Eligible hourly employees will
be asked to select their medical coverage between October 27 and
December 5. Those eligible will receive mailings to their home
address with information on the open enrollment.
This special open enrollment was prompted because additional employee
co-pays will go into effect January 1, 2004. Therefore, those
impacted will have an opportunity to switch to the low-cost provider.
If you are currently on the low-cost plan (Selections), you are
not eligible to change plans until the regular open enrollment
in May.
Eligible employees can choose from the following three medical
plans:
· Boeing Traditional Medical Plan (Regence BlueShield);
· Group Health Cooperative HMO;
· Selections (Regence BlueShield).
Coverage selected will go into effect on January 1, 2004.
| Monthly contributions for Traditional Medical Plan effective 1/1/04: | Group Health monthly contributions effective 1/1/04: |
| Employee only: $36 | Employee only : $10 |
| Employee +spouse: $72 | Employee & Spouse: $20 |
| Employee + child: $72 | Employee & Spouse: $20 |
| Family: $108 | Family: $30 |
| Service/Care | Traditional | Selections CCP | Group Health HMO |
| Employee monthly
contributions required 1/1/04 Employee Only Employee & Spouse Employee & Children Employee, spouse & children |
$36 $72 $72 $108 |
0 0 0 0 |
$10 $20 $20 $30 |
| Office visits (network) | $15 co-pay visit | $10 co-pay per visit | $10 co-pay per visit |
| Deductible | $200/individual/$600 family - combined net-work/non-network | None if within network $400 per individual if non-network used | None |
| Preventive Care | 100% to plan limits | 100% to plan schedule | 100% to plan schedule |
| Most other network services | 95% after deductible (incl. maternity physician charges) | 100% | 100% |
| Network hospital services | 100% after deductible | 100% | 100% |
| Non-network services | 60% after deductible | 60% after deductible | Not covered except for emergencies |
| Vision services | $15 co-pay for exam at VSP provider. Schedule of allowance for glasses & contact lenses | $10 co-pay for exam. Schedule of allowance for glasses & contact lenses | $10 co-pay for exam. $150 allowance per pair of glasses or contact lenses |
|
Prescription Coverage Mail Service (Up to 90 days) |
$5 co-pay
$10 co-pay |
|
$5-copay
$10 co-pay |