Health Plan (Plan C) Changes

The Health Plan has made the following changes to PPO Plan C benefits:

  • Deductible- $1000/$2000 IN; $3000/$6000 OUT
  • Out of Pocket Maximum- $6850/$13,700 IN; $10,000/$20,000 OUT
  • Co-Insurance Maximum- $4000/$8000 IN; Unlimited OUT
  • PCP- $10 copay
  • Inpatient Services- $100 +20%
  • Inpatient Therapy- 20%
  • Maternity Care (Delivery)- $100 + 20%
  • Outpatient Surgery- $100 +20%
  • Outpatient Mental Health- $10 copay
  • Outpatient Substance Abuse- $10 copay
  • Inpatient Mental Health- $100 + 20%
  • Inpatient Substance Abuse- $100 + 20%
  • Dental Accident Services- $100 + 20%
  • Emergency Ambulance- $75
  • Emergency Room- $150 copay
  • Transplants- $100 + 20%
  • New Benefit: Healthiest You (Telemedicine Benefit) Free Benefit – $0 copay
  • New Benefit: CoreWellness (healthy lifestyles) Free Benefit