A-Z Index Forms Contact Us
UHRSskip navigation
BenefitsClassification & SalaryEmployee RelationsEmploymentHR SystemsOrg DevelopmentPoliciesWorker's Comp
Home > Benefits > Medical Care Plans > 2012 PPO $900 Deductible

2012 PPO $900 Deductible Medical Care Plan

On this page: General Info | Medical Services | Prescription Drugs

 

Coverage
Monthly Employee Contribution
Employee’s Annual Base Salary
Below $30,000
$30,000 -
$49,999  
$50,000 -
$99,999  
$100,000 -
$149,999  
$150,000 -
$199,999  
$200,000 -
$249,999  
$250,000
and Above
Employee only
$49.00
$68.60
$93.10
$117.60
$142.10
$166.60
$191.10
Employee and Child(ren)
$97.74
$136.83
$185.70
$234.57
$283.44
$332.31
$381.18
Employee and Spouse
$119.48
$167.28
$227.02
$286.76
$346.50
$406.25
$465.99
Family
$135.69
$189.97
$257.81
$325.66
$393.51
$461.35
$529.20

 

General Information

Things you can do…

Medical Services (includes Mental Health)

Things you can do…

Prescription Drugs (Rx)

Things you can do now…

 


For all plans, to access information on background and licensing of individual doctors, nurses, chiropractors and pharmacists, search and verify licensing online or call (toll free) 888-333-7515.

get adobe acrobat reader

Page updated: 12 March 2012
UNIVERSITY HUMAN RESOURCES
Contact Benefits:
Privacy Statement

Indiana University is an Equal Employment Opportunity/Affirmative Action employer
and a provider of ADA services.

empty Copyright © The Trustees of Indiana University | Copyright Complaints