Table of Contents Table of Contents
Previous Page  13 / 36 Next Page
Information
Show Menu
Previous Page 13 / 36 Next Page
Page Background

11

This comparison chart shows a brief summary of the medical benefits available.

Anthem Blue Cross

80-M PPO 3 Plan

Anthem Blue Cross

PPO HDHP-HSA Plan

Kaiser Permanente HMO

Traditional Plan

20% of charges

$40 (deductible waived)

10% of charges

10% of charges

Plan pays 100%

$30

$200 Individual/

$500 Family

Combined Medical/Pharmacy

None

$2,500 Individual/

$3,500 Family

Deductible & Out-of-Pocket

None

$10-Generic/$35-Brand

$0 Generic/$35 Brand (30 day supply)

$0 Generic/$90 Brand (90-day supply)

$0 Generic/ $90 Brand

$35 Specialty

$9- Generic/$35- Brand

$0 Generic/$35 Brand (30-day supply)

$0 Generic/$90 Brand (90-day supply)

$18 Generic / $70 Brand

N/A

$10-Generic/$30- Brand (up to 100 day supply)

$10-Generic/$30 Brand (up to 100-day supply)

$10 Generic / $30 Brand (up to 100 day supply)

N/A

Plan pays 80% of charges

Plan pays 90% of charges

Plan pays 100%

$40 (deductible waived)

Plan pays 90% of charges

$30

Plan pays 80% of charges

Plan pays 90% of charges

$30

Play pays 100%

Play pays 100%

Play pays 100%

Plan pays 80% of charges

Plan pays 90% of charges

Plan pays 100%