New Basic Essential Plan 2021 RISK MANAGEMENT INSURANCE

New Basic Essential Plan 2021 RISK MANAGEMENT & INSURANCE

BASIC ESSENTIAL PLAN A new LOW COST plan, but with higher individual deductible and higher out-of-pocket maximum compared to the other PCS plans. Deductible* $2300 for Employee (individual) $6900 for Employee + Spouse, Employee + Child(ren), Employee + Family *(Copays do not apply towards deductible) Coinsurance 30% of negotiated rate, after deductible Out-of-Pocket Maximum – most you will pay per calendar year (accumulation of deductible, copays and coinsurance) $8550 individual $17, 100 family In-Network Only Open Access Aetna Select National Network

BASIC ESSENTIAL PLAN Copays available on Basic Services Only: $50 co-pay for Primary Care Physician $40 co-pay for Teladoc (medical) $ Prescriptions (see next slide) 100% coverage for Outpatient Mental Health Benefits 100% coverage for Preventative screenings All other services (i. e. , hospitalization, outpatient surgery, specialist visits, therapy, lab and x-rays…) subject to deductible and coinsurance.

BASIC ESSENTIAL Payroll Deductions Coverage Level Payroll Deduction Employee $ 31. 00 Employee + Spouse $ 121. 00 Employee + Child(ren) $ 113. 00 Employee + Family $ 147. 00 Two Board Family* $ 52. 00 Payroll deductions are per pay period (20 pays) AFTER the Board Contribution *To be eligible for Two Board Family, three or more individuals must be covered and your legal spouse must be a benefits-eligible employee of the School Board

Questions You Should Ask Regarding the Basic Essential Plan Although the premiums are lower, will I be able to pay the deductible and coinsurance if my dependents or I need medical services? Have I reviewed the plan design and understand the deductible, coinsurance, and out-of-pocket maximum per individual? Do I routinely go to a specialist, need routine lab work, or take a specialty medication? Have I considered a Flexible Spending Account (FSA) to help with any expected costs for medical care or prescription costs? *This plan does not qualify for a Health Savings Account (HSA), since there are services built into the plan design that are not subject to the deductible.

Call Benefits Team at 588 -6197 Aetna On-site Representatives 588 -6367 or 588 -6137