L_Martin_Employee_Benefits

L_Martin_Employee_Benefits - Leanne Martin PFP 4361...

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Leanne Martin PFP 4361 Professor Vicki Hampton 28 June 2011 Employee Benefits Cassie’s clinic offers the following employee benefits. Currently Cassie enrolled in only the PPO plan. Health Plan Summary Major Medical CIGNA PPO Group HMO Humana Lifetime Maximum $5 million per person $5 million per person $5 million per person Plan Year Deductible Employee and dependents(excludes PCA where applicable) Single Family $500 $1,000 $1,500 $3,000 $500 To a maximum of 3 per family N/A 4361 In-Network 10% after Deductible (brand drug reimbursed at generic rate if available) Member pays 50% up to $50 max per 30 day fill. After $1,200 per person of pharmacy out-of-pocket: generic = $0, brand = $15 Member pays 50% up to $50 max per 30 day fill. After $1,200 per person of pharmacy out-of- pocket: generic = $0, brand = $15 Out of Network Member reimbursed as if prescription been filled at an in- network pharmacy Office Visit First Choice 100% before Deductible Not Available Not Available In-network 10% after Deductible 10% of Contracted Rate $!5 PCP/$25 Specialist Out of Network 30% after Deductible 30% of Fee Schedule 10% of Fee Schedule $1,000 deductible 30% of fee schedule Hospital Services(inpatient) First Choice 100% before Deductible N/A N/A In-network 10% after Deductible 10% of Contracted Rate $100 per day Max of $300/admission Out of network 30% after Deductible 30% of Fee Schedule 10% of Fee Schedule $1,000 per day 30% of fee schedule In-network 10% after Deductible 10% $15 Co-pay Out of network
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L_Martin_Employee_Benefits - Leanne Martin PFP 4361...

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