09-25-17 Regular Meeting of the La Porte City Council

Browse Search

Benchmarking Comparison Benchmark Benchmark La Porte City of Deer Park Plans Offered Non HDHP HDHP 3 2 2017 Plan Year 2016-2017 Plan Type PPO 500 HF 1000 HF 1500 PPO Buy-Up PPO Subscriber Enrollment 174 122 40 209 43 % of Subscriber Enrollment 51.8% 36.3% 11.9% 82.9% 17.1% $500 EE $500 EE $1,000 $1,000 H.S.A or H.R.A. Contribution Family Family n/a n/a n/a Individual deductible $673 $2,520 $500 $1,000 $1,500 $0 $1,500 Family deductible $1,827 $5,000 $1,500 $3,000 $4,500 $0 $3,000 Individual Out of Pocket $3,054 $4,100 $3,500 $3,000 $4,200 $3,000 $4,000 Family Out of Pocket $7,462 $7,970 $10,500 $9,000 $12,600 $6,000 $8,000 Coinsurance 18% 14% 20% 20% 20% 30% 20% $25 PCP Copay/ 15% after $25 PCP Copay 20% after 20% after 30% after $25 copay Office Visits/Dr. Services $50 Specialist deductible / $40 Specialist deductible deductible deductible 15% after 20% after 20% after 30% after $60 Copay $40 Copay $50 copay Urgent Care deductible deductible deductible deductible $100 copay, $150 Copay + 15% after 20% after 20% after 30% after $150 Copay Emergency Room 20% for certain Coinsurance deductible deductible deductible deductible services 16% after 15% after 20% after 20% after 20% after 30% after 20% after Inpatient Surgery deductible deductible deductible deductible deductible deductible deductible Tier 1- $10 Tier 1 - $10 Tier 1 - $10 Tier 1 - $10 Tier 1 - $5 Tier 1 - $5 Tier 2- $35 Ded./Coins. Tier 2 - $30 Tier 2 - $30 Tier 2 - $30 Tier 2 - $43 Tier 2 - $43 Pharmacy - Retail Only Tier 3- $60 Tier 3 - $60 Tier 3 - $60 Tier 3 - $60 Tier 3 - $65 Tier 3 - $65 5