Page 10 - CC 2017 Benefits Booklet
P. 10

2017 EMPLOYEE BENEFITS GUIDE
         EMBEDDED VS. NON-EMBEDDED  STRUCTURES










        If a plan is covering a family, the deductibles and out-of-
        pocket maximums can be designed as either embedded
        or non-embedded. Embedded deductibles and out-of-

        pocket maximums recognize the individual limit for each
        family member within the family amount. Non-embedded
        structures only recognize the family limits. It is important to
        know which one your plan has so you and your family can
        plan accordingly for potential healthcare expenses.





        Embedded

        Columbia College’s Base plan includes an embedded family
        deductible for those enrolled in coverage with a dependent.
        This means if one member in the family has expenses over

        $750, they are capped at that amount. The remaining $750
        must be accumulated by the rest of the family until the full
        family deductible of $1,500 is reached. Once the family
        deductible is satisfied, all members move into coinsurance.





        Non-Embedded

        Columbia College’s HDHP includes a non-embedded
        family deductible for those enrolled in a coverage with a
        dependent. All family members’ out-of-pocket expenses
        count toward the $4,000 family deductible; the individual
        deductible does not apply in this situation. This could
        mean one member incurs all the expenses to meet

        the deductible, or 2 or more family members split the
        expenses. Once the family deductible is satisfied, all family
        members move into coinsurance.




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