City of DeFuniak Springs employees received the benefit of health insurance with minimal or no out of pocket premium expense for the employee themselves. Each employee is given the choice between three different plans through BlueCross BlueShield. Dependent coverage is offered at the employees’ cost.
Coverage:
Plan
| 05168
| 05169
| 03769
| 05182
| 05183
|
|---|
Primary Care Office Visit
| CYD
| CYD
| $25
| CYD+Coins
| CYD+Coins
|
Specialist Care Office Visit
| CYD
| CYD
| $60
| CYD+Coins
| CYD+Coins
|
Cal. Year Ded. (in/out of Network)
| $2500/$5000
| $5000/$10000
| $500/$1500
| $2500/$5000
| $5000/$10000
|
Max Out of Pocket (in/out of Network)
| $2500/$10000
| $5000/$20000
| $3000/$6000
| $5000/$10000
| $6850 (Emb);
$10000/$20000
|
Coinsurance
| 100%/0%
| 100%/0%
| 80%/20%
| 90%/10%
| 90%/10%
|
Pharmacy Option (High)
| 100% after CYD
| 100% after CYD
| 10/30/50
| 10/30/50 after CYD
| 10/30/50 after CYD
|
ER Co-Pay
| CYD
| CYD
| $300
| CYD+Coins
| CYD+Coins
|
Physician Services at Hospital and ER
| CYD
| CYD
| $100
| CYD+Coins
| CYD+Coins
|
Hosipital Co-Pay
| CYD
| CYD
| CYD+Coins
| CYD+Coins
| CYD+Coins
|
Preventative Care
| $0
| $0
| $0
| $0
| $0
|
HRA Amount
| $1800
| $3600
| NA
| $1800
| $3600
|
Employee’s Cost for Individual Coverage
| $60.41
| $60.41 | NA
| NA
| NA
|
City’s Cost for Individual Coverage
| $648.88
| $648.88 | $810.97
| $626.89
| NA
|
Employee’s Cost for Spouse Coverage
| NA
| $901.97
| $1031.28
| NA
| $797.23
|
Employee’s Cost for Child/Children Coverage
| NA
| $601.32
| $687.53
| NA
| $531.49
|
Employee’s Cost for Family Coverage
| NA
| $1437.93
| $1644.17
| NA
| $1270.93
|
*Effective Oct 1, 2023-Sep 30, 2023
Additional Resources: