BLUE CROSS OF IDAHO – Health Insurance, effective 09-01-2017
HEALTH INSURANCE: Blue Cross of Idaho will remain the District’s health insurance carrier. For full-time employees, the District will fund 100% of the employee premium and 80% of the premium cost for dependents. Premiums for part-time employees and their dependents are pro-rated based upon FTE. Part-time employee rates are calculated on an hourly basis.
The District offers two plans, the Basic plan ($1,250 deductible) and an Optional plan ($3,000 deductible).
Eligibility: Certificated employees who work at least Cert50, Administrators and Educational Support Personnel (ESP) who work at least 20 hours per week are eligible for insurance coverage.
Eligible employees have thirty (30) days from their hire date to elect initial enrollment in the health plan. Late enrollment will be effective as of September 1 following application. Employees will be enrolled in a PPO Plan (Preferred Provider Organization).
Applications
- Enrollment Application Blue Cross of Idaho (Use for deductible changes, add & drop dependents, or to switch to or from Delta Dental)
- Enrollment Application – Ameritas Vision (Use to add or drop dependents)
- Enrollment Application: Delta Dental (Use to add or drop dependents or to switch to or from Dental Blue Connect/Willamette Dental
Benefit and Rate Information – 2017-2018
- 2017-2018 ESP Staff Benefit Changes
- 2017-2018 CERT Basic Plan Rates
- 2017-2018 CERT Optional Plan Rates
- 2017-2018 ESP Basic Plan Rates
- 2017-2018 ESP Optional Plan Rates
- 2017-2018 $1,250 Deductible Highlight Benefit Summary
- 2017-2018 $1,250 PPO SBC for Lewiston SD
- 2017-2018 $3,000 Deductible Highlight Benefit Summary
- 2017-2018 $3,000 PPO SBC for Lewiston SD
- 2017-2018 Prescription RX Highlight Summary with $250 Deductible
- SWS PPO Preventive Care Benefits – 09-2016
Health Plan Links
- Blue Cross of Idaho-Customer Service Telephone: (208) 331-7347 or Toll Free (800)-627-1188
- Blue Cross of Idaho Website
- Blue Cross Provider Search
- BCI Prescription Information
- BCI Drug Search
- BCI Mail Order
- Mail order form CVS Caremark
- Pharmacies Located in Lewiston and Clarkston Area (Alpha)
- New-Member-Handbook
| Health Insurance |
OPTION 1 BASIC PLAN PPO $1,250 Eff. 09/01/2017 |
OPTION 2 OPTIONAL PLAN PPO $3,000 Eff. 09/01/2017 |
| Network | PPO | PPO |
| Deductible (see below) | ||
| Individual | $1,250 | $3,000 |
| Family | $2,500 | $6,000 |
| Coinsurance | 70% | 70% |
| Out-of-Pocket | ||
| Individual | $4,250 | $4,500 |
| Family | $8,500 | $9,000 |
| Deductible applies to | ||
| Out-of-Pocket Maximum? | Yes | Yes |
| Office Visit Copay | $20 | $20 |
| Preventative Care | Covered 100% | Covered 100% |
| Inpatient Hospital | Deductible & Coinsurance | Deductible & Coinsurance |
| Out Patient Hospital | Deductible & Coinsurance | Deductible & Coinsurance |
| Emergency Room | $100 + Deductible & Coinsurance | $100 + Deductible & Coinsurance |
| Prescription Drugs | ||
| Deductible | $250 Brand Name Deductible | $250 Brand Name Deductible |
| Generic | $10 | $10 |
| Preferred Brand | $30 after RX Deductible | $30 after RX Deductible |
| Non-Preferred Brand | $50 after RX Deductible | $50 after RX Deductible |
| RX Out-of-Pocket Max | $2,000 RX Out-of-Pocket Max | $2,000 RX Out-of-Pocket Max |