AlaskaCare Medical Plan Comparison

AlaskaCare 2019 Active Employee Premiums
-- Consumer Choice Economy Standard
Medical Monthly Employee Premiums:
SU, CEA, Exempt, AVTCTA
Employee Only $24.00 $60.00 $140.00
Employee and Family $68.00 $160.00 $399.00
Medical Monthly Employee Premiums:
IBU, MEBA, Correctional Officers, TEAME
Employee Only $24.00 $0.00 $140.00
Employee and Family $68.00 $0.00 $399.00
Deductible
Individual $2,400 $500 $300
Family $4,800 $1,000 $600
Coinsurance 1 2
of the Allowable Amount 70% 70% 80%
Annual Out-of-Pocket Limit 3
Individual In-Network $5,400 $2,750 $1,750
Individual
Out-of-Network
$10,800 $5,500 $3,500
Dental Monthly Employee Premiums
Employee Only -- $0.00 $35.00
Employee and Family -- $0.00 $98.00
Vision Monthly Employee Premiums
Employee Only -- -- $14.00
Employee and Family -- -- $38.00

1 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.
2 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.
3 Out-of-Network for facility services outside of Alaska or in the Municipality of Anchorage. See plan documents for other exclusions.

Effective: Jan. 1 - Dec. 31, 2019

* 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, 2018)