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eMailThis summary is to assist you in considering the various choices you will have with regard to your employee benefits as a new employee of Amarillo College. During your orientation session, you will have opportunities to ask questions. However, we encourage you to give some advance thought to the various options and discuss them with your spouse, if applicable, before coming in for your orientation.
HealthSelect (Blue Cross Blue Shield)
HEALTH PLAN
| HealthSelect
| ||
| Network
| Non Network
| Skip
|
Premiums Full time Employees (Monthly)
| |||
Employee Only
| $ 0.00
| Same as Network
|
|
Employee/Spouse
| $220.32
| “
|
|
Employee/Children
| $147.52
| “
| $ 15.00 or 25.00
|
Employee/Family
| $367.84
| “
| $235.32 or 245.32
|
Premiums Part time Employees (Monthly)
| |||
Employee Only
| $192.69
| Same as Network
|
|
Employee/Spouse
| $523.17
| “
|
|
Employee/Children
| $413.97
| “
| $207.69 or 217.69
|
Employee/Family
| $744.45
| “
| $538.17 or 548.17
|
Waiting Period
| 90 day waiting period (insurance will begin the first of the month following the 90th day)
| ||
Pre exist Condition Clause
| No
| No
| No
|
Physician Choice
| HealthSelect Providers
| Your Choice
|
|
Office Visit Charge
| $20.00
| 40% *
|
|
Specialist Charge
| $30.00
| 40% *
|
|
Hospital Choice
| Baptist/St.A
| Your Choice
|
|
Hospital Charges
| $100/day up to 5 days ($500) per hospital stay Plus 20%
| 40% *
|
|
| Annual copayment cap of $1500/person Calendar year applies
| ||
Outpatient Procedures
| $100 copayment
| 40%*
|
|
Emergency Care
| $100 + 20% (if admitted will apply to hospital copay)
| 40% *
|
|
Maximum Out of Pocket
| $1000
| $3000
|
|
Pharmacy co pays
| $10/$25/$40 ($50.00 deductible per person per year)
| ||
| Drug Formulary
| ||
| Mail Order Prescription on maintenance drugs (90 day supply)
| ||
| Can use retail pharmacy for maintenance drugs with higher copays ($15/$35/$55) (30 day supply)
| ||
Life Insurance & AD&D
| $5000
| ||
*After $500 calendar year deductible ($1500 per family) is satisfied. Allowable charges apply. Provider directories are only available on the ERS website at www.ers.state.tx.us (click on health and dental links) or by calling the carrier toll free number: HealthSelect 1-800-252-8039
| |||
Last updated by bcbussey -- Aug/26/09