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Comparison of Current and Alternate Plan Designs <br /> CIGNA Current Plan Designs <br />CIGNA (Renewal Option 1) <br />UnitedHealthcare (Renewal Option 2) <br />CIGNA (Renewal Option 3): <br />Alternate Plans <br />UnitedHealthcare (Renewal Option 2): <br />Alternate Plans <br /> PPO <br />2011 HMO <br />2011 PPO <br />2012 HSA <br />2012 POS <br />2012 HSA <br />2012 <br /> In-Network In-Network In-Network In-Network In-Network In-Network <br />Prima Care Ph sician Visits $15 $15 $20 80% after Ded. $20 80% after Ded. <br />S ecialist Ph sician Visits $30 $30 $40 80% after Ded. $40 80% after Ded. <br />Preventive Care 100% 100% 100% 100% 100% 100% <br />Deductible $250 $250 $750 $1,500 $750 $1,500 <br />Deductible - Famil Maximum $750 $750 $2,250 $3,000 $2,250 $3,000 <br />Coinsurance Limit $1,000 $0 $1,000 $2,000 $1,000 $2,000 <br />Coinsurance Limit - Famil Max $3,000 $0 $3,000 $2,000 $3,000 $2,000 <br />In- atient Hos ital Services 90% after Ded. 100% after Ded. 80% after Ded. 80% after Ded. 80% after Ded. 80% after Ded. <br />Out- atient Hos ital Services 90% after Ded. 100% after Ded. 80% after Ded. 80% after Ded. 80% after Ded. 80% after Ded. <br />Emer enc Room $150 $150 $200 80% after Ded. $200 80% after Ded. <br /> <br />Pharmac <br />$0/$15/$30 <br />$0/$15/$30 <br />$0/$30/$45 <br />80% after Ded. <br />$7/$30/$50 after Ded./$10/$30/$50/ <br />up to out-of-pocket max <br />Lifetime Maximum Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited <br />w <br /> <br />