West Virginia University Hospitals East

 

Employment

Benefits — Medical Plan

Benefit Provision Basic Option Plus Option
Deductible
WVUH-East Facility
In-Network
Out-of-Network
Individual/Family
0
$300/$900
$600/$1800
Individual/Family
0
$100/$300
$600/$1800
Coinsurance

WVUH-East Facility

In-Network

Out-of-Network
Individual/Family

85%Employer/
15% Employee
70%Employer/
30% Employee
60%Employer/
40% Employee
Individual/Family

95%Employer/
5% Employee
80%Employer/
20%Employee
60%Employer/
40%Employee
Patient Copay
Primary Care
Specialist
Urgent Care
Out-of-Network

$20
$35
$30
Coinsurance

$20
$35
$30
Coinsurance
Out-of-Pocket Max
WVUH-East Facility
In-Network
Out-of-Pocket
Individual/Family
$1500/$4500
$3000/$9000
N/A
Individual/Family
$1000/$3000
$2000/$6000
N/A
Preventive Care — Examples of services covered are: Pap
smear, mammogram, prostate screening, gynecological exam, routine physical examination, x-rays, designated laboratory blood tests, immunizations, hearing tests and vision tests.
100% Employer (No employee deductible)
Emergency Room

Emergent care: $50 patient copay (waived if admitted)

Non-emergent care: Deductible (if applicable) and coinsurance

Individual Lifetime Maximum Benefit $2,000,000

Full-time and part-time status employees are eligible for WVUH-East Group Health Plan. Coverage will begin the first day of the pay period following 30 days of employment.

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©2012 WVUH-East — All Rights Reserved.