Beneficiary Category |
Medical |
Pharmacy |
Dental |
|
Typical Corporation |
|
Typical Corporation |
|
Typical Corporation |
Employee |
No Cost |
Premium &
Cost Share
|
No Cost |
Co-pay Options |
No Cost |
Company Paid &
Cost Share
|
Family Member |
No Cost or Cost Share Options |
Premium & Cost Share |
No Cost or Co-pay Options |
Co-pay Options |
Subsidized Premium & Cost Share |
Company Paid &
Cost Share
|
Retiree < 65 |
Enroll Fee for No Cost Option or Cost Share |
Premium & Cost Share |
No Cost or Co-pay Options |
Co-pay Options |
Premium & Cost Share |
Company Paid &
Cost Share
|
Family Member |
Enroll Fee for No Cost Option or Cost Share |
Premium & Cost Share |
No Cost or Co-pay Options |
Co-pay Options |
Premium & Cost Share |
Company Paid &
Cost Share
|
Retiree > 65 |
MEDIGAP |
MEDIGAP |
No Cost or Co-pay Options |
Co-pay Options |
Premium & Cost Share |
Company Paid &
Cost Share
|
Family Member |
MEDIGAP |
MEDIGAP |
No Cost or Co-pay Options |
Co-pay Options |
Premium & Cost Share |
Company Paid &
Cost Share
|