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BCBS 2008 RENEWAL SUMMARY
2008 BCBS Renewal Summary. PCP Office Visit Specialist Visit Emergency Room Hospitalization Prescription Drug Copay Premium Distribution Employee Only Employee + 1 Family Emergency Room Hospitalization ,. Prescription Drug Copay Premium Distribution Employee Only Employee + 1 Family mil" D.lnV 2007 = $30 2007 = $50 2007 = $200 2007 = $250 2007 = $15/$30/$50 2007 = ER 75o/oIEE 25% 2007 = $42.76 2007 = $85.52 2007 = $128.28 POS 2007 = $200 2007 = $250 2007 = $15/$30/$50 2007 = ER 70%/EE 30% 2007 = $52.14 2007 = $104.27 2007 = $156.41 ~ ./ 2008 = $30 2008 = $50 2008 = $300 2008 = $500 2008 = $20/$40/$60 2008 = ER 77 .5%/EE 22.5% 2008 = $42.62 2008 = $85.19 2008 = $127.86 2008 = $300 2008 = $500 2008 = $20/$40/$60 2008 = ER 72.5%/EE 27.5% 2008 = $52.05 2008 = $104.09 2008 = $156..14 ':~ ./ January 1, 2008 Medical Insurance Premiums Semi-monthl . Rate ceo Rate Employee Only Employee + 1 Family Employee Emplo er Employee Emplo er $ 42.62 $ 146,80 $ 82.06 $ 142.06 $ 85.19 $ 293A2 $ 164.08 $ 283.96 $ 127.86 $ 440.39 $ 246.20 $ 426.19 Semi-monthl Rate ceo Rate Employee Emplo er Emplo ee Emplo er $ 52.05 $ 137.21 $ 85.21 $ 132A8 $ 104.09 $ 274A2 $ 170A2 $ 264.96 $ 156.14 $ 411.63 $ 255.62 $ 397.44 Plan 2 Retiree Retiree + 1 Famil 37.88 75.72 113.65 Retiree Retiree + 1 $ $ January 1, 2007 Medical Insurance Premiums Semi-monthi' Rate ceo Rate Employee $ 42.76 $ $ 85.52 $ $ 128.28 $ Em 10 er 128.28 256.56 384.84 Emplo ee $ 77.47 $ 154.95 $ 232.42 Emplo er $ 128.28 $ '256.56 $ 384.84 Plan 2 Semi-monthl Rate ceo Rate Employee Only Employee + 1 Family Emplo er $121.65 $ 243.31 $ 364.96 Retiree Retiree + 1 Famil 34.21 68.42 102.62 Retiree Retiree + 1 Famil Retiree $ 34.76 $ 69.52 $ 104.27 Augusta-RichmondCou nty 2008 Renewal Summary With Benefit Changes 2008 Renewal Summary 2007 2008 Chan e 2007/2008 HMO $ 15,372,011.40 $ 18,062,113.40 POS $ 1 ;614,351.60 $ 568,142.58 PPO $ 24,781.32 $ 29,118.05 Medicare Advantage . $ $516,780.00 Dental $ 1,241,300.76 $ 1,117,169.88 Total 2007 versus 2008 with Benefit Changes 1,241,300.76 $ 2008 Chan e 2007/2008 17,249,318.29 532,917.74 29,118.05 $516,780.00 1,117,169.88 HMO POS PPO Medicare Advantage Dental $ $ $ $ $ 2007 15,372,011.40 $ 1,614,351,60 $ 24,781.32 $ Changing the Copays by $5 HMO value is -.5% POS value is -.28%