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Medical & Dental 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 60 days of employment TMMC - 100%
PPO Facility - 80%
Other Facilities - 50%
PPO Physician - 80%
Non-PPO Physician - 50%
$250 deductible.
PHARMACY PLAN (Included with PPO Medical Plan) Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 60 days of employment Mail Service $30 brand; $20 generic.
TMMC 75% brand; 85% generic
No deductible.
Network 55% brand; 70% generic.
$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 60 days of employment $20 annual deductible every 12 months: vision exam, lenses and frames, or up to $105 for contacts.
BLUE SHIELD(HMO) Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 60 days of employment Annual maximums -
$2000(individual)
$4000 (family)
No deductible. $1000 per admission for hospital services.
DENTAL PLAN-DELTA Hospital and Employee Regular FT and PT employees and their qualified dependents First of month following 60 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 60 days of employment Annual maximum $1,500
No deductibles
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 60 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 60 days employment Pay for your medical and dental premiums, certain medical expenses, adult and child care with "untaxed" dollars.