University of Minnesota Health Plan Task Force | January 14, 1998 |
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 |