Page 4 - 2017-18 Centennial Benefits Guide Staff

Medical Insurance

Medical Insurance is offered through Aetna. Employees have access to two Qualiied High Deductible Health
Plans (QHDHP) which can be paired with a Health Savings Account (HSA). Please see the following pages for
more information on premiums, plan designs, and the HSA.

You can obtain more detailed information through Centennial’s intranet portal or from Human Resources.

QHDHP $1,500 QHDHP $2,600
In-Network Out-of-Network In-Network Out-of-Network
Medical—Aetna
Lifetime Unlimited Unlimited
maximum
Calendar Year Deductible
Individual $1,500 $3,000 $2,600 $4,000
Family $3,000 1 $6,000 1 $5,200 3 $8,000 3
Coinsurance
80% 60% 80% 60%
Calendar Year Out-of-Pocket Maximum
(includes deductible and in-network copays)
Individual $3,000 $6,000 $5,200 $6,000
Family $6,000 2 $12,000 2 $10,400 4 $12,000 4
Physician Ofice Visits
Primary Deductible/80% Deductible/60% Deductible/80% Deductible/60%
care

Specialist Deductible/80% Deductible/60% Deductible/80% Deductible/60%
Preventive Care Beneit
Covered at 100% Deductible/60% Covered at 100% Deductible/60%
Emergency Room
Deductible/80% Network deductible/80% Deductible/80% Network
Deductible/80%
Inpatient Hospital

4 2017–18 Benefits Enrollment