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Dates
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Cost
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Current plan
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Through December 31
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No out of pocket expenses except for current co-pays for prescriptions.
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Current premiums
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Through March 1
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$700 single/$1,850 family annually
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Board’s Imposed Plan Design
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January 1- January 31 or
January 1 - February 28.
We will inform you when that change occurs as it is based on Medical Mutual’s ability to switch.
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Deductible: $100/$200
Co-insurance (90%/10%): $500/$1,000
Co-pays: $20 per office visit/urgent care visit
Max out of pocket: $600/$1,200
Prescriptions: Members who continue to fill a brand name prescription when a generic is available pay the generic copay plus the difference in cost between the generic and brand drug regardless of dispense as written orders from your doctor
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Negotiated Premiums
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New annual premiums begin on March 1, 2021.
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If your Regular Salary is:
Less than $35,623 then the annual premium is $977 single/$2,645 family
Between $35,623 and and less than $62,340 then annual premium is $1,086 single/$2,939 family
$62,340 and higher then annual premium is $1,194 single/$$3,233 family
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New Plan Design
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February 1, 2021, or March 1, 2021
Understanding Insurance Terms (LINK)
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Deductible: $100/$200
Coinsurance (90%/10%): $400/$800
Out of pocket total for Deductible and Coinsurance: $500/$1,000
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ER visits
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When to use ER vs Urgent vs Convenience Clinic:
(LINK)
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$25 for emergency(new language)
$100 for non-emergency use of the emergency room(existing language)
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Urgent care
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Starting March 1
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$15 Copay
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Office visits for injury or illness
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Starting March 1
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$15 Copay
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Dental
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No change to the plan
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100% Preventative (to include pit and fissure sealants)
80% basic/major/restorative (to include implants) (annual limit of $3,300) on dental
80% orthodontia (lifetime limit of $3,300)
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Vision
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No change to the plan
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Eye Exam - up to $70.00
Lenses and Frames:
Single Vision up to $180.00
Bifocals up to $205.00
Trifocals up to $230.00
Contacts up to $130.00
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