| Medical Benefits |
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Group Health Options Select Plan (#8037600) This plan incorporates a specific network of physicians, hospitals and other health care providers into a single service organization. The plan covers preventative care, outpatient care, hospitalization, vision care and prescription drugs. You will be required to select a primary care physician (PCP) who will be responsible for coordinating all of your healthcare needs and providing you with referrals. This plan covers most medically necessary services at 100% or requires you to pay a small co-pay. However, benefits are not available for services obtained outside of the network. Group Health Options Select Employee Booklet (PDF) Group Health Options Plan (#8037700) This plan provides you with added flexibility when seeking covered medicals services by allowing you to receive care within or outside of the network. You will be required to elect a primary care physician (PCP), and you will maximize your coverage by having care provided or referred by your PCP. You will also have the freedom to self-refer your care without consulting/receiving a referral from your PCP to both in-network and out-of-network providers. However, self-referring your care results in lower benefit levels and higher out-of-pocket costs. Group Health Options Employee Booklet
Related links: Group Health Website
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| Dental Benefits |
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Delta Dental/Washington Dental Service (#09385) The company offers two levels of dental coverage: the Basic and the Buy-up plan. The level of coverage you select will depend on the level of treatment you and your family require. The plan provides coverage for Preventative/Diagnostic Service, Basic Services, Major Services and Orthodontia. It gives you the freedom to receive care from a participating Delta PPO Network, Delta Premier Network dentist or from any dentist of your choosing. Services provided by Delta Dental PPO or Premier dentists are based upon a negotiated fee schedule. This means if you incur any out-of-pocket costs, they will be based on the Delta negotiated fees and not the dentist's actual charge. However, if you choose to go to an out-of-network dentist, not only will you pay your share of coinsurance and/or deductible, you may also pay the balance bill - the difference between what Delta says is the resonable and customary cost and what the dentist actually charges. It is further incentive for you to use participating dentists. Related links: Delta Dental - Washington Website
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| Cost Share | ||||||||||||||||||||
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Employee cost / Bi-weekly pay period - 2012 Rates (effective January 1, 2012)
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