AlaskaCare Medical Plan Comparison

Plan Comparison Chart
  Premium Standard Economy
Benefit Year January 1 to December 31 January 1 to December 31 January 1 to December 31
2016 Monthly Employee Contribution for Employee and Family $998 $219 $0
2016 Monthly Employee Contribution for Employee Only $348 $76 $0
Deductible $300 Individual
$600 Family
No carryover or waivers
$300 Individual
$600 Family
No carryover or waivers
$500 Individual
$1000 Family
No carryover or waivers
Coinsurance* 90% for most medical expenses
**30% as secondary to State employee health trust plan
80% for most medical expenses
**30% as secondary to State employee health trust plan
70% for most medical expenses
**30% as secondary to State employee health trust plan
Annual Out-of-Pocket Maximum $350/person after deductible ($700 if use of non-preferred hospital in Anchorage or out-of-network hospital outside of Alaska) $1,200/person after deductible ($2,400 if use of non-preferred hospital in Anchorage or out-of-network hospital outside of Alaska) $2,000/person after deductible ($4,000 if use of non-preferred hospital in Anchorage or out-of-network hospital outside of Alaska)

* See section 2.1.1 of the plan booklet for a list of coinsurance exceptions, such as 100% for in-network preventive care, or reduced coinsurance levels for receiving services at some out-of-network facilities.

* Coinsurance will be 30% of covered charges for dependents that are covered by a State employee health trust and that coverage: has been waived, pays less than 70% of covered expenses, or has an individual out-of-pocket maximum, including deductibles, of more than $3,500.

Please refer to the plan booklet for plan provisions.

(Effective January 1, 2016)