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I have other insurance. Can I opt out of ¾Ã¾ÃÎçÒ¹ÐßÐßÓ°ÔºÃâ·Ñ¹Û¿´ State coverage?

Sometimes employees have other insurance through their parents or a spouse/domestic partner. If you have other insurance, you are welcome to opt out of university coverage, and you might even be eligible for opt-out incentive payments of $50 per pay (up to $100 per month).

How does my prescription coverage work when enrolled in the High Deductible Health Plan (HDHP)?

When enrolled in the High Deductible Health Plan, you will be charged the full negotiated price for your prescriptions until your HDHP annual deductible is met, unless those medications are on the Preventative Drug List. Any money paid toward prescriptions will count towards meeting your annual deductible. The prescription co-insurance will apply only after your deductible is met (see below).

Coverage Highlights of the High Deductible Health Plan (HDHP)

  • Preventive care is covered 100% with in-network providers
  • Lower monthly premiums
  • Deductible for in-network providers: $3,300 for single coverage and $5,400 for family coverage.
  • No Coinsurance for in-network providers
  • No Co-pay
  • Opportunity to invest in a Health Savings Account (HSA)
    • Contribution is taken pre-tax
    • ¾Ã¾ÃÎçÒ¹ÐßÐßÓ°ÔºÃâ·Ñ¹Û¿´ State contributes to all employee HSAs:
      • $1,300 for single coverage
      • $2,000 for family coverage
      • available after the first payroll of the year!
    • Funds roll over year-t

Coverage Highlights of the 85/60 PPO PLAN

  • Preventive care is covered 100% with in-network providers
  • Higher monthly premiums
  • Deductible for in-network providers: $300 for single coverage and $600 for family coverage.
  • Coinsurance for in-network providers: 15%
  • Office co-pays for non-preventive healthcare services:
    • $15 for primary care doctors
    • $30 for specialists
    • Co-pays do not go toward meeting your deductible
  • Out of Pocket Maximum for in-network providers
    • $1,500 for single coverage ($1,200 KSUFA)
    • $3,000 for family coverage ($2,
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