Agenda - Council - 11/22/1983 - Laserfiche WebLink

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I I ! I I ! i i I I I ! I I I I MAJOR HEALTH PLAN CHA~IGES {F_.ffeetive' 1-1-84) BIu~ Cross and Blue Shield of Minnesota I.) BCBSM coverage will no longer be available effective January 1, 1983. Current BCBSM members should refer to page _ _ of this packet. MedCenters Health Plan 1.) Coverage outside the MCHP service area is modified. The enrollee now pays a $50 deductible and 20~ of the next $2,000; MCHP pays 80~. MCHP then pays 100~ of the remaining expenses up to $250,000 per calendar year. (Prior coverage: enrollee paid 20~ of first $2,500; MCHP paid 80~ and then 100~ of remainder to a maximum of $250,000 per calendar year.) , 2.) The emergency room enrollee copayment is increased from $15 to $25. 3.) The prescription drug enrollee copayment is increased from $2.50 to $3.00. 4.) The $50 discount on eyeglasses is expanded to include contact lenses as well. 5.) New mental health outpatient counseling charges have been established dependent upon therapy type. Rather than $10 per visit regardless of therapy type, enrollee copayments will be charged as follows: $15 per visit for individual therapy, $5 per visit for group therapy, and $20 per visit for family therapy. 6.) The preventive dental benefit is expanded to include children under age 19. Physicians Health Plan 1.) The enrollee copayment for mental health outpatient group therapy is reduced from $10 to $5 per visit. ' {The individual therapy copayment remains at $10 per visitZ) Group 'Health Plan 1.) Hospital admissions by a non-GHP physician are no longer covered. (Prior coverage: GHP paid 80~.) 2.) Cuverage for inpatient hospitalization is expanded from a 365-day limit to unlimited days. 3.) Emergency coverage outside the GHP service area is modified to add protection against catastrophic expense. An enrollee's copayment is now 20~ of the first $2,000 of eligible expenses, rather than of all expenses. 4.) The preventive dental benefit is expanded to include children und.~r age 19. $.) The list of medical devices covered under GHP's supplemental benefit is expanded to include apnea monitors, glucose monitors, TENS units, and. Holter monitors, and the enrollee copayment l~as t~een increased from to 20 Z;.