ODS Alaska Medical Plans
Check out the key features of our PPOPreferred Provider Organization: A provider contracted within a network. By choosing a preferred provider, the member's out-of-pocket
expenses will be less than if he or she chooses a physician outside the network. and HSA plan designs below.
|
Benefits | Rates
Beneficial Plan - Preferred Provider Organization (PPO) |
| The Beneficial plan is best for
those looking for a higher level of
benefits and a lower total out-of-pocketA specified amount of applicable claims expenses in
a plan year that must be met before benefits are paid
in full. Once the member has met his or her out-ofpocket
maximum, the plan begins covering eligible
expenses at 100 percent. The out-of-pocket
maximum starts over every plan year.
cost. |
| Deductible |
Co-PayThe insured patient's share of the total medical bill,
usually expressed as a specific dollar amount paid for
a given service, product or treatment. For example,
the patient might pay $20 for each doctor's office
visit. The patient is usually responsible for payment
at the time of the treatment or service. |
Office Visit |
Pharmacy |
$1,000 / $2500 (individual)
$3,000 / $7000 (family) |
$20 |
First 3 at $20 |
20% |
|
Benefits | Rates
Preferred Plan - Preferred Provider Organization (PPO) |
| The Preferred plan is suited to individuals shopping for a lower premium cost. |
| Deductible Choices |
Co-PayThe insured patient's share of the total medical bill,
usually expressed as a specific dollar amount paid for
a given service, product or treatment. For example,
the patient might pay $20 for each doctor's office
visit. The patient is usually responsible for payment
at the time of the treatment or service. |
Office Visit |
Pharmacy |
$5,000 / $7,500 (individual)
$15,000 / $22,500 (family) |
$20 |
First 3 at $20 |
20% |
|
Benefits | Rates
Health Savings Account (HSA) Choice |
| HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare
expenses that must be paid by the member in a given
year before the insurance plan will start paying for
treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met. More about HSAs |
| Deductible |
Co-PayThe insured patient's share of the total medical bill,
usually expressed as a specific dollar amount paid for
a given service, product or treatment. For example,
the patient might pay $20 for each doctor's office
visit. The patient is usually responsible for payment
at the time of the treatment or service. |
Office Visit |
Pharmacy |
$1,200 (individual)
$2,400 (family) |
20% |
20% |
30% |
|
Benefits | Rates
Health Savings Account (HSA) Select |
$2,800 (individual)
$5,600 (family) |
50% |
50% |
50% |
Note: Alaska Statutes exempt ODS from providing dental, vision and hearing coverage in our standard Medical Plans.
