Medical Benefits
There are two primary plans for Active Employees: LEOFF Trust Plan F, LEOFF Trust Plan H
Retirees have their choice of any of the plans listed here:
http://leofftrust.net/medical/
Retirees have their choice of any of the plans listed here:
http://leofftrust.net/medical/
LEOFF Trust Plan F Preferred / Out of Network |
LEOFF Trust Plan H Preferred / Out of Network |
|
Management Oversight |
LEOFF TRUST |
LEOFF TRUST |
Plan Design |
Premera PPO |
Value |
Deductible Individual |
$100 |
$2,000 |
Deductible Family |
$200 |
$4,000 |
Max OOP Individual |
$1,100 |
$3,425 |
Max OOP Family |
$2,200 |
$6,850 |
Co-insurance/Patient Responsibility |
10% (Preferred) / 50% (OON) |
20% (Preferred) / 50% (OON) |
ER Coverage |
90% after $100 |
80% after deductible |
Rx 30 Day (Gen/Brand/Form/Special) |
$5/$25/$50 |
80% after deductible |
Doctor Office & Preventative Care |
||
Preventative Care Visit |
100% |
100% |
Outpatient Diagnostic X-ray/Lab |
100% (Preferred) / 50% (OON) |
80% (Preferred) / 50% (OON) |
Well-Baby/Child Care |
100% |
100% |
Vision Benefits |
$10 exam and up to $300 for hardware |
$10 exam and up to $300 for hardware |