Retiree Healthcare Information – Non-Medicare
For NON-MEDICARE eligible retirees:
Monthly contributions: Choice 1 Choice 2
Existing Regional Option Alternative Option
Individual $13.46 None
Individual + 1 $24.86 None
Individual + 2 or more $34.36 None
*In Choice 1, the monthly contributions will be reviewed and adjusted annually, if necessary, based on the $12,500 cap.
Medical (Network) Choice 1 Choice 2
Deductibles For medical expenses, Individual-$400/Family-$800
Coinsurance current plan provisions 10%
Out-of-pocket Max continue to apply. Individual-$1000/Family-$3000
Copays None
*In Option 2, non-network deducibles and out-of-pocket maximums are adjusted to remain at three times the network amounts. Out-of-pocket msximums do not include deductibles.
Prescription Drugs Choice 1 Choice 2
Deductible $50 per 2010 2011 2012
covered individual $75 $125 $175
(retail only) (retail and Mail order)
Out-of-Pocket Maximum None None
Copays 2010 2010 2011 2012
Retail Generic $8 $10 $10 $11
Retail Preferred $26 $30 $30 $33
Retail nonpreferred $50 $50 $50 $55
Mail Generic $17 $20 $20 $28
Mail Preferred $54 $75 $75 $83
Mail Nonpreferred $108 $125 $125 $125
*In Choice 1, the prescription drug copays will be reviewed and adjusted annually. In addition to the changes noted above, there will be common prescription drug provisions in all regions effective January 1, 2010