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COMPARISON OF 2012 P-~AN OPTIONS <br /> <br />Traditional Plans Consumer-Driven <br />Plan <br /> POS HMO HSA <br /> <br />In-Networl~ In=Network <br />Onl Includes $1-,235 HSA <br />contribution <br />Prima Care Ph sician V=isits $20 $15 80% after Ded. <br />S ecialist Ph sician Visits $40 $30 80% after Ded. <br />Preventive Care 100% 100% 100% <br />Deductible $750 $250 $1,500 <br />Deductible - Famil Maximum $2,250 $750 $3,000 <br />Coinsurance L-imit $1,000 $0 $2;000 <br />Coinsurance Limit - Famil Max $3,000 $0 $2-,000 <br /> <br />In- anent Hospital Se=rvices 80% after <br />Ded. 100% after <br />Ded. <br />80% after Ded._ . <br /> <br />Out-patient Hos ital Services $0% after <br />Ded. 100% after <br />-Ded. <br />80% after- Ded. <br />Emer enc Room $200 $150 80%-after Ded. <br /> <br /> <br />Pharmac <br /> <br />$7/$30/$50 <br /> <br />$8/$25/$45 Ded./$10/$30/$50 up <br />to co-insurance <br />maximum <br />ifetime Maximum Unlimit ed <br />A-6 <br />