MEDICAL INSURANCE
MEDICAL PLAN INFORMATION
65%+ FTE FACULTY 75%+ FTE STAFF
ELIGIBILITY
PLAN INFORMATION (TWO AVAILABLE)
PPO
HDHP
IN NETWORK
OUT OF NETWORK
IN NETWORK
OUT OF NETWORK
ANNUAL DEDUCTIBLE
$400 INDIVIDUAL $800 FAMILY
$800 INDIVIDUAL $1,600 FAMILY
$1,600 INDIVIDUAL $3,200 FAMILY
$3,200/PERSON $6,400 FAMILY
ANNUAL HEALTH SAVINGS ACCOUNT FUNDING (UC)
$325 – $825 EE $650 - $1,650 FAMILY *
$320 – $825 EE $650 - $1,650 FAMILY *
NOT APPLICABLE
NOT APPLICABLE
70% AFTER DEDUCTIBLE
70% AFTER DEDUCTIBLE**
PREVENTATIVE CARE
COVERED 100%**
COVERED 100%**
TIER 1 (GREATEST VALUE): $15 TIER 2 (BRAND): $35 TIER 3 (HIGHER COST BRAND): $50 TIER 4 (SPECIALTY): 25% CO-INS, $250 MAX
85% AFTER DEDUCTIBLE
RETAIL PHARMACY
MAIL ORDER 90 DAY SUPPLY (MANDATORY FOR
TIER 1: $30 TIER 2: $70 TIER 3 : $100
85% AFTER DEDUCTIBLE
MAINTENANCE MEDICATIONS)
RATES VARY BASED ON PLAN SELECTION AND ANNUAL BASE PAY http://www.uc.edu/hr/benefits/healthplans/medical/cost-and-coverage.html
EMPLOYEE CONTRIBUTION PLAN ADMINISTRATOR
ANTHEM
* BASED ON TOTAL ANNUAL BASE PAY (UC + UCP) ** AS RECOMMENDED BY THE AMERICAN MEDICAL ASSOCIATION
FOR MORE INFORMATION ON MEDICAL PLANS: http://www.uc.edu/hr/benefits/healthplans/medical.html
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