New EPA Employee Benefits Presentation - North Carolina A&T ...

8Standard 80/20 Plan: HighlightsHow Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORKAnnual Deductible(Single/Family)Coinsurance$700 / $2,100 $1,400 / $4,200You pay 20% afterdeductiblePreventive Care • Office visit: $30• Specialist visit: $70Office visits (non-preventive) • Office visit: $30• Specialist visit: $70Inpatient CareEmergency RoomYou pay 20% afterdeductible and $233 copayYou pay 20% afterdeductible and $233 copayYou pay 40% after deductible,plus difference betweencharge and allowed amountNot coveredYou pay 40% after deductible,plus difference betweencharge and allowed amountYou pay 40% after deductibleand $233 copayYou pay 20% after deductibleand $233 copay