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2012 State Health Plan Enrollment Chart Measured in percentage (%). Employee Survey Concerns. Salary Issues Respondents pointed to no across-the-board pay increases for the past three years. They felt that their take-home pay has been reduced as a result of premium increases each year.
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2012 State Health Plan EnrollmentChart Measured in percentage (%)
Employee Survey Concerns • Salary Issues • Respondents pointed to no across-the-board pay increases for the past three years. • They felt that their take-home pay has been reduced as a result of premium increases each year.
Employee Survey Concerns • Picking a Plan Design • Respondents feel they have limited choices and many don’t want to pay for services they don’t use.
Employee Survey Concerns • Pharmaceuticals • There was a great deal of concern about the significant increase in out-of-pocket expenses. • If we switched from a co-payment plan to a “co-insurance” plan.
Benefit Provisions For active employees
Note: Plan pays 80% of allowable charges after you meet your deductible. Benefit. • Outpatient Physical Therapy. Traditional Plan. • The benefit is limited to $800 per insured, per benefit period. PPO In-Network • See Outpatient Therapy Services.
Note:Plan pays 80% of allowable charges after you meet your deductible. Benefit • In-Patient Physical Therapy Traditional Plan • The benefit is limited to $15,000 per insured, per benefit period. PPO in-network • Plan pays 85% of the allowable charges after you meet your deductible. • There is a $150,000 lifetime benefit limit.
Note:Plan pays 80% of allowable charges after you meet your deductible. Benefit • Temporomandibular Joint Syndrome (TMJ) Traditional Plan • The benefit is limited to $2000 per lifetime.
Note:Plan pays 80% of allowable charges after you meet your deductible. Benefit • Transplant Services. Traditional Plan • The benefit is limited to $350,000 lifetime maximum per insured. PPO in-network • Plan pays 85% of allowable charges after you meet your deductible. PPO out-of-network • Plan pays 70% of allowable charges after you meet your deductible.