Employee Payroll deductions per pay period. (bi-weekly, deductions occur before tax is removed)
Plan Options Blue Cross PPO Network | Employee Only | Employee & Children | Employee & Spouse | Employee & Family |
Blue Cross Blue Shield PPO Network | 2018 | 2018 | 2018 | 2018 |
2T2W:Anthem Silver PPO $4000 80/20 MAX Op $6850 Office Co-pay $40 Specialist $60 RX: $15/45/85 Specialty Med 30% Max $350/$250 | $121.80 | $311.79 | $321.79 | $511.78 |
2T31:Anthem Health Keepers Silver OAPOS Network $4000 80/20 MAX Op $6850 Office Co-pay $40 Specialist $60 RX: $15/45/85 Specialty Med 30% Max $350/$250 | $95.81 | $261.10 | $269.80 | $435.05 |
2TDK: Anthem Health Keepers Bronze POS Network $5900/ 0% MAX Op $6850 Office Co-pay (First 3 visits $35) then Deductible RX: $15/45/85 Specialty Med 30% Max $350/$500 | $78.18 | $226.73 | $234.54 | $383.09 |
Employee Dental & Vision Rates per pay period. (Bi Weekly) | ||||
Plan Options | Employee Only | Employee & Children | Employee & Spouse | Employee & Family |
Dental and Vision | ||||
Dental Plan/ $1500 100/80/50 No waiting period for Preventive & Basic services / 12 month waiting for major services | $14.53 | $31.81 | $29.70 | $48.36 |
Vision Exam co-pay $2 0/ Lenses Replacement 12 Mo Frame replacement 24Mo $130 Frame allowance Contacts $130 Allowance | $2.98 | $4.84 | $5.38 | $8.20 |