Effective January 1, 2014 employees will see changes in their 2014 health insurance plan.  Faced with rising health care costs, City staff and labor representatives on the Benefits Labor Management Committee worked together to develop a solution that keeps monthly premium changes to a minimum. Without this action, employees would have faced monthly premiums in 2014 that are one-and-a-half times higher than the premiums they are paying this year. To avoid a premium increase that would have impacted all employees, changes have been made to the deductible and out-of-pocket maximum.

The 2014 deductible will increase:

The deductible is the amount that you pay for covered services each calendar year before your health insurance begins to make payments for claims. (Deductibles do not apply to preventive services such as routine physicals and eye exams; these are fully covered.) 

The deductible in 2014 will increase:

The 2014 out-of-pocket maximum will increase:

The out-of-pocket maximum is the most you have to pay for covered services for deductibles, copayments and coinsurance each calendar year. Typically only about 10 percent of City employees reach the out-of-pocket maximum in a given year. 

The out-of-pocket maximum in 2014 will increase:

Additional changes effective January 1, 2014 include:

Monthly premium increase held to a minimum

Because the City’s health care claims have cost more than the premiums collected, a higher premium increase was initially proposed. The changes that are being made for 2014 enable the City to keep the premium increase to a minimum. The overall increase is now only 3.4 percent, as opposed to the 16.8 percent increase.

Elect and Essential networks

Choice network

2013 Medical Insurance Rates

Summary of Benefits and Coverage - Medica Choice Passport

Summary of Benefits and Coverage - Medica Elect

Summary of Benefits and Coverage - Medica Essential.

Last updated Dec. 6, 2013