Health Care Open Enrollment October 27-December 5

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


Study the plans carefully before selecting coverage. Be sure to review how different plans affect your out-of-pocket costs. Check personalized lists of network providers to see which networks your doctor is in ­ many are in more than one. The Union is not recommending a specific plan; the decision is up to the individual.

For more information on the various plans or to select coverage, visit: http://resources.hewitt.com/boeing or call 1-888-747-2016. Access specific information on the Traditional Plan or Selections at www.wa.regence.com/boeing.

 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
Retail (up to 34 days)
Generic
Brand name formulary
Brand name nonformulary

Mail Service (Up to 90 days)
Generic
Brand name formulary
Brand name non-formulary

 

$5 co-pay
$15 co-pay
$30 co-pay

 

$10 co-pay
$30 co-pay
$60 co-pay



$5 co-pay
$15 co-pay
$30 co-pay



$10 co-pay
$30 co-pay
$60 co-pay

 

$5-copay
$15 co-pay
--

 

$10 co-pay
$30 co-pay
--