This Plan has mid-range monthly premiums. It works the same way as it currently does, and will continue to include the benefit enhancements made in July 2017. Starting January 2018, there will be small increases to the copays for specialists and urgent care facility visits and Tier 2 and 3 prescription drugs.
Here’s how the Plan works:
- You pay copays for doctor and specialist visits, certain other expenses and prescription drugs.
- You pay all other expenses in full until you meet your deductible.
- Once you meet your deductible, you and The University share the cost of covered services.
- If you reach the medical out-of-pocket maximum, the Plan pays 100% of all eligible expenses for the rest of the Plan Year.
- Benefits are not paid for services outside the network, except in emergencies.
Classic Plan Highlights
In-Network Benefits | |
---|---|
Preventive Care | No cost |
Deductibles | $1,250 individual/ $2,500 family |
Annual Out-of-Pocket Maximums | $5,250 individual/ $10,500 family |
Office Visits | $35 PCP/ $55 specialist |
Coinsurance for Medical Services | 25% |
Prescription Drugs | Tier 1: $15/ Tier 2: $55/ Tier 3: $90 |