|
Preferred Plans
| Plan
Overview - Preferred Option One |
| |
P-4
Member Cost |
P-9
Member Cost |
P-10
Member Cost |
P-11
Member Cost |
| Deductible |
$200 |
$200 |
$300 |
$500 |
| Stoploss |
$5,000 |
$5,000 |
$5,000 |
$10,000 |
| Preferred Provider Coinsurance |
10% |
20% |
20% |
20% |
| Non-Preferred or Participating Provider
Coinsurance |
30% |
40% |
40% |
40% |
| Other Services |
20% |
20% |
20% |
20% |
|
Plan
Overview - Option One & One-A Overlay |
| |
Option
One
Member Cost |
Option
One
Member Cost |
Option
One
Member Cost |
Option
One A
Member Cost |
| Deductible |
$200 |
$500 |
$1,000 |
$300 |
| Stoploss |
$5,000 |
$10,000 |
$10,000 |
$10,000 |
| Preferred Provider Coinsurance |
10% |
10% |
10% |
20% |
| Non-Preferred Provider Coinsurance |
20% |
20% |
20% |
30% |
| Other Services |
20% |
20% |
20% |
30% |
|
Features and Advantages |
| Features and Advantages |
- Choice of providers with higher benefit level
for Preferred Providers
- Preventive care
- Prescription benefit included
|
| Value-Added
Benefits |
- Basic Case Management
- Steps To Health
- Special Beginnings®
- BlueCard Program
|
| Service
Area |
Oregon and SW Washington |
| Provider
Directory |
Preferred Provider Plan |
| Benefit Summaries effective Jan. 1, 2009 and After |
Benefit Summaries effective Jan 1 - Dec. 31, 2008 |
| Oregon |
Oregon |
Preferred Option One
- $200 ded, 90%/70%, $5,000 SL
- $200 ded, 80%/60%, $5,000 SL
- $300 ded, 80%/60%, $5,000 SL
- $500 ded, 80%/60%, $10,000 SL
|
Preferred Option One
- $200 ded, 90%/70%, $5,000 SL
- $200 ded, 80%/60%, $5,000 SL
- $300 ded, 80%/60%, $5,000 SL
- $500 ded, 80%/60%, $10,000 SL
|
Option One & One-A Overlay
|
Option One & One-A Overlay
|
| Washington |
Washington |
Preferred Option One
- $200 ded, 90%/70%, $5,000 SL
- $200 ded, 80%/60%, $5,000 SL
- $300 ded, 80%/60%, $5,000 SL
- $500 ded, 80%/60%, $10,000 SL
|
Preferred Option One
- $200 ded, 90%/70%, $5,000 SL
- $200 ded, 80%/60%, $5,000 SL
- $300 ded, 80%/60%, $5,000 SL
- $500 ded, 80%/60%, $10,000 SL
|
Option One & One-A Overlay
|
Option One & One-A Overlay
|
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