ACCMA Members Health Insurance Plan Programs

The ACCMA and JC Lewis Insurance Services have put together four atractive healthcare plans offered by PacifiCare with the newest healthcare plan offered for 2008 being the PacifiCare PPO 100-50/3500 HSA compatible which replaces the PacifiCare PPO 100-50/5000 HSA. All ACCMA members, their family, and ACCMA member staff are invited to pick one of the guaranteed issued plans listed below:

ACCMA MEDICAL PLAN BENEFIT BREAKDOWNS

PacifiCare PPO 35/80-60/500	UnitedHealthCare PPO 70-50/3500(HSA)	PacifiCare PPO 35/70-50/1000	PacifiCare HMO 20-40/500/3000
Physician Office visit Co-pay $35	Physician Office visit 30% after deductible	Physician Office visit Co-pay $35	Physician Office visit Co-pay $40 ($20-Specialist by ref.)
Calendar year deductible $500 indiv/$1000 family	Calendar year deductible $3,500 indiv./$7000 family	Calendar year deductible $1,000 indiv./$2,000 family	Calendar year deductible NONE
Policy Maximum benefits $5,000,000	Policy Maximum benefits $5,000,000	Policy Maximum benefits $5,000,000	Policy Maximum benefits NONE
Co-ins. Annual Max $5,000 indiv/$10,000 family	Co-ins. Annual Max 0% after deductible	Co-ins. Annual Max $5,000 indiv/$10,000 family	Co-ins. Annual Max $3,000 indiv/$5,000 family
OOP Annual Max $5,500 indiv/$11,000 family	OOP Annual Max $5,000 indiv./$10,000 family	OOP Annual Max $6,000 indiv./$12,000 family	OOP Annual Max $3,000 indiv/$5,000 family
Co-insurance 80/20% in PPO; 60/40% out of PPO	Co-insurance 70/30% in PPO; 50/50% out of PPO	Co-insurance 70/30% in PPO; 50/50% out of PPO	Co-insurance NONE — but different Co-pays for listed benefits
Prescription Drugs 100% after co-pay of: $10 generic $35 brand name $50 non-formulary	Prescription Drugs 100% after deductible for generic, brand, non-formulary and mail order	Prescription Drugs 100% after co-pay of: $10 generic $35 brand name $50 non-formulary	Prescription Drugs 100% after co-pay of: $15 generic $35 brand name $50 non-formulary