Health Plan

Benefits at a glance. LewistonBLUE CROSS OF IDAHO – Health Insurance, effective 09-01-2018

MDLIVE – New Health Benefit
If you have the District health insurance you are eligible for MDLIVE. With MDLIVE telehealth benefit  you can receive virtual care with a doctor or counselor 24/7 from your home, office or on-the-go with no office visit copay.  MDLive treats over 50 routine medical conditions including:  Acne, Allergies, Cold/Flu, Constipation, Cough, Diarrhea, Ear Problems, Insect Bites, Nausea/Vomiting, Pink Eye, Rash, Respiratory Problems, Sore Throats and More. We suggest that you activate your account now so when you need the service it will be ready to go.

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).

 2019-2020 Enrollment Applications

Benefit and Rate Information – 2019-2020

Health Plan Links

Blue Cross of Idaho-Customer Service Telephone:  (208) 331-7347 or Toll Free (800)-627-1188

Health Insurance

OPTION 1

BASIC PLAN

PPO $1,250

Eff. 09/01/2019

OPTION 2

OPTIONAL PLAN

PPO $3,000

Eff. 09/01/2019

Network PPO PPO
Deductible (see below)
Individual $1,250 $3,000
Family $2,500 $6,000
Coinsurance 70% 70%
Out-of-Pocket
Individual $ 5,500 $ 5,500
Family $11,000  $11,000
Deductible applies to
Out-of-Pocket Maximum? Yes Yes
Office Visit Copay $30 $30
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 $1,000 RX Out-of-Pocket Max $1,000 RX Out-of-Pocket Max

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