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HMO Participation and Costs for Pre-65 Retirees
<br />2007-2012
<br /> Monthly Annual
<br />
<br />
<br />
<br />
<br />lan Year
<br />
<br />
<br />
<br />lan Design Changes
<br />
<br />
<br />
<br />ier
<br />
<br />
<br />of
<br />Retirees
<br />
<br />
<br />
<br />remium
<br />
<br />Orange
<br />County
<br />Contribution
<br />Retiree
<br />Contribution
<br />(Dependents
<br />Only)
<br />
<br />Retiree Cost
<br />for
<br />Dependents Retiree
<br />Coverage
<br />(Exclusive of
<br />Dependent
<br />Subsidy)
<br />County
<br />Cost of
<br />Dependent
<br />Subsidy
<br />
<br />
<br />otal
<br />Premium
<br /> Retiree 89 $611 $611 $0 $0 $652,715 $0 $652,715
<br />2012 Ret/Child 8 $856 $707 $148 $14,251 $56,196 $11,688 $82,135
<br />15% Ret/Children 2 $1,180 $868 $311 $7,465 $14,049 $6,794 $28,308
<br />Projected Ret/S -DP 25 $1,290 $923 $366 $109,883 $175 612 $101,361 $386,855
<br />Increase Ret/Famil 3 $1,833 $1,194 $639 $23,013 $21,073 $21,917 $66,003
<br /> Total 127 $154,612 $919,645 $141,760 $1,216,017
<br /> $1000 allowance for hearing aids Retiree 89 $531 $531 $0 $0 $567 578 $0 $567,578
<br /> Mental health visits covered at 100% Ret/Child 8 $744 $615 $129 ~ $12,392 $48,866 $10,164 $71,422
<br />2011 Opened dependent status to all children up to Ret/Children 2 $1,026 $755 $270 $6,491 $12,216 $5,908 $24,616
<br /> age 26 Ret/S -DP 25 $1,121 $803 $319 $95,550 $152,706 $88,140 . $336,396
<br /> Ret/Famil 3 $1,594 $1,038 $556 $20,011 $18,325 $19,058 $57,394
<br /> Total 127 $134,445 $799,691 $123,270 $1,057,406
<br /> Provided $0 generics Retiree 90 $499 $499 $0 $0 $538,920 $0 $538,920
<br /> Increased Physical Therapy visits by 50% Ret/Child 5 $699 $577 $121 $7,272 $28,680 $5,963 $41,915
<br />2010 Added 100% covered visits to Convenience Ret/Children 1 $963 $709 $254 $3,048 $5,736 $2,773 $11,557
<br /> Care Clinics Ret/S -DP 23 $1,053 $754 $299 $82,538 $131,928 $76,129 $290,595
<br /> Removed student status criteria for children Ret/Famil 2 $1,497 $975 $522 $12,527 $11,472 $11,929 $35,928
<br /> over 19 Total 121 $105,384 $716,736 $96,794 $918,914
<br /> Added Health Advisor program Retiree 68 $486 $486 $0 $0 $396,478 $0 $396,478
<br /> "Right-priced" premiums based on claims & Ret/Child 4 $680 $562 $118 $5,665 $22,320 $4,666 $32,651
<br />2009 co-insurance so HMO became more costly Ret/Chifdren 0 $938 $690 $247 $0 $0 $0 $0
<br /> plan Ret/S -DP 22 $1,025 $734 $291 $76,872 $122,760 $71,021 $270,653
<br /> Ret/Famil 0 $1,458 $949 $508 $0 $0 $0 $0
<br /> Total 94 $82,536 $541,558 $75,687 $699,781
<br /> Increased Office Visit co-pays from $10/$20 Retiree 51 $445 $445 $0 $0 $272,377 $0 $272,377
<br /> to $15/$30 Ret/Child 4 $623 $538 $85 $4,101 $21,363 $4,443 $29,907
<br />2008 Added Employee/Child tier Ret/Children 0 $859 $660 $199 $0 $0 $0 $0
<br /> Ret/S -DP 17 $939 $702 $237 $48,332 $90,792 $52,359 $191,483
<br /> Ret/Famil 3 $1,335 $908 $427 $15,381 $16,022 $16,663 $48,066
<br /> Total 75 $67,814 $400,554 $73,464 $541,833
<br /> (Participation as of July 2007) Retiree 56 $406 $406 $0 $272,590 $0 $272,590
<br /> Added 100% covered preventive care Ret/Child Not an o tion
<br />2007 Ret/Children 4 $783 $602 $181 $8,692 $19,471 $9,417 $37,579
<br /> Ret/S -DP 19 $856 $640 $216 $49,234 $92,486 $53,338 $195,059
<br /> Ret/Famil 5 $1,217 $828 $389 $23 365 $24,338 $25,312 $73,015
<br /> Total 84 $81,291 $408,885 $88,067 $578,243
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