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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 AAUP)
    • $3,000 for family coverage ($2,400 AAUP)
  • Optional Healthcare FSA and/or Dependent Care FSA
    • Contribution is taken pre-tax
    • Full amount is front-loaded at the start of the plan year
    • No employer contribution
    • Amounts cannot be changed during the plan year unless a qualifying event occurs
    • Use it or Lose it
      • Funds must be used by March 15, 2026
      • Leftover money will be lost
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