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<br />Renewal of Existing Pian Designs <br /> Health Benefits <br /> Current PPO Current HMO <br /> Primary Care Provider Copay $15 $15 <br /> Specialist Copay S30 $30 <br /> Emergency Room Copay $150 $150 <br /> Individual Deductible (IN / OON) $250 /500 $250 <br /> Coinsurance Maximum (IN / OON) $1,000 / 2,000 $0 <br /> Family Maximums 3 times 3 times <br /> Coinsurance (IN / OON) 90% / 70% 100% <br /> OP Lab & Mammograms (IN / OON) 100% 100% <br /> Pn:ventive Care Program (IN / OON) 100% / 0% 100% <br /> Retail Drug Copay (30 Day Supply) $5-15-30 $5-15-30 <br /> Mail Order Drug Copay (90 Day Supply) $13-26-60 $13-26-60 <br /> V'~sion -Eye Exam Deductible $15 $15 <br /> <br />Renewal of Existing Plans -Keep the same <br />plan design for both HMO and PPO plans <br />Advantages <br />^ No change to plan design <br />^ No cost for employees with <br />employee only coverage <br />^ Begins to address the <br />difference in value/cost of <br />the separate plans <br />^ May shift employees with <br />dependents to the PPO plan <br />because cost of dependent <br />coverage in PPO is less than <br />HMO <br />Disadvantages <br />^ Continues to increase the <br />cost to the County and to the <br />45% of employees with <br />dependent coverage <br />^ Reqquires HMO participants <br />witFl dependent coveragge to <br />pay higher premiums tFtan in <br />past. <br />^ Does not provide employees <br />with plans that represent a <br />significant difference In cost <br />and benefit level. <br />7 <br />