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<br />Option 2 (One Plan) ~ . <br /> Current pp0 Current <br />HMO Renewa~ <br />PPO <br /> Health Benefits <br /> Primary Care Provider Copay $15 $15 $15 <br /> Specialist Copay $30 $30 $30 <br /> Emergency Room Copay $150 $150 $150 <br /> Individual Deductible (IN / OON) $250 /500 $250 $250 / $500 <br /> Coinsurance Maximum (IN / OON) $1,000 / 2,000 $0 $500 / $1,000 <br /> Family Mabmums 3 times 3 times 3 times <br /> Coinsurance (IN / OON) 90% / 70% 100% 95% / 75% <br /> OP lab & Mammograms (IN / OON) 100% / 70% 100% 100% / 75% <br /> Preventive Care Program (IN / OON) 100% / 0% 100% 100% / 0% <br /> Retail Drug Copay (30 Day Supply) $5-15-30 $5-15-30 $5-15-30 <br /> Mail Order Drug Copay (90 Day Supply) $13-26-60 $13-26-60 $13-26-60 <br /> Vision -Eye Exam Deductible $15 $15 S15 <br /> t anrr. rr rr apuac rro Arnr. e.m ~ rwo Nr,ws acp rro wh oon Errs <br />Option 2 "One Plan" Combines HMO and PPO into one PPO <br />Plan. <br />Advantages <br />^ No difference in cost of <br />dependent coverage <br />^ PPO would have decrease in <br />co-insurance from $1,000 to <br />$500. <br />^ Cost increase to employees <br />with dependents is the <br />lowest of all options. <br />^ 877 HMO members would <br />gain access to out of network <br />providers. <br />Cost to County is lower than <br />renewal rate. <br />Disadvantages <br />^ Affects all employees. <br />^ 877 employees/retirees in <br />HMO would have a 5% co- <br />insurance to a maximum of <br />$500 vs. current $0 co- <br />insurance. This will affect <br />members with medical <br />claims other than office <br />visits/prescriptions. <br />(Projections Indicate 10-14% <br />of members would be <br />affected.) <br />^ Cost to County is slightly <br />higher than Option 1. <br />9 <br />