Agenda - 10-21-2002 - 4 - Laserfiche WebLink

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Option 2 — Renewal With Alternative Benefits (Blue Care Plan 2 and Blue Options Plan 2) • Changes to Blue Care Plan As to the Blue Care Plan, this proposal provides for different.benefits in two areas: ✓ Addition of a $250 deductible for inpatient and outpatient hospital services and certain other services. It is a single deductible that is paid once in the plan year per plan participant when a covered service is used with a maximum deductible of$750 per family. After the one time calendar year deductible is satisfied, 100 percent of the charge is paid. To assess the possible impact of a new deductible, Blue Cross provided data on PCP claims paid in 2001 and to date in 2002. Based on this data —of the 1,011 PCP plan members (employees and dependents) - about 40 percent of members would pay no deductible, about 35 percent would pay some amount toward the deductible but less than $250 and about 25 percent would pay the full $250 deductible. ✓ Increase in the prescription drug co-payment to $10 (Tier 1), $20 (Tier 2) and $30 (Tier 3)from the $5, $15 and $30 in Blue Care Plan 1 renewal proposal. Attachment 2 highlights the benefit differences between Blue Care Plan 1 and Blue Care Plan 2. • Changes to Blue Options Plan As to the Blue Options Plan, - if the County selects the Blue Care Plan 2 renewal option - the benefits provided for the Preferred Provider Plan (Blue Options) also change in coordination with this plan. The changes here primarily are to increase the deductibles, co-insurance maximums and prescription drug co-pays. Attachment 3 includes a comparison of the benefit differences between Blue Options Plan 1 and Blue Options Plan 2.