|
Summary of HMO and PPO Participation and Costs for Employees and Retirees
<br />2007-2012
<br />
<br />
<br />
<br />
<br />lan Year
<br />
<br />
<br />
<br />lan Design Changes
<br />
<br />
<br />of
<br />Employees
<br />
<br />Employee
<br />Cost for
<br />Dependents Employee
<br />Coverage
<br />(Exclusive of
<br />Dependent
<br />Subsidy)
<br />
<br />County Cost of
<br />Dependent
<br />Subsidy
<br />
<br />
<br />otal Annual
<br />County Cost
<br />
<br />
<br />
<br />otal Premium
<br /> Active HMO 693 $1,304,248 $4 985,223 $1,197,918 $6 183 141 $7,487,389
<br />2012 Active PPO 112 $221 321 $786 741 $239 771 $1,026 512 $1 247 833
<br />15% Retiree HMO 127 $154,612 $919 645 $141 760 $1 061 405 $1 216,017
<br />Projected Retiree PPO 15 $14 229 $105 367 $15 415 $120 782 $135 010
<br />Increase Post-65 129 $0 $484,471 $0 $484 471 $484 471
<br /> Total 1 076 $1 694 410 $7 281 447 $1 594 864 $8 876 310 $10 570 720
<br /> $1000 allowance for hearing aids Active HMO 693 $1,134,129 $4,334,976 $1,041,668 $5,376,644 $6,510 773
<br /> Mental health visits covered at 100% Active PPO 112 $192,453 ~ $684,123 $208,496 $892,619 $1,085,072
<br />2011 Opened dependent status to all children up to Retiree HMO 127 $134,445 $799,691 $123,270 $922,961 $1,057,406
<br /> age 26 Retiree PPO 15 $12,373 $91,624 $13,404 $105,028 $117,400
<br /> Post-65 129 $0 $459 738 $0 $459 738 $459 738
<br /> Total 1 076 $1 473 399 $6 370 152 $1 386 838 $7 756 990 $9 230 389
<br /> Provided $0 generics Active HMO 730 $1,160,963 $4 289 184 $1 070 674 $5 359,858 $6 520,821
<br /> Increased Physical Therapy visits by 50% Active PPO 102 $127,630 $585 023 $138 267 $723,290 $850 920
<br />2010 Added 100% covered visits to Convenience Retiree HMO 121 $105,384 $716,736 $90,831 $807 567 $912,951
<br /> Care Clinics Retiree PPO 13 $3,056 $74,562 $3 310 $77 872 $80 928
<br /> Removed student status criteria for children Post-65 109 $0 $385 980 $0 $385,980 $385 980
<br /> over 19 Total 1 075 $1 397 033 $6 051 485 $1 303 082 $7 354 567 $8 751 600
<br /> Added Health Advisor program Active HMO 743 $1,171 078 $4,248,793 $1,079,464 $5 328 258 $6 499 336
<br /> Active PPO 80 $99,532 $446,784 $107 827 $554,611 $654,143
<br />2009 'Right-priced" premiums based on claims & co- Retiree HMO 94 $82,536 $541,558 $75,687 $617,245 $699 781
<br /> insurance so HMO became .more costly plan Retiree PPO 11 $2 976 $61 433 $3 223 $64,656 $67 632
<br /> Post-65 92 $0 $303,432 $0 $303,432 $303 432
<br /> Total 1 020 $1 356 122 $5 602 000 $1 266 202 $6 868 202 $8 224 323
<br /> Increased Office Visit co-pays from $10/$20 to Active HMO 752 $1,014,989 $4,016 221 $1 099 565 $5,115 786 $6,130 775
<br /> $15/$30 Active PPO 46 $33 424 $280,788 $20,707 $301,495 $334,919
<br />2008 Added Employee/Child tier Retiree HMO 75 $67 814 $400,554 $73 464 $474,018 $541,832
<br /> Retiree PPO 13 $4,797 $80,520 $3,081 $83 600 $88,398
<br /> Post-65 data is unavailable
<br /> Total 886 $1 121 025 $4 778 083 $1 196 817 $5 974 900 $7 095 925
<br /> (Participation as of July 2007) Active HMO 741 $1,057 483 $3,606,951 $1,145,614 $4 752 564 $5,810,048
<br /> Added 100% covered preventive care Active PPO 36 $28 883 $199,666 $18 292 $217 958 $246,841
<br />2007 Retiree HMO 84 $81,291 $408,885 $88 067 $496 952 $578 243
<br /> Retiree PPO 19 $13,117 $105,964 $8,422 $114,386 $127,503
<br /> Post-65 data is unavailable
<br /> Total 880 $1 180 774 $4 321 466 $1 260 394 $5 581 861 $6 762 635
<br />N
<br />w
<br />
|