Medical Contributions (Slide 1 of 2) PlanCoverage Category Base Salary Under $50,000 $50,000- $74,999 $75,000- $124,999 $125,000+ 20102011201020112010201120102011.

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Presentation transcript:

Medical Contributions (Slide 1 of 2) PlanCoverage Category Base Salary Under $50,000 $50,000- $74,999 $75,000- $124,999 $125, UHC Value Employee$10$11$38$42$66$73$89$98 Employee + Spouse/Domestic Partner $90$99$137$151$197$217$269$296 Employee + Child(ren)$82$90$125$138$180$198$244$268 Employee+ Spouse/Domestic Partner + Child(ren) $130$143$197$217$283$311$385$424 UHC Advantage Employee$29$32$57$63$85$94$107$118 Employee + Spouse/Domestic Partner $131$144$178$196$238$262$310$341 Employee + Child(ren)$119$131$162$178$216$238$280$308 Employee+ Spouse/Domestic Partner + Child(ren) $187$206$255$281$340$374$442$486

PlanCoverage Category Base Salary Under $50,000 $50,000- $74,999 $75,000- $124,999 $125, Aetna HMO Employee$53$58$81$89$110$121$132$145 Employee + Spouse/Domestic Partner $182$200$229$252$289$318$361$397 Employee + Child(ren)$165$182$208$229$263$289$327$360 Employee+ Spouse/Domestic Partner + Child(ren) $260$286$328$361$413$454$515$567 Oxford Freedom HMO Employee$73$80$101$111$130$143$152$167 Employee + Spouse/Domestic Partner $224$246$272$299$331$364$403$443 Employee + Child(ren)$203$223$246$271$300$330$365$402 Employee+ Spouse/Domestic Partner + Child(ren) $320$352$388$427$473$520$575$633 Medical Contributions (Slide 2 of 2)

Medical Plan Deductible Medical Plan Current Deductible Deductible Effective January 1, 2011 In NetworkOut of NetworkIn NetworkOut of Network UHC Value: Individual$400$2,500$500$2,600 UHC Value: Family$800$5,000$1,000$5,200 UHC Advantage: Individual$300$2,500$400$2,600 UHC Advantage: Family$600$5,000$800$5,200 Aetna HMO: Individual$100n/a$200n/a Aetna HMO: Family$200n/a$400n/a Oxford HMO: Individual$100n/a$200n/a Oxford HMO: Family$200n/a$400n/a

Type of Prescription Current Copays Copays Effective January 1, 2011 Purchased at Retail30-day supply Retail Generic$5$10 Brand-name on CVS/Caremark’s Preferred Drug List$20$35 Brand-name not on CVS/Caremark’s Preferred Drug List$35$55 Mail Order90-day supply Mail Order Generic$10$5 Brand-name on CVS/Caremark’s Preferred Drug List$40$75 Brand-name not on CVS/Caremark’s Preferred Drug List$60$90 Prescription Copays

Medical Plan Copays Medical Plan Current Copay Copay Effective January 1, 2011 UHC Value: PCP$20$30 UHC Value: Specialist$30$40 UHC Advantage: PCP$20$30 UHC Advantage: Specialist$30$40 Aetna HMO: PCP$20$30 Aetna HMO: Specialist$30$40 Oxford HMO: PCP$20$30 Oxford HMO: Specialist$30$40

Dental Plan ContributionsCurrent Monthly Rates Rates Effective January 1, 2011 Employee Only$10 Employee + Spouse/Domestic Partner$ 37 Employee + Child(ren)$ 35 Employee + Spouse/Domestic Partner + Child(ren)$ 49 Vision Plan ContributionsCurrent Monthly Rates Rates Effective January 1, 2011 Employee Only$6.84 Employee + One$14.43 Employee + Family$23.24 Vision and Dental