FY2011 Health Benefits Booklet
FY2011 Health Benefits Booklet
FY2011 Health Benefits Booklet
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76 s u m m a r y o f g e n e r a l b e n e f i t s j u l y 2 0 1 0 – j u n e 2 0 1 1<br />
July 2010 - June 2011 employee Medical coverage (Monthly/Bi-Weekly Premium rates)<br />
employee<br />
MonthLy<br />
employee<br />
only<br />
employee<br />
& child or<br />
employee<br />
& spouse<br />
employee<br />
& Family<br />
employee<br />
Bi-WeekLy<br />
employee<br />
only<br />
employee<br />
& child or<br />
employee<br />
& spouse<br />
employee<br />
& Family<br />
CAREFIRST BLuECROSS<br />
BLuESHIELD PPO<br />
$86.88 $156.38 $217.21<br />
CAREFIRST BLuECROSS<br />
BLuESHIELD PPO<br />
$43.44 $78.19 $108.61<br />
uNITEDHEALTHCARE<br />
PPO<br />
$81.15 $146.08 $202.90<br />
uNITED-HEALTHCARE<br />
PPO<br />
$40.58 $73.04 $101.45<br />
AETNA POS $61.68 $111.03 $154.20 AETNA POS $30.84 $55.52 $77.10<br />
CAREFIRST BLuECROSS<br />
BLuESHIELD POS<br />
$59.57 $107.23 $148.93<br />
CAREFIRST BLuECROSS<br />
BLuESHIELD POS<br />
$29.79 $53.62 $74.47<br />
uNITEDHEALTHCARE<br />
POS<br />
$62.14 $111.85 $155.36<br />
uNITEDHEALTHCARE<br />
POS<br />
$31.07 $55.93 $77.68<br />
AETNA EPO $54.96 $109.92 $137.67 AETNA EPO $27.48 $54.96 $68.84<br />
CAREFIRST BLuECROSS<br />
BLuESHIELD EPO<br />
$52.63 $110.46 $136.84<br />
CAREFIRST BLuECROSS<br />
BLuESHIELD EPO<br />
$26.32 $55.23 $68.42<br />
uNITEDHEALTHCARE<br />
EPO<br />
$54.25 $112.82 $134.52<br />
uNITEDHEALTHCARE<br />
EPO<br />
$27.13 $56.41 $67.26<br />
July 2010 - June 2011 Prescription drug coverage (Monthly/Bi-Weekly Premium rates)<br />
employee<br />
MonthLy<br />
employee<br />
only<br />
employee<br />
& child<br />
employee<br />
& spouse<br />
employee<br />
& Family<br />
employee<br />
Bi-WeekLy<br />
employee<br />
only<br />
employee<br />
& child<br />
employee<br />
& spouse<br />
employee<br />
& Family<br />
$39.51 $52.52 $65.58 $79.03 $19.76 $26.26 $32.79 $39.52<br />
retiree<br />
MonthLy<br />
retiree<br />
only<br />
retiree<br />
& child<br />
retiree<br />
& spouse<br />
retiree<br />
& Family<br />
$39.51 $52.52 $65.58 $79.03<br />
July 2010 - June 2011 dental coverage (Monthly/Bi-Weekly Premium rates)<br />
employee<br />
MonthLy<br />
employee<br />
only<br />
employee<br />
& child<br />
employee<br />
& spouse<br />
employee<br />
& Family<br />
employee<br />
Bi-WeekLy<br />
employee<br />
only<br />
employee<br />
& child<br />
employee<br />
& spouse<br />
employee<br />
& Family<br />
uNITED<br />
CONCORDIA<br />
DHMO<br />
$6.96 $12.12 $13.93 $19.57<br />
uNITED<br />
CONCORDIA<br />
DHMO<br />
$3.48 $6.06 $6.97 $9.79<br />
uNITED<br />
CONCORDIA<br />
DPPO<br />
$10.81 $20.66 $21.62 $40.51<br />
uNITED<br />
CONCORDIA<br />
DPPO<br />
$5.41 $10.33 $10.81 $20.26<br />
retiree<br />
MonthLy<br />
retiree<br />
only<br />
retiree<br />
& child<br />
retiree<br />
& spouse<br />
retiree<br />
& Family<br />
uNITED<br />
CONCORDIA<br />
DHMO<br />
uNITED<br />
CONCORDIA<br />
DPPO<br />
$6.96 $12.12 $13.93 $19.57<br />
$10.81 $20.66 $21.62 $40.51
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