Benefits Overview >

Medical, Dental, Vision & Pharmacy

Medical, Dental, Vision and Pharmacy Insurance

Benefit Who Pays Who Is Eligible Effective Date Coverage
Medical Plan
(PPO)
Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment
  • TMMC - 100%
  • PPO Facility - 80%
  • Other Facilities - 50%
  • PPO Physician - 80%
  • ACO Physicians - 85%
  • Non-PPO Physician - 50%
  • $290 deductible
Pharmacy Plan (Included with PPO Medical Plan) Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment
  • Mail Service $20 generic; $50 brand; $65 non-brand; $100 specialty.
  • TMMC 85% generic; 75% brand
  • No deductible.
  • Network 75% generic; 60% brand; non-brand 45%.
  • $50 deductible.
Vision Plan (Included with PPO or HMO Plan) Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment $20 annual deductible ($50 non-provider) every 12 mos. exam, lenses and contacts. Up to $130 for frames every 24 mos.
Anthem Blue Cross, Vivity & HMO Select Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment

Annual maximums -

  • $3,000(individual)
  • $6,000 (family)
  • No deductible. $1,000 per admission for hospital services (waived at TMMC)
Dental Plan - Delta Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment
  • Annual maximum-$1,500
  • Preventive Care-100%
  • Basic-80%, Major-50%
  • Orthodontia not available.
  • DPO Benefits for specialty dentists (See DPO below)
Dental Plan - Delta Preferred Option (DPO) Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment
  • Annual maximum $1,500
  • $50 deductible
  • Preventive Care-100%
  • Basic-90%, Major-50%
  • Orthodontia not available.
Dental Plan - Delta PMI Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 30 days of employment
  • No annual maximum.
  • No pre-existing conditions. No deductibles.
  • Preventive Care-100%, Basic-100%, Orthodontic-$1600 total child, $1800 total adult.
Flexible Benefits Plan Employee Regular FT and PT employees First of month following 30 days employment Pay for your medical and dental premiums, certain health expenses, adult and child care with "untaxed" dollars.