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Medical Standard
Benefit Plans
TAC HEBP innovative plan options for group health benefits have
been approved by your Board of Directors and reflect
the Pool's most popular options while maximizing your available choices. Additional plans are now offered in response to County needs and as part of our continual effort to better serve you.
PDF Version
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Plan
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Office Visit
Co-Pay
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Deductible*
In /Out Network
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Co-Ins In/Out Network
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Co-Ins Max*
In/Out Network
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ER Co-Pay
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Per Admission Deductible
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100
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$15
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$0/300
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90/70
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$1000/3000
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$50
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$0
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200
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20
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100/300
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90/70
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1000/3000
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75
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0
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300
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20
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250/500
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90/70
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1500/3500
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75
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0
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600
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25
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250/500
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80/60
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2000/4000
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75
|
75
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610
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None**
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250/500
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80/60
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2500/5000
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None**
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250
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700
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25
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500/750
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90/70
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2000/4000
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75
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0
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800
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25
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500/750
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80/60
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2500/5000
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75
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0
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|
810
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None **
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500/750
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80/60
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3000/6000
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None **
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250
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1100
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25
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750/1000
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80/60
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3000/6000
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100
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0
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1110
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None**
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750/1000
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80/60
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3000/6000
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None**
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250
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1200
|
30
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1000/4000
|
80/60
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3000/6000
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100
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0
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|
1210
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None**
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1000/3000
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80/60
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3500/7000
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None**
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500
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|
1300
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30
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1500/4500
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80/60
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3500/7000
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100
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0
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KEY:
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*
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3 x per family
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**
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Subject to deductible and co-insurance
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Dual Option Plans are now available upon request,
subject to underwriting approval.
Prescription Standard Drug Plans
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Plan Name
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Retail
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Mail Order
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Option 1
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$5/15/30
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$10/30/60
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Option 2
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$5/20/35
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$10/40/70
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Option 3
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$10/20/35
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$20/40/70
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Option 4
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$10/25/40
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$20/50/80
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Option 5
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$10/30/50
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$20/60/100
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Option 6
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50%/50%
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50%/50% *
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Groups may choose from the following Rx deductible
levels:
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