The City of East Chicago continues to provide excellent insurance benefits for City employees and their families. A quality health, dental and vision insurance plan has always been a high priority for the City’s Administration. If you have any questions, please contact the City’s Third Party Administrator, Professional Claims Management, Inc., at (800)-590-6500 or Nikki Ramos-Mika at (219) 391-8784.
Effective June 1, 2008 the PPO Health Insurance Plan will have the following benefit changes:
1. A new Rx Prescription Drug plan provider, Atlantic Prescription Services (APS). APS will send each member a new Rx drug card and welcome letter detailing their services. This Rx drug card will replace your BeneScript Rx card effective June 1, 2008. The Rx drug co-pays have increased to the following:
Generic - $5.00
Brand (Preferred) - $15.00
Brand (Non-Preferred) - $25.00
Mail order is 2 times Retail - (90 day supply)
An improved dental insurance benefit. The dental insurance schedule that compares the present and new benefits is as follows:
Deductible - $25.00
Preventative - 100% / No Deductible
Basic Services - 80%
Major Services - 50%
Annual Maximum - $1,500.00
Orthodontia - 50% of Usual and Customary
Orthodontia Lifetime Max. - $2,000.00
An improved vision insurance benefit. Vision insurance schedule that compares present and new benefits is as follows:
Eye Exam (1 per 12 mos.) - $50.00
Lenses (1 per 12 mos.)
Single - $75.00
Bifocal - $100.00
Trifocal - $125.00
Contacts - $150.00
Frames (1 per 24 mos.) - $75.00