University of Minnesota Health Plan Task Force January 14, 1998
Comparison of Health Insurance Purchasing Alternatives
Executive Summary Introduction Current Shortcomings Trends Alternative Models Profiles Retirees Further Analysis Summary
Appendices: 1, 2, 3, 4, 5, 6, 7, 8 Glossary

Appendix 5

Comparison of Employer Health Plans
Family Coverage

    Buyers Health Care Action Group
    Macalaster City of St. Paul Medtronic Toro Cargill Jostens Carlson
Health Plan Name   HealthPartners HealthPartners Medica HealthPartners M of Omaha HealthPartners Unicare I Unicare II Choice Plus MedCare 500 Choice Plus Choice Plus
Emergencies   100% + $40 100% + $40 100% + $50 100% + $75 100% + $40 100% + $40 80% coverage 80% 100% + $10 80% 100% + $10 100% + $10
Hospital   100% 100% 100% + $100 100% + $100 100% 100% 80% 80% 100% + $100 80% 100% + $100 100% + $100
Outpatient   100% + $10 100% 100% + $10 100% + $10 100% + $10 100% + $10 80% 80% 100% + $10 80% 100% + $10 100% + $10
Mental Health   100% 100% 100% + $10 100% + $10 100% + $10 100% 80% < 40 days 80% < 40 100% + $10 100% + $15 100% + $10 100% + $10
Chiropractic   100% + $10 100% + $10 100% + $10 100% + $10 100% + $10 100% + $10 80% up to $50 80% up to $50 100% + $10 Not Covered 100% + $10 100% + $10
Home Health   100% + $15 100% < 120 day 80% 100% ?? 100% + $10 80% 80% 100% ?? 100% 100%
Prescriptions   $8.00 $8.00 $10 $10 $9.00 $8.00 $8 $8 $10 $12 $10 $10
Durable Med Equip   80% 80% 80% 90% 80% 80% 80% 80% 100% ?? 100% 100%
Preventive   100% 100% 100% + $10 100% + $10 100% 100% 90% 90% 100% + $10 Not Covered 100% + $10 100% + $10
Out-of-Network   80% 70% 70% 70% covered 80% 80% N/A N/A 70% N/A 70% 70%
Total Premium   $427.91 $458.13 $463.00 $377.00 $368.63 $386.00       $509.00 $531 - $564  
Employee Premium   $271.76 $300.13 $116.00 $76.00 $73.73 $91.10 $105.00 $30.00 $45.00-$95.00 $36.00 $58.00-$91.00 $54.66-$75.43
Deductible   $0 $0 $0 $0 $0 $0 $600 $1,000 $0 $1,000 $0 $0
Annual OOP Max   $5,000 $400 $2,000 $3,000 $3,000 $3,000 $2,000 $6,000 $3,000 $10,000 $3,000 $3,000
Appendix 6: Same Comparison for Single Coverage
Appendix 7: Comparison of Retiree Benefits of Other Employers, Family Coverage