Health Insurance - BlueCross BlueShield

City of DeFuniak Springs employees received the benefit of health insurance with minimal or no out of pocket premium expense for the employee themself. Each employee is given the choice between three different plans through BlueCross BlueShield. Dependent coverage is offered at the employees' cost.

Coverage:

Plan
05168
05169
03769
05182
05183
Primary Care Office Visit
CYD
CYD
$25
CYD+Coins
CYD+Coins
Specialist Care Office Visit
CYD
CYD
$60
CYD+Coins
CYD+Coins
Cal. Year Ded. (in/out of Network)
$2500/$5000
$5000/$10000
$500/$1500
$2500/$5000
$5000/$10000
Max Out of Pocket (in/out of Network)
$2500/$10000
$5000/$20000
$3000/$6000
$5000/$10000
$6850 (Emb);
$10000/$20000
Coinsurance
100%/0%
100%/0%
80%/20%
90%/10%
90%/10%
Pharmacy Option (High)
100% after CYD
100% after CYD
10/30/50
10/30/50 after CYD
10/30/50 after CYD
ER Co-Pay
CYD
CYD
$300
CYD+Coins
CYD+Coins
Physician Services at Hospital and ER
CYD
CYD
$100
CYD+Coins
CYD+Coins
Hosipital Co-Pay
CYD
CYD
CYD+Coins
CYD+Coins
CYD+Coins
Preventative Care
$0
$0
$0
$0
$0
HRA Amount
$1800
$3600
NA
$1800
$3600
Employee's Cost for Individual Coverage
$85.07
NA
NA
NA
NA
City's Cost for Individual Coverage
$590.90
NA
$640.32
$500.63
NA
Employee's Cost for Spouse Coverage
NA
$881.42
$883.65
NA
$614.28
Employee's Cost for Child/Children Coverage
NA
$547.37
$537.87
NA
$361.32
Employee's Cost for Family Coverage
NA
$1339.21
$1357.48
NA
$960.93

Additional Resources: