Take time and review the TWU Benefits Guide, 2012 in PDF Format.
Below are some of the hi lights.
Medical
Your Medical Options
- Value
- Value Plus
- Standard option 1
- Standard option 3
These options work in similar ways, but there are some impor tant differences.
You should carefully consider each one before you choose.
| What they have in common … | What’s different … |
| Choice of provider, either in- or out-of-network Network of doctors, hospitals and labs Lower cost when you use in-network doctors, hospitals and labs Prescription drug coverage Mental health and chemical dependency coverage |
Higher deductible = lower contribution Lower deductible = higher contribution Value and Value Plus options have co-pays for certain medical ser vices Standard options have deductibles and co-insurance Value and Value Plus options cover in-network preventive care Preventive care is not covered by Standard options except limited well-child care |
Co-pays, co-insurance and out-of-pocket maximum are also things you should look at when deciding on your medical option.
With a co-pay, you know up front what you will pay no matter what that service actually costs. Whether your doctor charges $100 or $500, you pay the same co-pay. American Airlines pays the difference.
With co-insurance, you and the Company share the cost by each paying a certain percentage of the cost.
Deductible vs. Out-of-Pocket Maximum
The deductible is the amount you must pay before your medical coverage begins paying for cer tain expenses. Your out-of-pocket maximum is the amount you pay after you pay your deductible.
For example, let’s say you’re enrolled in the Standard option 3. Your deductible is $1,000, your out-of-pocket maximum is $2,000 and you have a $20,000 hospital bill.
| Hospital Bill | $20,000 |
| Deductible | – $1,000 (You pay) |
| = | $19,000 |
| Co-insurance (20% of $19,000) | $3,800 |
| Out-of-pocket maximum | – $2,000 (You pay) |
| You Pay | $1,000 + $2,000= $3,000 |
| AA Pays | $17,000 |
Because your 20 percent of the cost (your co-insurance — $3,800) is higher than your out-of-pocket maximum ($2,000),
you pay only $3,000 (your deductible plus your out-of-pocket maximum). American Airlines takes care of the rest.
Below are the 2012 monthly employee medical option contributions.
| 2012 Monthly Medical Option Contributions | |||
| Features | Standard Options | Value | Value Plus |
| Employee Only | Standard option 1: $90.75 Standard option 3: $0.00 |
Preferred: $59.42 Tier 1: $74.28 Tier 2: $89.13 |
Preferred: $92.50 Tier 1: $115.63 Tier 2: $138.75 |
| Employee + 1 Dependent* | Standard option 1: $181.21 Standard option 3: $0.00 |
Preferred: $118.84 Tier 1: $148.55 Tier 2: $178.26 |
Preferred: $185.00 Tier 1: $231.25 Tier 2: $277.50 |
| Employee + 2 or more Dependents | Standard option 1: $238.62 Standard option 3: $0.00 |
Preferred: $178.27 Tier 1: $222.84 Tier 2: $267.41 |
Preferred: $277.50 Tier 1: $346.88 Tier 2: $416.25 |
* Includes young adults under age 26.