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<br />Answer Sabina Leins: Yes, everybody has a different name for it. <br /> <br />Question Karen Beerman: Ambulance 10%, is that what we pay? <br /> <br />Answer Sabina Leins: The participant pays 10% of the cost and the plan pays 90% <br />of the cost. <br /> <br />Question Karen Beerman: How are you out of network, or In network with an <br />ambulance? <br /> <br />Comment Matt Daeumer: My question is, if I call the La Porte EMS and they are right <br />here is that going to be a preferred claim? <br /> <br />Answer Sabina Leins: We will have to check into that. <br /> <br />Comment Matt Daeumer: I would like to see a preferred/not preferred list for <br />ambulance service. Also, look at changing it to an emergency/non-emergency basis. <br /> <br />Comments Sabina Leins: If there is not a medical reason for them to ride in the <br />ambulance they are not going to cover it. <br /> <br />Comments Matt Daeumer: I understand that but, what I am talking about is that there <br />are always medical reasons that are not emergencies. There are people that can only get <br />transportation to their physician by using an ambulance. The La Porte EMS will standby <br />while a private ambulance service is called. That is where I believe you should look at <br />preferred versus/non-preferred. <br /> <br />Question: Juliane Graham: What is the City's benefit now? <br /> <br />Answer Kathy Clark: Ninety 90% after the deductible. <br /> <br />Daeumer/ Graham Comments: Maybe we should just do away with the Preferred/Non- <br />Preferred and make it 10 and 10 and pay it as in network <br /> <br />Question Michael Dolby: On the deductibles on the back, do they have programs where <br />there is going to be like Coverage First we have with Humana? <br /> <br />Answer Kathy Clark: Yes, it works a little differently and we are going to go over that <br />shortly. <br /> <br />Question Matt Daeumer: Can we talk about office visit Co-pays? <br /> <br />Sabina Leins: Sure, <br /> <br />,,- <br />