Health Insurance
Benefit-eligible employees have the option of choosing between four insurance plans. Our plans cover exactly the same medical services. The differences between our plans are the premiums, network area/physician network, and deductible/coinsurance (PPO participants only).
PPO Plan Participants
2009 PPO MONTHLY CONTRIBUTIONS
(Effective January 1, 2009 to December 31, 2009)
Employee Portion With HRA |
Employee Portion No HRA |
Parttime Regular Employee HRA |
Parttime Regular Employee Non-HRA |
|
PPO Basic Single |
$89 | $93 | $524 | $528 |
PPO Basic Family |
$234 | $246 | $1,370 | $1,382 |
PPO Select Single |
$105 | $110 | $540 | $545 |
PPO Select Family |
$279 | $293 | $1,415 | $1,429 |
Preferred Provider Organization (PPO)
- In-network area including primary care providers in Wisconsin, Minnesota, Michigan and Illinois.
- Deductible and coinsurance
- Out-of-network coverage (paid out in accordance to the out-of-network deductible and coinsurance)
- PPO Summary Plan Description
Copays are not included in the deductible and coinsurance.
Labratory Services (PPO Only)
- Valid through 12/31/2009. Effective 1/1/2010, PPO plan members will have lab services paid at 100% by the plan.
Use Dynacare to process your lab work and lab charges will be paid for at 100% by your PPO plan. You can either have your lab work sent to a Dynacare facility or go to a Dynacare location. Visit www.mydynacare.com or call (888) 611-3438 for more information.
To find an in-network PPO provider
PPO participants need to contact Health EOS.
- Website Instructions
- Website: www.healtheos.com
User ID: 13872, Password: haxqfh - Phone number: (800) 279-9776
Pre-Authorization List
Here is a general list of procedures/surgeries that will require pre-authorization by the Aurora Medical Management team. Call (262) 241-2510 for more information.
* If you don't get a procedure/surgery pre-authorized, and it needs to be, you may be subject to a $500 penalty. *
EPO Plan Participants
2009 EPO MONTHLY CONTRIBUTIONS
(Effective January 1, 2009 to December 31, 2009)
Employee Portion With HRA |
Employee Portion No HRA |
Parttime Regular Employee HRA |
Parttime Regular Employee Non-HRA |
|
EPO Basic Single |
$97 | $102 | $532 | $537 |
EPO Basic Family |
$259 | $272 | $1,395 | $1,408 |
EPO Select Single |
$138 | $145 | $573 | $580 |
EPO Select Family |
$365 | $383 | $1,501 | $1,519 |
Exclusive Provider Organization (EPO)
- "First-dollar" coverage to Aurora, Advanced Health, and some Columbia-St. Mary's facilities.
- No deductible and coinsurance
- No out-of-network coverage unless it is life or limb threatening
- EPO Summary Plan Description
To find an in-network EPO provider
EPO participants need to contact IBS Navigator.
- Website Instructions
- Website: www.ibsnetworks.com
Search 'Directory'
User ID: 'Marquette University'
- Phone number: (262) 241-2510
Pre-Authorization List
Here is a general list of procedures/surgeries that will require pre-authorization by the Aurora Medical Management team. Call (262) 241-2510 for more information.
* If you don't get a procedure/surgery pre-authorized, and it needs to be, you may be subject to a $500 penalty. *
