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INSURANCE INFORMATION PPO BENEFITS. This is a teamwork effort between Administration, MEA, and MESA.

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Presentation on theme: "INSURANCE INFORMATION PPO BENEFITS. This is a teamwork effort between Administration, MEA, and MESA."— Presentation transcript:

1 INSURANCE INFORMATION PPO BENEFITS

2 This is a teamwork effort between Administration, MEA, and MESA.

3 PROPOSED CHANGES WELLNESS Change CHILD WELLNESS to 100% coverage (currently 90%). Add ADULT WELLNESS at 100% coverage. Annual maximum of $500 per person Estimated rate change: an increase of 1.5%

4 PROPOSED CHANGES WELLNESS Examples of items that would be covered that currently are not would include: cost of doctor’s office visit and examination, lab and blood work (cholesterol, blood panel, etc.), bone density tests, EKG, flu shots, tetanus shots, etc.

5 PROPOSED CHANGES PRESCRIPTION CARD Change current RX benefit. Change current RX benefit. $10 co pay for generic $10 co pay for generic $20 co pay for brand $20 co pay for brand $40 co pay for non formulary $40 co pay for non formulary Store Service (up to 34 days)

6 PROPOSED CHANGES PRESCRIPTION CARD Change current RX benefit. Change current RX benefit. $20 co pay for generic $20 co pay for generic $40 co pay for brand $40 co pay for brand $80 co pay for non formulary $80 co pay for non formulary 3 months for the price of 2 3 months for the price of 2 Mail Order Service (up to 90 days)

7 PROPOSED CHANGES PRESCRIPTION CARD Oral contraceptives would also now be included in the prescription plan.

8 Estimated Rate Change for implementing the Prescription card: a reduction of 1.54% in the rate.

9 NET CHANGE: A reduction of 0.04% on the rate for next year.

10 VOLUNTARY VISION PROGRAM Rates per month  Employee Only: $8.50  Employee + One: $13.60  Employee + Children: $13.88  Employee + Family: $22.38  10 Employees needed to enroll  Rate guaranteed for 24 months

11 BENEFITS  Exam Co-payment: $10  Material Co-payment: $25  Frequency: Exam (12), Lenses (12), Frames (24)  EXAM 100% covered  LENSES 100% covered  FRAMES 100% covered up to $120  ELECTIVE CONTACTS 100% covered up to $120  NECESSARY CONTACTS 100% covered

12 Decision to be made on April 8. Questions: See Jeff Harding Terry Napolski Jan Berg Diane Kuzmyn


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