Traditional Low Plan (PPO)

GVEC provides an extensive benefits package for you and your covered dependents. Selecting the right benefits provides comfort knowing that you’re covered in the event of an unexpected illness or injury. All employees (working 30 or more hours per week) are eligible to enroll in benefits on the 89th day of employment.

Traditional Low Plan (PPO) – Group #072037

 

BlueCross BlueShield of TX
In-NetworkOut-of-Network
Deductible per Calendar Year
Individual$750$2,250
Family$2,250$6,750
Out-of-Pocket Maximum per Calendar Year
Individual$2,750$8,250
Family$6,000$18,000
Emergency Care
Emergency Room$200 Copay plus 20% Coinsurance (copay waived if admitted and deductible applies to physician charges)
Hospital Care
InpatientDeductible then 20% CoinsuranceDeductible then 50% Coinsurance
Office Visits
PCP$30 CopayDeductible then 50% Coinsurance
Specialist$40 CopayDeductible then 50% Coinsurance
Urgent Care$50 CopayDeductible then 50% Coinsurance
Prescription Drug Program
Generic$5 Copay$5 Copay
Preferred Brand$35 Copay$35 Copay
Non-Preferred Brand$60 Copay$60 Copay
Specialty Rx20% up to $250 max/Rx20% up to $250 max/Rx
Mail Order Rx (90-day supply)$10 / $70 / $120 CopayNot Available
Per Pay Period Contributions
Employee Only$141.46
Employee + One$352.09
Employee + Two or more$379.91