March 4, 2013 - Cabarrus County
March 4, 2013 - Cabarrus County
March 4, 2013 - Cabarrus County
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2012 – <strong>2013</strong> Renewal Estimate<br />
Mark III Employee Benefits<br />
Current<br />
CIGNA<br />
CIGNA<br />
Self-funded<br />
Self-funded<br />
OAP<br />
PPO<br />
2012 - <strong>2013</strong> Costs 2012 - <strong>2013</strong> Costs<br />
In-Network<br />
In-Network<br />
Health Savings<br />
Account<br />
OAP<br />
<strong>County</strong> Contribution to an HSA Account None $1,000<br />
Lifetime Maximum None None<br />
Deductible – Individual $1,000 $1,500<br />
Deductible – Family $3,000 $3,000<br />
Coinsurance Maximum<br />
Single $3,000<br />
Family $6,000<br />
Single $2,000<br />
Family $2,000<br />
Office Visits to Your PCP $30 Copay Deductible/20%<br />
Office Visit to a Specialist $60 Copay Deductible/20%<br />
Wellness Benefits 100% 100%<br />
Inpatient Hospital Care Deductible/20% Deductible/20%<br />
Outpatient Surgery Deductible/20% Deductible/20%<br />
Emergency Room Visit $150 Copay Deductible/20%<br />
Urgent Care $60 Copay Deductible/20%<br />
$5/$45/$60/25% (Min $50/Max<br />
$100) 2x Mail<br />
Prescription Drugs<br />
Expanded Step-Therapy<br />
Benefit Percentage 80% 80%<br />
Deductible/20%<br />
Expanded Step-Therapy<br />
Employee/Retiree $0.00 $0.00<br />
Spouse $382.00 $350.00<br />
Children $301.00 $240.00<br />
Family $672.00 $590.00<br />
2<br />
Attachment number 1<br />
4-7<br />
Page 135
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