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Comparison of Plan Designs
<br /> Current Plans Option 1 Option 2 Option 3 Option 4
<br /> NCACC - PPO NCACC -HMO POS HMO HMO HSA POS HSA POS HSA
<br /> ZOll 2011 2012 2012 2012 2012 2012 2012 2012 2012
<br /> In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network In-Network
<br />Primary Care Physician
<br />$15
<br />$15
<br />$15
<br />$15
<br />$15
<br />80%afterDed.
<br />$20
<br />80%after Ded.
<br />$20
<br />80%after Ded.
<br />Visits
<br />Specialist Physician
<br />$30
<br />$30
<br />$30
<br />$30
<br />$30
<br />80%afterDed.
<br />$40
<br />80%afterDed.
<br />$40
<br />80%afterDed.
<br />Visits
<br />Preventive Care 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
<br />Deductible $250 $250 $25D $250 $250 $1,500 $750 $1,500 $500 $1,500
<br />Deductible -Family $750 $750 $750 $750 $750 $3,000 $2,250 $3,000 $1,500 $3,000
<br />Maximum
<br />Coinsurance Limit $1,000 $D $1,000 $0 $0 $2,000 $1,000 $2,000 $1,000 $2,000
<br />Coinsurance Limit- $3,000 $0 $3,000 $0 $0 $2,000 $3,000 $2,000 $3,000 $2,000
<br />Family Max
<br />In-patient Hospital g0%after Ded. 100% after Ded. 90%after Ded. 100% after Ded. 100% after Ded. 80%after Ded. 80%after Ded. 80%after Ded. 80%after Ded. 80% after Ded.
<br />Services
<br />Out-patient Hospital g0%after Ded. 100% after Ded. 90%after Ded. 100% after Ded. 100% after Ded. 80%after Ded. 80%after Ded. 80%after Ded. 80%after Ded. 80%after Ded.
<br />Services
<br />Emergency Room $150 $150 $150 $150 $150 80%after Ded. $200 80%after Ded. $150 80% after Ded.
<br />Pharmacy $0/$15/$30 $0/$15/$30 $8/$25/$45 $8/$25/$45 $g~$25~$g5 Ded./$10/$30/$50 $7/$30/$50 Ded./$10/$30/$5 $8/$25/$45 80%after Ded.
<br /> up to OOP up to OOP
<br />Lifetime Maximum Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited
<br />Monthly Rates
<br />Employee Only $509.02 $531.44 $628.94 $621.38 $621.38 $621.38 $560.63 $560.63 $578.59 $578.59
<br />Employee and Spouse $1,074.02 $1,121.32 $1,327.06 $1,311.11 $1,311.11 $1,129.41 $1,182.92 $1,068.66 $1,220.83 $1,106.38
<br />Employee and Child $712.62 $743.98 $1,018.88 $1,006.64 $1,006.64 $905.15 $908.22 $844.40 $937.32 $873.39
<br />Employee and Children $982.42 $1,025.66 $1,018.88 $1,006.64 $1,006.64 $905.15 $908.22 $844.40 $937.32 $873.39
<br />Employee and Family $1,527.08 $1,594.28 $1,886.81 $1,864.14 $1,864.14 $1,536.75 $1,681.88 $1,476.00 $1,735.77 $1,529.57
<br />County HSA
<br />
<br />Contribution
<br />$1,964.40
<br />$1,235.40
<br />$1,237.20
<br />Total Annual Cost $8,639,079.84 $10,182,413.28 $10,038,307.20 $9,091,822.56 $9,385,492.92
<br />Increase over current 117.86% 116.20% 105.24% 108.64%
<br />..~
<br />Co-insurance for Out of Network benefits is 60% (paid by UnitedHealthcare).
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