C&T, S&M and Yale Police Medical Plan Options
Your Medical Plan Options
You can choose from two medical plan options or waive coverage altogether, if you are covered under another plan (for example, a spouse’s plan). You may choose coverage from either the Yale Health Plan (HMO) or the Aetna Choice POS II. Rates Information and Enrollment form.
For more information see the Medical Plan Comparison Chart. Here's a closer look at your C&T and S&M medical plan options:
| 2008 Medical Plan Benefit | Coverage Under the Yale Health Plan | Coverage Under the Aetna Choice POS II |
|---|---|---|
| Preventive Care | Plan Pays 100% | $5 |
| Office Visits (PCP/Specialist) | Plan Pays 100% | $5 |
| Prescription Drugs (Generic/Brand-Name) | After you pay a $200 deductible per fiscal year, you pay 20% of the cost, up to a maximum out-of-pocket expense of $700. There is also an annual maximum of $25,000 per person | $10/$15 Retail (30-day supply) $8 Mail Order (100-day supply) Alternative prescription rider: $200 deductible per individual/ $600 maximum per family, no copay/unlimited |
| Inpatient Hospital Care | Plan pays 100% | Plan pays 100% |
| Outpatient Surgical Services | Plan pays 100% | Plan pays 100% |
| Emergency Room Visits | Plan pays 100% | $50 |
| Out-of-network Care | Emergency and urgent care and pre-authorized follow-up care |
After you pay the deductible,you pay 30% of the cost, up to the maximum out-of-pocket expense (per calendar year) |
| Out-of-network Deductible | None | $250 Individual$500 2-person$750 family |
| Out-of-pocket Maximum (after deductible) | Not applicable | $1,000 Individual $2,000 2-Person $3,000 Family (Per calendar year) |
