PPO Plan
The PPO Plan is a traditional PPO plan. It has a lower deductible and a higher payroll deduction than the PPO Savings Plan.
Following are some features of the PPO Plan:
- Medical coverage is the same as for the PPO Savings Plan
- Physician network is the same as for the PPO Savings Plan
- Drug formulary is that same as for the PPO Savings Plan
- Includes an optional Medical Flexible Spending Account that allows subscribers to use pre-tax funds to pay for health care expenses incurred during the current plan year
Faculty & Staff Monthly Premiums
| Coverage | Salary % | $30,000 | $40,000 | $50,000 | $60,000 | $75,000 | $85,000 | $100,000 | $140,000 |
|---|---|---|---|---|---|---|---|---|---|
| Individual | 1.51% | $37.75 | $50.33 | $62.92 | $75.50 | $94.38 | $106.96 | $125.83 | $176.17 |
| Two-Person | 3.68% | $92.00 | $122.67 | $153.33 | $184.00 | $230.00 | $260.67 | $306.67 | $429.33 |
| Parent/Child(ren) | 3.41% | $85.25 | $113.67 | $142.08 | $170.50 | $213.13 | $241.54 | $284.17 | $397.83 |
| Family | 4.69% | $117.25 | $156.33 | $195.42 | $234.50 | $293.13 | $332.21 | $390.83 | $547.17 |
Technical Service Premiums
| Coverage | Salary % | $30,000 | $40,000 | $50,000 | $60,000 | $75,000 | $85,000 | $100,000 | $140,000 |
|---|---|---|---|---|---|---|---|---|---|
| Individual | 2.71% | $31.27 | $41.69 | $52.12 | $62.54 | $78.17 | $88.60 | $104.23 | $145.92 |
| Two-Person | 5.86% | $67.62 | $90.15 | $112.69 | $135.23 | $169.04 | $191.58 | $225.38 | $315.54 |
| Parent/Child(ren) | 5.47% | $63.12 | $84.15 | $105.19 | $126.23 | $157.79 | $178.83 | $210.38 | $294.54 |
| Family | 7.35% | $84.81 | $113.08 | $141.35 | $169.62 | $212.02 | $240.29 | $282.69 | $395.77 |
To help calculate the costs for your medications, use the pharmacy pricing tools below:
Documents
- Aetna Health Insurance Book
- 2020 PPO Plan Technical Services Overview of Coverage Grid
- 2020 PPO Plan Faculty & Staff Overview of Coverage Grid
- 2020 Technical Services PPO Plan Summary of Benefits Coverage
- 2020 Faculty & Staff PPO Plan Summary of Benefits Coverage – Salary: Under $45,000
- 2020 Faculty & Staff PPO Plan Summary of Benefits Coverage – Salary: $45,001-$60,000
- 2020 Faculty & Staff PPO Plan Summary of Benefits Coverage – Salary: $60,001-$90,000
- 2020 Faculty & Staff PPO Plan Summary of Benefits Coverage – Salary: Above $90,000