State Preferred Provider Organization (PPO)
The State Health Plan has created a PPO alternative for all state employees called Smart Choice. What is a PPO? A PPO is an arrangement where providers are under contract to provide medical services at lower than usual fees in return for prompt payment and a certain volume of patients. There is freedom of choice among in-network providers, including specialists. No referrals are required for specialist office visits. When in-network providers are used, out-of-pocket expenses are lower and no claims forms are required.
Health Insurance Rates | Base 70/30 | Enhanced 80/20 | ER Cost |
Employee Only | 85.00 | 110.00 | 674.54 |
Employee/Child(ren) | 278.00 | 365.00 | 674.54 |
Employee/Spouse | 650.00 | 760.00 | 674.54 |
Family | 658.00 | 780.00 | 674.54 |
Flat Discounts | Base 70/30 | Enhanced 80/20 | ER Cost |
Smoker Attestation (just EE) | (60.00) | (60.00) | - |
Lowest Rates | Base 70/30 | Enhanced 80/20 | ER Cost |
Employee Only | 25.00 | 50.00 | 674.54 |
Employee/Child(ren) | 218.00 | 305.00 | 674.54 |
Employee/Spouse | 590.00 | 700.00 | 674.54 |
Family | 598.00 | 720.00 | 674.54 |
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