Oct. 3, 2004 Participants in the Government's Group Insurance Program should be aware that changes in the medical plan went into effect Oct. 1.
According to a release from the Government Employees' Service Commission/Health Insurance board of trustees, participants who have not met their deductible will pay for in-network services in the amount of $100 for single employee and $300 for family services.
For out-of-network deductibles the fee is $200 for single employee and $600 for families. Out-of-pocket maximums for in-network participants are $2,000 for single insurance and $4,000 for families, and for those out of network the cost is $4,000 for singles and $8,000 for families.
Participants who have already met their in-network $50 deductible as of Sept. 30, and receive in-network services on or after Oct. I, to which the deductible applies, will be required to satisfy an additional $50 in-network deductible, the release said.
Participants are reminded that the plan deductible must be satisfied each calendar year, before medical expenses are reimbursed at 80 percent.
According to the board, participants who have already reached their in-network $1,500 out-of-pocket maximum as of Sept. 30, and who receive in-network services on or after Oct. 1, will be required to satisfy an additional out-of-pocket amount of $500, before medical expenses are reimbursed at 100 percent. Similar principles apply to the out-of-network pocket maximums.
For more information, contact the Health Insurance Office at 714-5000.
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