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  1. Medical Plan-2022

    Human Resources | Page

    BCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...

  2. Medical Plan- High Deductible Health Plan with Health Savings Account (HDHP w/HSA) 2019

    Human Resources | Page

    Deductible Per Calendar Year $1,500 Individual $3,000 Family Out-of-Pocket Maximum Per Calendar Year Category ... a calendar year is satisfied when one or more family members’ deductible and coinsurance for covered services ... for that calendar year total and meet the family’s out-of-pocket maximum amount. Medical Services ...

  3. Medical Plan- HDHP 4 w HSA-2021

    Human Resources | Page

    Calendar Year $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ... that calendar year total and meet the family’s out-of-pocket maximum amount. Medical Services Member ...

  4. Medical Plan PCPA 2023

    Human Resources | Page

    BCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...

  5. Medical Plan 2023

    Human Resources | Page

    BCBS, pays for your covered medical services and supplies. HDHP-4 w/HSA Deductible Per Calendar Year ... $1,700 Individual $3,400 Family Out-of-Pocket Maximum Per Calendar Year Category 1, 2, & ... copays*) $3,400 Individual $6,800 Family *Important Note: The family out-of-pocket maximum for a calendar ...

  6. Regence Medical-Fire-2022

    Human Resources | Page

    covered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual $750 ... Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating Provider ... Scripts Pharmacy Program (90-day supply) Member Pays Individual deductible per calendar year No deductible ...

  7. Medical Plan- Co-Pay Plan E-2021

    Human Resources | Page

    your covered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual ... $750 Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating ... deductible per calendar year No deductible Out-of-pocket maximum each calendar year $2,500 per person/$7,500 ...

  8. Medical Plan Fire 2023

    Human Resources | Page

    covered medical services and supplies. Copay Plan E Deductible Per Calendar Year $250 Individual $750 ... Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating Provider ... (90-day supply) Member Pays Individual deductible per calendar year No deductible Out-of-pocket maximum ...

  9. City Newsletters 2018

    City Manager | Page

    December 2018 November 2018 October 2018 September 2018 August 2018 July 2018 June 2018 May 2018 April 2018 March 2018 February 2018 January 2018 City Newsletters 2018 ...

  10. Co-Pay Plan A Summary 2019

    Human Resources | Page

    your covered medical services and supplies. Copay Plan A Deductible Per Calendar Year $250 Individual ... $750 Family Out-of-Pocket Maximum Per Calendar Year Category 1 & 2- Preferred and Participating ... Member Pays Mail Order Program (90-day supply) Member Pays Individual deductible per calendar year No ...

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