Important Considerations: Choosing a Medical Plan

All four types cover the same kinds of services, but the way they pay benefits is different.

Key Decision Points:

	Access to Care	How you pay for care	Insurance premiums (payroll deductions)**
Standard HMO	Use network providers to receive benefits	Set dollar copays for more predictable costs	Higher
Health Investor HMO	Use network providers to receive benefits	Annual deductible* and percentage of cost	Lower
Standard PPO	See network or non-network providers … your share of cost is lower when you use the network	Set dollar copays for more predictable costs for some network care. A percentage of cost - or annual deductible and percentage of cost for other care	Higher
Health Investor PPO	See network or non-network providers … your share of cost is lower when you use the network	Annual deductible* and percentage of cost	Lower

*With single coverage, you must meet the individual deductible before anything but preventive care is covered. With family coverage, you must meet the family deductible before plan pays for anything but specified preventive care services.
**For those employees who pay premiums for coverage - including State Career Service employees and University Faculty, Staff and Administrative and Professional Employees.

Use the highlights for the Standard PPO, the Standard HMOs, the Health Investor PPO and the Health Investor HMO to help you understand key differences in how the four types of plans work.

For more information, view both the Standard and Health Investor PPO Medical Plan benefit document or the individual HMO's certificates of coverage (available from the HMOs).
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Many doctors, specialists and other healthcare providers participate in several different networks.

• Look at the Benefits Statement you'll receive in your enrollment package in late September to see which health plans are available in your geographic area. Then go to the web sites for those plan administrators to find out what doctors and hospitals are in the network. The chart below includes web links and easy step-by-step instructions to help make your search easier.
• Keep in mind that health providers are subject to change at any time without notice, and that you cannot change plans because a provider leaves the network.

Health Plan	Instructions
BlueCross BlueShield (Standard and Health Investor PPO)	1. Click Provider Directory 2. Select BlueChoice (Preferred Patient Care PPO) as the plan type
AvMed	1. Click Provider Directory 2. Select AvMed Classic as your plan
Capital Health Plan	Click on Physician Search
Florida Health Care Plans	1. Click Providers 2. Click HMO Provider Network
UnitedHealthcare	1. Click Find Physicians and Facilities 2. Select UnitedHealthcare HMO or United Healthcare Health Investor Health Plan
VISTA Healthplans	1. Use the "Find a …" search near the top left, select physician and click "Go" 2. Select VHP-Vista Healthplan as your plan

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• Be sure to use the online Medical Plan Cost Estimator to compare your estimated out-of-pocket costs for covered services based on the types of care you anticipate using.
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• They are listed on the Benefit Statement in the enrollment package you receive in late September 2007. And, the Medical Plan Cost Estimator adds these premiums to your expected out-of-pocket expenses to see which health plan offers you the most favorable financial picture.
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The Health Savings Account, Medical Reimbursement Account and Limited Purpose Medical Reimbursement Account all offer a tax advantage by allowing you to set aside pre-tax dollars for eligible healthcare expenses.

	If you enroll in a Health Investor HMO or PPO and have no other medical coverage	If you enroll in the Standard PPO or a Standard HMO
You may enroll in	Health Savings Account (HSA) - for eligible medical, dental and vision expenses …funded by voluntary contributions from you, if you enroll in the HSA and complete the HSA Application and Disclosure Package located on the People First website	No Health Savings Account available
Points to note	HSA balance earns interest and you may have the opportunity to decide how it is invested Unused HSA balance carries forward year-to-year; portable if you leave	N/A

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• Take into account everything you've considered in Steps 1 - 5. When you have completed this process, you may be ready to enroll. You can do so between October 1, 2007 at 8:30 a.m. Eastern and October 26, 2007 at 5:30 p.m. Eastern.

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