Prior to January 1, 2008 Benefits & Eligibility administered by A&I Benefit Plan Administrators, Inc.
  A&I administers the Select and Choice Medical Plans prior to January 1, 2008. Overviews of the Medical, Dental, Rx, and Vision Plans provided are prior to January 1, 2008.  You can view highlights of these Plans by clicking on the tabs below.
 
 
 
  If you have question or need assistance on the Dental, Rx or Vision Plans, please contact the administrator of that Plan directly.You can find contact information on our contacts page. 
  Medical Plan Overview
 

The following Medical Plan options are available through the Tuality Healthcare Benefits Program and are administered by us at A&I Benefit Plan Administrators prior to January 1, 2008.  Please click on the tab for the Plan you are interested in viewing.
 
 
This link opens a PDF file.
 
  The Choice Plan PPO
 

The Choice Plan PPO is a preferred provider organization  (PPO) plan.  If you elect this plan, you always have the choice of receiving care from a preferred in-network covered provider or going to an out-of-network provider.  The plan will pay higher benefits if you receive care from preferred in-network providers.  In exchange for more provider choice, your out-of-pocket costs will be higher than in the Select Plan. 

For instance, you will be responsible for paying a $350 per person annual deductible ($1,050 family).  Then the plan pays a percentage of covered charges - generally 80% for in-network care and 60% for out-of-network care.  The Choice Plan PPO features the Managed Healthcare Northwest. provider network.

In-network care - The Managed Healthcare Northwest provider network
When you receive care in-network, you are seeing a Managed Healthcare Northwest provider.  A provider in this network has agreed to charge plan participants a certain rate for services.  The rate is usually lower than what out-of-network providers would charge for these service.  In addition, you receive a higher benefit and therefore you usually save money when you go to network providers

Out-of-network care
When you receive care outside the network (from a provider who is not a member of the PPO), the plan pays a lower level of benefit and providers are not limited to contracted fees.  As a result, your out-pocket costs will be higher than if you went to network providers.  When you receive care from an out-of-network provider, the plan pays 60% of usual, customary and reasonable (UCR) charges for covered services after you meet a $350 per person ($1,050 family) annual deductible.  You are responsible for paying any charges above UCR.

See the 2007 Coverage Comparison for more details about your medical options.

 
  > In order to view these PDF files you will need the Adobe Reader.
 
  All information provided on this web site is in summary and intended to provide highlights of your plans. We strongly recommend referring to the Plan booklet for complete details before making any decisions related to your eligibility, benefits and coverage.