Open Enrollment 2011 - Delaware North

A Simple ExampleAn example of how each plan works. It is not meant to comparecosts. Actual medical expenses may vary.Employee-Only Coverage Traditional Plan Select PlanAnnual Premium (average) $1,500 $600Physical Exam $0 $0Office Visits5 at $100 per visitSpecialist Visits3 at $150 per visit$25 Copay x 5 =$125$40 Copay x 3 =$120$100 Full Cost x 5 =$500$150 Full Cost x 3 =$450Total Cost $1,745 $1,550Less HRA N/A ($400)Rx Expense (same plan) $180 $180Total Net Cost $1,925 $1,330