Download presentation
Presentation is loading. Please wait.
Published byMolly Dean Modified over 8 years ago
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
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.