|
Traditional K2 Plans
| Medical Plan
Overview |
| |
15-C
Member Cost |
15-D
Member Cost |
15-C 70
Member Cost |
15-D 70
Member Cost |
50%
Member Cost |
| Deductible Option |
$200, $500, or
$1,000 |
$200 or $500 |
$500 |
$500 |
None |
| Deductible Application |
Does not
apply to office visits and preventive services |
Applies to office
visits and preventive services |
Does not
apply to office visits and preventive services
|
Applies to office
visits and preventive services |
None |
| Stoploss |
$10,000 for $200
and $500 deductible options; $5,000 for $1,000
deductible option |
$5,000 for $200
deductible option; $10,000 for $500 deductible
option |
$10,000 |
$10,000 |
$20,000 |
| Coinsurance |
20% |
20% |
30% |
30% |
50% |
|
Features and Advantages |
| Features and Advantages
|
- Utilizes the Participating provider network.
- No PCPs and no referrals are needed.
- Competitive pricing.
- Routine physical exams are included for both
children and adults.
|
| Value-Added
Benefits |
- Preventive Care
- Basic Case Management
- Steps To Health
- Special Beginnings®
- BlueCard Program
|
| Service
Area |
All Oregon counties and Clark County, Washington
|
| Provider
Directory |
Traditional/Participating |
Benefit
Summaries Effective Jan. 1, 2009 - Dec. 31, 2009 |
| Oregon |
| $15
ov then $500 ded 70%, $10,000 SL |
| $15
ov then $200 ded 80%, $10,000 SL |
| $15
ov then $500 ded 80%, $10,000 SL |
| $15
ov then $1000 ded 80%, $5,000 SL |
| $500
ded applied $15 ov 70%, $10,000 SL |
| $200
ded applied $15 ov 80%, $5,000 SL |
| $500
ded applied $15 ov 80%, $10,000 SL |
| No
ded, no copay 50%, $20,000 SL |
| Washington |
| $15
ov then $500 ded 70%, $10,000 SL |
| $15
ov then $200 ded 80%, $10,000 SL |
| $15
ov then $500 ded 80%, $10,000 SL |
| $15
ov then $1000 ded 80%, $5,000 SL |
| $500
ded applied $15 ov 70%, $10,000 SL |
| $200
ded applied $15 ov 80%, $5,000 SL |
| $500
ded applied $15 ov 80%, $10,000 SL |
| No
ded, no copay 50%, $20,000 SL |
Back
to Group Medical Plans
|
