Coverage highlights of the 85/60 plan

As with all our medical plans, your medical premium includes prescription and vision benefits. The following are what you can expect if you select the 85/60 plan:

  • Preventive services are covered at 100% with in-network providers at NO COST to you. Examples of preventive care services are annual exams, immunizations, and preventive screenings.
  • You can enroll in a Flexible Spending Account (FSA) to use pre-tax dollars to pay for eligible healthcare expenses incurred by you or your eligible dependents. Dependent Care FSAs allow you to use pre-tax dollars to pay for DAYCARE expenses for dependents up to the age of 13 or for elderly care. Visit our FSA and HSA web page for more information.
  • 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 and $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 and $3,000 for family coverage.
  • Out of Pocket Maximum for in-network providers for FACULTY:  $1,200 for single coverage and $2,400 for family coverage.
  • Preventive Services for Medical Mutual 85/60 and HDHP (PDF)
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