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