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PPO in-network increases dramatically -Single from $75 to $750 -Family from $225 to $2,250

Out of Pocket Costs—Deductible for PPO. PPO in-network increases dramatically -Single from $75 to $750 -Family from $225 to $2,250 PPO out-of-network increases dramatically - Single from $326 to $1,500 -Family from $500 to $4,500. Out-of-Pocket Costs—Co-Insurance for PPO.

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PPO in-network increases dramatically -Single from $75 to $750 -Family from $225 to $2,250

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  1. Out of Pocket Costs—Deductible for PPO • PPO in-network increases dramatically • -Single from $75 to $750 • -Family from $225 to $2,250 • PPO out-of-network increases dramatically • -Single from $326 to $1,500 • -Family from $500 to $4,500

  2. Out-of-Pocket Costs—Co-Insurance for PPO • Percentage plan pays • -In-network change from 90% to 80% • -Out-of-network from 80% to 50% • Maximum • -In-network from $200 for single to $2,500 • -In-network from $600 for family to $7,500 • -Out-of-network single from $1,100 to $3,000 • -Out-of-network family from $2,800 to $9,000

  3. Total Out of Pocket Costs--PPO • In-network • -Single from $275 to $3,250 • -Family from $825 to $9,750 • Out-of-network • -Single from $1,426 to $7,500 • -Family from $3,300 to $13,500 • 60% of members will receive no benefit from insurance • Transforms a PPO plan into a catastrophic HMO plan

  4. Out of Pocket Costs for HMO • Deductible • -Single from $50 to $350 • -Family from $150 to $1,050 • Co-insurance • -Percentage plan pays from 90% to 80% • -Single from $150 to $1,000 • -Family from $450 to $3,000 • Total Out-of-Pocket • -Single from $200 to $1,350 • -Family from $600 to $4,050

  5. Co-Pays for Both PPO and HMO • Office visit from $10 to $20 • Office visit to specialist from $0 to $35 • Emergency Room from $50 to $125

  6. Drug Co-Pays for Both PPO and HMO • RetailMail Order • Generic from $3 to $8 from $6 to $18 • Preferred Brand from $15 to $25 min. from $30 to $50 • Non-Pref. Brand from $30 to $50 min. from $60 to $100

  7. Disaggregate Pre-Medicare Retirees • A pool with only older and sicker will drive premiums up at an accelerated pace • Designed to end retiree health insurance by making it too costly to afford

  8. What can you do? • Get involved in recall of Walker • Contact Peter Blewett at (414) 534-4578, Larry Miller at (414) 469-9319, and Terry Falk at (414) 510-9173 to thank them for not agreeing to the Bonds health insurance plan. • Contact Michael Bonds at (414) 475-8284 and ask him to reconsider his action. • Contact the school board member in your district and ask he/she to reconsider the action.

  9. School Board Districts • 1-Sain • 2-Spence • 3-Bonds • 4-Woodward • 7-Voeltner • 8-Holman

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