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5 <br /> If the employee uses the preferred provider physician network, the <br /> employee benefits are better than those under the current plan in that the <br /> employee co-insurance amount for general services is 10 percent rather <br /> than 20 percent. <br /> - If the employee does not use the preferred care physicians then the <br /> employee pays higher deductible and out of pocket amounts than <br /> currently. <br /> The preferred care physician network includes the following: <br /> County Preferred Care Physicians <br /> Alamance 81 <br /> Durham 796 <br /> Orange 631 <br /> Wake 462 <br /> The preferred care hospitals currently include UNC Hospitals, Duke, <br /> Durham Regional and Wake Medical Center, among others. <br /> During the period from June 1, 1994 through May 31, 1995,participants in <br /> the current BC/BS Traditional plan made 1,793 physician visits. Of these <br /> 1,287 or 72 percent were to physicians who currently are preferred <br /> providers and 506 or 28 percent were to physicians who are not. <br /> Effective October 1, 1995, Duke private diagnostic clinic physicians will <br /> no longer be covered as preferred care physicians, unless the physician <br /> contracts individually with BC/BS. Current Traditional plan participants <br /> made 163 visits to these physicians in the covered period. If these are <br /> counted as non-preferred physicians,the number of non-preferred <br /> physician visits is 669 or 37 percent. <br /> In summary for those approximately 37 percent of physician visits which involve <br /> non-preferred care physicians,the employee may still choose to see that <br /> physician. However, for such visits the employee will pay higher deductibles <br /> ($300 vs $200 for an individual) and out of pocket amounts ($2,000 vs $1,000 for <br /> an individual). If the employee elects to see a preferred care physician instead, he <br /> or she will pay the same deductible and out of pocket amount as presently, but a <br /> lesser co-insurance amount(10 instead of 20 percent). <br /> The County may change the BC/BS Traditional Plan to a BC/BS Preferred <br /> Provider Plan and still offer the additional plan option of the BC/BS Personal <br /> Care Plan(a health maintenance organization) as it does now. Options A, B and <br /> C all provide for continuing the BC/BS Personal Care Plan. <br /> Sole Provider Contract <br /> Option C provides for a sole provider or exclusive contract with BC/BS through <br />