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2006 Health Care Plans
6.79 Percent Increase in Medical Premiums
For 2006, there will be a 6.79 percent increase in the weighted average adjustment in medical premiums for the university’s four medical plan options. There will also be a 2.0 increase in dental premiums.
The above are adjustments in total premiums, and employee contributions will increase or decrease based on the difference between total premium and the university’s contribution amount. For 2006, the university will contribute the following for medical and dental plan coverages:
2006 University Contributions |
| |
Medical |
Dental |
| Employee Only |
$4,118.61 |
$228.82 |
| Employee/Child(ren) |
$7,166.60 |
$326.21 |
| Employee/Spouse |
$8,706.92 |
$440.79 |
| Family |
$9,360.19 |
$620.70 |
Note: The university will contribute a greater amount for Support and Service Staff employees with an annual base salary of less than $25,687. See page 3 for a list of 2006 medical plan premiums and employee contributions.
Highlights of Changes for 2006
IU Dental Plan
Medical plans
-
There are no changes in covered services in 2006 medical plans.
-
Copays will be reconfigured to be in closer alignment across plans. This alignment will make it easier to compare employee costs for each plan and is the first step of a multiple year process to incrementally adjust the plans to offer the same copay structure across all IU-sponsored plans.
Member Copays |
| |
PPO-Plus |
PPO $900 |
Blue POS |
M-Plan |
| Office Visit |
$20 |
10% |
$20 |
$20 |
| Urgent Care |
$40 |
$40 |
$40 |
$40 |
| Emergency Room |
$100 |
$100 |
$100 |
$100 |
| Retail Prescription |
| - Generic/Tier 1 |
$6 |
$6 |
$8 |
$7 |
| - Brand/Tier 2 |
$17 |
$17 |
$20 |
$20 |
| - Brand/Tier 3 |
$35 |
$35 |
$40 |
$50 (no mail order) |
| - Specialty Drugs |
$35 |
$35 |
$40 |
$20% w/ $2,400 max |
Note:
Rx Mail order copays (up to 90-day supply) are two times the retail copay.
The PPO $900 plan features a percent copay rather than a fixed-dollar copay. The percent copay will not change in 2006. |
2006 Medical Premium Rates (Monthly)
6.79 Percent Average Increase in Premiums
As a result of the weighted increase in medical premiums, IU contributions for medical coverage will increase by 6.79 percent. IU contributions for dental coverage will increase by 2.0 percent.
Employee contributions equal the difference between the total premium for the respective plan and IU contributions. IU contributions are the same across all medical plans, with a minimum employee contribution of $1 per month. |
| |
Total Monthly Premium |
% of Change(1) |
Employee Contribution(2) |
Difference
2005 to 2006(3) |
| IU PPO–Plus |
| Employee Only |
$458.59 |
2.07% |
$115.37 |
-$12.53 |
| Employee/Child(ren) |
$908.38 |
2.07% |
$311.16 |
-$19.56 |
| Employee/Spouse |
$1,112.58 |
2.07% |
$387.00 |
-$23.58 |
| Family |
$1,263.28 |
2.07% |
$483.26 |
-$23.98 |
| IU PPO $900 Deductible |
| Employee Only |
$283.14 |
7.90% |
$1.00 |
$0.00 |
| Employee/Child(ren) |
$564.77 |
7.90% |
$1.00 |
$0.00 |
| Employee/Spouse |
$690.42 |
7.90% |
$1.00 |
$0.00 |
| Family |
$784.08 |
7.90% |
$4.06 |
$3.06 |
| M-Plan HMO |
| Employee Only |
$354.46 |
11.34% |
$11.24 |
$10.24 |
| Employee/Child(ren) |
$667.31 |
11.34% |
$70.09 |
$29.99 |
| Employee/Spouse |
$816.78 |
11.34% |
$91.20 |
$37.05 |
| Family |
$927.09 |
11.34% |
$147.07 |
$44.82 |
| Blue Preferred Primary POS |
| Employee Only |
$320.03 |
1.38% |
$1.00 |
$0.00 |
| Employee/Child(ren) |
$633.94 |
1.38% |
$36.72 |
-$29.35 |
| Employee/Spouse |
$776.45 |
1.38% |
$50.87 |
-$35.57 |
| Family |
$881.61 |
1.38% |
$101.59 |
-$37.60 |
(1) Represents the increase of total premiums from 2005 total premiums.
(2) Employee contributions are lower for Support and Service Staff employees with an
annual salary of less than $25,687.
(3) Represents the change in employee contribution from 2005.
More details of employee contribution amounts, including dental coverage and additional IU subsidy for lower salaries, will be included with Open Enrollment materials. |
Next article: Tax Saver Benefit Plan
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