√
√
Individual + DP/Spouse or Child(ren)
√
√
√
√
Individual + DP/Spouse or Child(ren) (Network)
√
√
√
√
Individual + DP/Spouse or Child(ren) (Non-Network)
√
√
√
√
In Network
√
√
√
Maximum Coverage
√
Maximum Coverage per lifetime
√
Maximum Coverage per year
√
Out of Network
√
√
√
Per Person
√
Routine Exam
√
√
√
Specialist
√
√
√
Visits per year
√

Medical Equipment

This table lists the coverage details for medical equipment that you can configure and identifies whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Numerical Values
Yes/No
Glucose Monitors
√
√
√
√
Insulin Pump
√
√
√
√
√
Self-Management Training
√
√
√
√
√

Pharmacy

This table lists the coverage details for medication that you can configure and whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Numerical Values
Yes/No
Day/Month/Year
Brand (Nonpreferred)
√
√
√
√
Brand (Preferred)
√
√
√
√
Brand (Specialty)
√
√
√
√
Coverage Maximum
√
√
√
Days of Supply
Days
Generic
√
√
√
HSA Qualified
√
Imputed Income
√
Insulin
√
√
√
Preventive Drugs
√
√
√

Services

This table lists the coverage details for medical services that you can configure. It also identifies whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Yes/No
Basic Services
√
√
√
Major Services
√
√
√
Preventative Services
√
√
√

Vision Care

This table lists the coverage details for vision care that you can configure and identifies whether you can use custom labels for the coverage detail.
Coverage Detail
Custom Label
Percentage
Currency Amount
Yes/No
Featured Frames
√
√
√
√
Most Frames
√
√
√