Choose the plan that fits your needs.

PCIP enrollees can choose from three plan options, with different levels of premiums, calendar year deductibles, prescription deductibles and prescription copays. The HSA Option provides an opportunity to open a Health Savings Account, a tax-exempt account where you can deposit funds for eligible medical expenses.

Each of the three PCIP plan options provides preventive care (paid at 100%, with no deductible) when you see an in-network doctor and the doctor indicates a preventive diagnosis. Included are annual physicals, flu shots, routine mammograms and cancer screenings. For other care, you will pay a deductible before PCIP pays for your health care and prescriptions. After you pay the deductible, you will pay 20% of medical costs in-network.

For 2012, the maximum you will pay out-of-pocket for covered services in a calendar year when you use an in-network provider with the Standard Option or Extended Option is $4,000, and with the HSA Option it is $6,050.

There is no lifetime maximum or cap on the amount the plan pays for your care.

Click here for the 2012 Benefits Summary (PDF) that includes a side-by-side comparison of the three PCIP plan options.

What changes in 2012?

• Covered services – both in-network and out-of-network – will count toward an enrollee's out-of-network catastrophic maximum.



• Catastrophic maximums for the Standard Option and Extended Option when you use an in-network provider will drop from $5,950 in 2011 to $4,000 in 2012. The HSA Option catastrophic maximum when you use an in-network provider will increase from $5,950 in 2011 to $6,050 in 2012.



• Non-par anesthesiologists and other ancillary providers who serve an enrollee at an in-network facility will be paid as in-network. In 2011, they were paid as out-of-network.

The form listed above is in PDF format, which allows you to view it electronically on most computers. The Adobe Acrobat® reader is required to view and print PDF files. If you do not have the reader, click here to download Adobe Acrobat for free.