Comparison of PCC Health Insurance Plans Available to Part-Time Faculty for 2008

(This information is only a guide. Use the official enrollment packet information from Human Resources for complete information).

Attention: The information below is for informational purposes. See your enrollment packet for details and possible modifications before you make a final decision.

The enrollment period will begin in November, when eligible faculty will receive an enrollment packet mailed to their home addresses. For specific questions about the policies, you can contact a benefits representative at that time.

The Faculty Federation will be receiving FTE totals for part-time faculty some time in October. We will notify those who are on (as well as not on) the eligible list. Contact us if you have any questions—it is important that any issues are resolved before the enrollment deadline ends. 
Benefit Features Regence BlueCross BlueShield Plan A100 Regence BlueCross BlueShield Preferred Provider Plan (PPO) Regence BlueCross BlueShield Plan C1000 Kaiser
(Part-Time Plan)
Where to receive routine services You may see any licensed provider. There may be some savings in seeing a Participating Provider (PAR). You may see any licensed provider, but for benefits to be paid at the higher rate, you must see a provider in the Preferred Provider Plan (PPP) network. You may see any licensed provider. There may be some savings in seeing a Participating Provider (PAR You must receive services from Kaiser providers.

Lifetime Maximum

$2,000,000

$2,000,000

$2,000,000

 

Annual Deductible

$100 per person

$300 per family

PPO

$100/person

$300/family

Non-PPO

$200/person

$600/family

$1000 per person

$3000 per family

$250/Individual

$750/Family

Amount paid after deductible is met

80%

90%

70%

80%

Emergency room: waived if admitted

Urgent care: $15 copay after deductible

Annual maximum out-of-pocket (includes deductible)

$1,100 per person

$2,300 per family (excludes prescriptions)

$600/person (excludes prescriptions)

$1,700/person (excludes prescriptions)

$3,000 per person

(excludes prescriptions)

$2,000 per person

$6,000 per family

Amount paid after out of pocket max. is met each calendar year

100%

100%

100%

 

Preventative Services

(Deductible is waived)

(Deductible is waived)

(Deductible is waived)

 

Well-baby to age 2 (maximum allowance does not apply)

100%

100%

100%

No charge age 0-2

Immunizations (maximum allowance does not apply)

100%

100%

100%

 

Women's exam includes Pap and mammogram

100%

100%

100%

$15 copay per visit (co-pay waived for pre-natal visits)

Routine physical exams

100%

100%

100%

$15 copay per visit

Maximum allowance per calendar year (applies only to routine physicals and related tests)

$500 per person (according to frequency schedule)

$500 per person (according to frequency schedule)

$500 per person (according to frequency schedule)

 

Physician Services

Office visits

80%

90%

70%

80%

$15 copay per visit

Lab and X-Ray

80%

90%

70%

80%

$10/lab visit

$10/X-Ray or test

Surgery

80%

90%

70%

80%

 

Complementary Care

Naturopathic, Chiropractic** Acupuncture (limits apply)

80%

80% - There are no in network providers

80% - No Naturopathic coverage

No coverage for chiropractic or alternative care

Hospital Services

Inpatient, semi-private room

80%

90%

70%

Inpatient: 80%

Inpatient and residential mental illness/chemical dependency

80%

90%

70%

 

Outpatient Surgery

80%

90%

70%

Outpatient: 80%

Emergency room care for emergency

$100 co-pay (waived if admitted); then 80%

$100 co-pay (waived if admitted); then 90%

$100 co-pay (waived if admitted); then 70%

80% (waived if admitted)

Ambulance

80%

80%

80%

 

Inpatient, semi-private room

80%

90%

70%

 

Prescription Coverage

Coinsurance/copay

Generic - $10 copay

Preferred brand name - paid at 80% (See the Regence website for information on preferred brand names)

Non-preferred brand name - paid at 50%

Mail order available

Generic - $5 co-pay,

Non-generic - $15 co-pay

Two co-payments per 90 day supply

Prescription out of pocket limit

$1,000 per member per calendar year; then 100%

  
 

Premiums

 

Employee Only

Employee + 1

Employee + Family

Regence BCBS -
Plan A100

$413.40

$947.90

$1110.45

Regence BCBS -
PPO

$389.50

$904.85

$1070.05

Regence BCBS -
Plan C1000

$276.50

$637.10

$752.20

Kaiser Permanente
(PT Faculty Plan)

$368.08

$846.58

$993.82

 

 


United for
the Future
A great way to engage collectively in politics is through AFT-Oregon's COPE. Committee on Political Education contributions are eligible for Oregon's political tax credit, which means your state taxes can be reduced up to $50 for a single filer and $100 for joint filers.
Sign up today for a voluntary contribution on your biweekly or monthly paycheck to COPE:
Click Here

Membership
Application

Contract

Contact Us