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Welcome!
2010-2011 Plan Year
EligibilityAre you eligible for this plan? As an enrollee you must work or reside within the Scott & White Health Plan service area to be eligible for this plan. (See map |
)We are pleased you have selected Scott & White Health Plan for your health care needs. Effective September 1, 2010 the following changes will be made to your Scott & White Health Plan policy through TRS-ActiveCare.
Summary of improvements and changes:
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Our plan still has a $0 deductible; we continue to provide you with first dollar coverage.
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We reduced the annual out-of-pocket maximum from $3,000 down to $2,000 for an individual, which includes co-pays and medical expenses. This means that the most you would pay in a year is $2,000 for individual coverage.
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The family out-of-pocket maximum remains unchanged at $6,000.
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We reduced the primary care office visit co-pay to $20 per visit - last year it was $25.
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The specialty office visit co-pay is now $35 per visit.
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For allergy serum, you pay 20%.
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Outpatient surgery: $100 co-pay plus 20%.
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Your annual prescription drug benefit is now unlimited! We removed the annual cap, which was previously set at $4,000 per person.
See what's coming for the 2011-2012 plan year.
What hasn't changed is our commitment to providing you and your dependents with personalized high-quality health care.
Thank you for allowing Scott & White Health Plan to provide coverage for you and your dependents. If you need assistance, please feel free to visit one of our local offices or call toll-free at 1-800-321-7947. Employees who have questions concerning eligibility, cost, contribution level, or enrollment should contact their Benefit Administrator.
