Benefit
Books and Riders
We’re
Here To Serve You
The
benefit information contained in the benefit summaries below is
effective on the date stated on the bottom of each document. For
renewing groups, benefit changes are effective upon the group's
renewal unless otherwise stated.
PPO
Medical Plans
Copay
Plan Number 1
Copay
Plan Number 1A
Copay
Plan Number 2
Deductible
Plan 1
Deductible
Plan 1A
Deductible
Plan 2
Deductible
Plan 2A
Deductible
Plan 3
Managed
Care Medical Plans
MCP
5 Medical Plan
Indemnity
Medical Plans
ACEA
Medical Plan
Indemnity Plan 3
Medicare Supplemental
Klamath County School District - Dental & Vision Plans
Klamath County Dental & Vision
Salem
- Keizer Medical Plans
SEA
MCP 15
SEA
PPO 2 Medical Plan
SEA
PPO 3 Medical Plan
SKACE $15 Co-Pay Plan
SKACE $500 Deductible Plan
SKACE Major Medical Plan
Dental
Plans
Dental
Premier Plan A
Dental PPO Plan A
Dental
Premier Plan B
Dental
Premier Plan C
Dental
PPO Plan C
Dental
Premier Plan D
SKACE Dental
Plan
Lane
Community College
Dental Plan
Vision
Plan Summaries
Vision
Plan 250
Vision
Plan 350
Vision
Plan 450
Vision
Plan 2
Vision
Plan 4
Vision
Plan 4a
Vision
Plan 5
LBCC Vision
Summary
Section 125
Plan Summaries
Section 125 Plan
Riders
Alternative
Care Riders
Acupuncture
Rider / $10.00 Copay
Acupuncture
Rider Rider / $15.00 Copay
Chiropractic
Rider / $10.00 Copay
Chiropractic
Rider / $15.00 Copay
Naturopathic
Rider / $!0.00 Copay
Naturopathic
Rider / $!5.00 Copay
Health
Exam Rider
Prescription
Drug Riders
Prescription
Drug Benefit Rider / $15.00 / 20%
Prescription
Drug Benefit Rider / $10.00 / $20.00 / 50%
Prescription
Drug Benefit Rider / $10.00 / $20.00 / 50% $50.00 Maximum
Prescription
Drug Benefit Rider / $10.00
Prescription
Drug Benefit Rider / $5.00 / $10.00 / $20.00
Prescription
Drug Benefit Rider / 50% |