MEDICAL INSURANCE

MADE SIMPLE - What happens when you need health care?

Be an educated health consumer. All three plans offered to Retirees/COBRA that cover in-network preventive care 100%. Beyond that, your responsibility depends on the plan you choose, the services you need, and where you receive your care.

Know your terms!

Out of pocket maximum - the most you will pay during the calendar year for covered expenses This includes copays, deductibles, coinsurance, and prescription drugs

Calendar Year - Deductible and Out of Pocket Maximums are based on a calendar year which begins January 1st - December 31st annually

Deductible - a fixed dollar amount that you pay for covered services in a benefit year before medical benefits become available.

Copay - a flat fee you pay whenever you use certain medical services, like a doctor visit

High Deductible Health Plan (HDHP) - a plan with a higher deductible than a traditional insurance plan that must be paid before insurance coverage kicks in

Health Savings Account (HSA) - a type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses.

PLAN OPTIONS - There are three (3) choices

1. Traditional Plan, $1,000 Deductible = $1,000 deductible or $2,000 out of pocket maximum per person per calendar year.

2. 2500 HDHP w/ HSA = Partial Self Funded Plan with a $2500 High Deductible Health Plan that is eligible for Health Savings Account contributions.

3. 5000 HDHP w/ HSA = A $5000 High Deductible Health Plan that is eligible for Health Savings Account contributions. Your Medical Coverage