Full-time Employee Benefits
2008 Health Benefits |
Benefit Amount |
Coinsurance |
|
PPO Network |
85% / 15% |
Out of Network |
65% / 35% |
Calendar Year |
|
Individual |
$500 |
Family |
$1500 |
Calendar Year Out-of-Pocket (excludes deductible) |
|
Individual |
$1500 |
Family |
$4500 |
Mental/Nervous Disorders (including Chemical Dependency) Maximum |
|
Inpatient (after deductible) |
30 days |
Outpatient (after deductible) |
20 visits |
Physician Office Visits (Office visit charge and injections only – does not include allergy injections) Non-PPO providers are subject to deductible and coinsurance |
100% after $20 co-payment |
Lifetime Maximum Benefit (per person) |
$2,500,000 |
Spinal Manipulation Treatment (per person per calendar year) |
$20 / visit up to 12 / year |
Well Child Care |
|
Children under the age of 12 |
100% |
Presciption Drug Card Program |
$8/20/45 Generic/Formulary/ Non-preferred |
Mail Order Prescription Drug Program |
|
(90-day supply) |
$16/40/90 Generic/Formulary/ Non-preferred |
