Page 3 - LBC 2020 Renewal Proposal
P. 3
Lansing Brewing Company
Group Benefit Offerings
Medical – Blue Care Network - HMO
$1000/$2000 per family deductible followed by an 80/20
coinsurance to an embedded coinsurance maximum of
$2500/$5000, then to an overall out of pocket maximum
of $6600/$13,200, $20 PCP Office Visit and Online Visit
Copay, $40 Specialist Copay, $50 Urgent Care Copay, $250
Emergency Room Copay after deductible, $4 Generic (Tier
1), $15 Generic (Tier 2)/$40 Preferred Brand name/$80
Non Preferred Brand Name Copay/20% Preferred
Specialty Copay/20% Non Preferred Specialty for
Prescription Drugs.
Dental – Delta Dental
No deductible, 100% Preventive Services, 50% Basic and
Major Services to a yearly maximum of $1000.
No Rate Increase
Vision – Eye Med Vision
$10 Eye Exam Copay/$25 Materials Copay to a yearly
allowance of $175 for frames and contact lens, Benefit
Frequency – Eye Exam, Lenses, Contact Lenses and
Frames are payable once every 12 months
Rates renew Oct 2022
