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CCC Workbook 2013 - FINAL.pdf - Cherry Creek School District

CCC Workbook 2013 - FINAL.pdf - Cherry Creek School District

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ENROLLMENT FREQUENTLY ASKED QUESTIONS<br />

HOW DO YOU CHOOSE THE OPTION THAT’S RIGHT FOR YOU?<br />

The medical plan that is right for you will not necessarily be the medical plan that is right for<br />

your co-worker. The medical plan options offer ranges of benefits and costs.<br />

WHAT CAN I AFFORD TO SPEND EACH MONTH FOR A MEDICAL PLAN?<br />

Only you can determine this based on the <strong>District</strong>’s contributions, the other benefits you want<br />

to purchase, and your own budget. It may be more economical to choose a lower cost plan,<br />

and only pay co-payments or deductibles if you actually use the plan.<br />

IF MY CHILD ATTENDS COLLEGE OUT OF THE AREA, WILL THEIR CARE BE<br />

COVERED UNDER ALL OF THE PLANS?<br />

The Kaiser Permanente DHMOs have an Out of Area Student benefit, which allows for fulltime<br />

college student dependents who attend a college or vocational school outside of any Kaiser<br />

Permanente service area with coverage @ 80% of the charges for routine and follow-up<br />

care, up to an annual maximum of $1,200. The Kaiser Permanente Added Choice Triple Option<br />

provides coverage for those college student dependents attending school outside of the<br />

Kaiser Permanente service area through Tier 2 (PHCS Providers), and Tier 3 (any licensed<br />

provider), at the applicable co-pays and coinsurance. Any college student dependent enrolled<br />

in either the Kaiser Permanente DHMO or Added Choice Triple Option, who attends school<br />

in another Kaiser Permanente service area outside of Colorado, will have visiting member<br />

benefits, and can obtain routine and follow-up care at any Kaiser Permanente facility.<br />

WHICH PLANS WILL PROVIDE THE BEST PREVENTIVE CARE BENEFITS?<br />

Because of Health Care Reform, you will not pay anything for a preventive care visit in either<br />

of the DHMO plans or the first two tiers of the Added Choice Triple Option plan. However,<br />

tier three of the Added Choice Triple Option Plan does require a co-pay and preventive services<br />

are limited.<br />

IF I CHOOSE TO WAIVE MEDICAL COVERAGE, CAN I GET BACK INTO THE<br />

PLAN AT ANOTHER DATE?<br />

You must wait to enroll until the next annual enrollment period, unless you are eligible for<br />

special enrollment in which case you may enroll within 31 days of that change. The effective<br />

date must be the date when the previous coverage ended.<br />

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