Health Plan (Plan B) Changes

The Health Plan has made the following changes to HMO Plan B benefits:

  • Deductible – $1000/$2000
  • Out of Pocket Maximum- $6,850/$13,700 to be combined with Rx
  • Co-Insurance Maximum- $4000/$8000
  •  PCP- $10 copay
  • Diagnostic Testing (X-ray, labwork, MRI, etc.)- 30%
  • Inpatient Services- $100 + 30%
  • Inpatient Therapy- 30%
  • Maternity Care (Delivery) $100 + 30%
  • Rehabilitation (after day 30)- 30%
  • Outpatient Surgery- $100 + Deductible + 30%
  • Preadmission Testing- 30%
  • Outpatient Mental Health- $10 copay
  • Outpatient Substance Abuse- $10 copay
  • Inpatient Mental Health- $100 + 30%
  • Inpatient Substance Abuse- $100 + 30%
  • Dental Accident Services- $100 + 30%
  • Emergency Ambulance- $75
  • Emergency Room- $150 copay
  • Transplants- $100 + 30%
  • Generic only Rx- $10 copay
  • Generic only mail order (90 day supply)- $20
  • New Benefit: Healthiest You (Telemedicine Benefit) Free Benefit – $0 copay
  • New Benefit: CoreWellness (healthy lifestyles) Free Benefit