Are the deductibles and co-insurance provisions of the Plan remaining the same?
No, effective August 1, 2006, for active participants, their deductibles, percentage paid, coinsurance, network provisions and prescription co-pays changed. For the retirees, their prescription co-pays were changed. It is important that each family understand the benefit provisions and any potential liability in using non-network providers. Health Care Plan Provisions for Active participants Calendar Year Deductible Amount…Network Individual $ 600 Family $1200 Calendar Year Deductible Amount…Non-Network Individual $1200 Family $2400 Benefit Percentage (paid by the Plan) Network – 80% of the Network Provider Charge unless specifically noted otherwise. Non-Network – 70% of the Reasonable & Customary unless specifically noted otherwise. Out of Pocket Maximum…Network (In excess of the Calendar Year Deductible Amount) Individual $700 Family $1400 Out of Pocket Maximum…Non-Network (In excess of the Calendar Year Deductible Amount) Individual $2400 Family $4800 Active Prescription Cov
