medical_benefit_modification_scenarios.html

The following chart indicates possible savings for Washtenaw County with modifications to current medical coverage that would change deductibles, coinsurance and prescription costs.

2008 Total Expenditures for Active Employees: 11,552,494

2008 Total Expenditures for Actives & Retirees: 18,380,677

Options
% Savings over Current Plan* Estimated Annual Budget Savings* 80% of Savings Estimate* Estimated Annual Budget Savings*
 A

Projected Savings if switch to:

  • Preferred Provider Organization 3
  • $20 Office Visit
  • $20 Chiropractor
  • $10/$40 Prescription (generic/brand), PD-CMCD, Mail Order Prescription Drugs (90 day supply) with 2 prescription copays
  24.80% 2,865,019 19.84%  2,292,015 
 B

Projected Savings if switch to:

  • Preferred Provider Organization 3
  • $10 Office Visit
  • $10 Chiropractor
  • $0/$30 Prescription (generic/brand), PD-CMCD, Mail Order Prescription Drugs (90 day supply) with 2 prescription copays
  17.41% 2,011,289   13.92% 1,608107 
 C

Projected Savings if switch to:

  • Preferred Provider Organization 4
  • $20 Office Visit
  • $20 Chiropractor
  • $10/$40 Prescription (generic/brand), PD-CMCD, Mail Order Prescription Drugs (90 day supply) with 2 prescription copays
  29.79% 3,441,488  23,83%  2,752,959 
 D

Projected Savings if switch to:

  • Preferred Provider Organization 4
  • $10 Office Visit
  • $10 Chiropractor
  • $0/$30 Prescription (generic/brand), PD-CMCD, Mail Order Prescription Drugs (90 day supply) with 2 prescription copays
  22.40% 2,587,759  17.92%  2,070,207 

 

*Active Employees Only

Assumptions:

  • % Saving estimate provided by Washtenaw County's benefit agent Public Employee Benefit Solutions (PEBS) based on illustrative rates
  • Based on 2008 actuals rather than projected 2009 which may be higher
  • Self-insured costs are based on actual claims and fluctuate annually based on use
  • Projections based on annual savings but there will be at least 6 month delay in realizing savings
  • Saving shown are for total county.  Determination will need to be made as to portion for General Fund and GF appropriations

Definitions

OV = Office Visit

CMT = Chiropractor

RX = Prescription (generic/brand)

MOPDX2 = Mail Order Prescription Drugs (90 day supply) with 2 prescription copays

All items are currently under consideration/investigation. No decisions have been made. Items are subject to collective bargaining and Board of Commissioners approval.
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