Page 6 - CC 2017 Benefits Booklet

2017 EMPLOYEE BENEFITS GUIDE
MEDICAL

Columbia College offers its eligible employees the choice between two
different medical plans—the Base plan and the HDHP (High Deductible Health
Plan). While both plans cover the same types of medical services with the

same UnitedHealthcare Choice Plus network, each provides coverage at a
different level (copay or deductible and coinsurance) and requires you to
contribute a different amount per pay period toward the premium.

The Base plan is a traditional-style option. It includes copays for the more commonly-
encountered expenses such as visits to the doctor or when filling a prescription. Bigger
expenses, such as hospital stays, surgery or significant radiology services like MRIs will first
apply to your deductible. Plans like this cost more in premium than HSA-compatible plans,
but like the HDHP option, this plan covers preventive care services 100% (such as annual
check-ups, immunizations and age-appropriate screenings).

Base Plan (PPO) UnitedHealthcare Base Plan (PPO):
Your Monthly Share

of Premium
Medical Benefits
Covered Services Base Plan (PPO) Employee Only $105

Primary Care Office Visit $25 Employee + $615

Specialist Office Visit $50 Spouse
Urgent Care Services $50 Employee + $392
Child(ren)
Emergency Services $250 Family $876

Network Non-Network

Annual Deductible
Individual $750 $750

Family $1,500 $1,500

Coinsurance (% you pay) 80% 60%

Individual Out-of-Pocket $1,750 $3,500
Maximum
Family Out-of-Pocket $3,500 $7,000
Maximum

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