260125_Chapter_1A_-_Medical_Plan_changes_eff_7-1-25.pptx

This file is a PowerPoint presentation detailing medical plan changes for an organization, effective July 1, 2025. The document comprehensively outlines proposed modifications to multiple health plan options, including High Deductible Health Plans (HDHP) with Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) configurations. The presentation compares network and out-of-network coverage across different plan structures, detailing changes in city contributions, deductibles, coinsurance rates, out-of-pocket maximums, and specific service coverages such as office visits, diagnostic tests, hospital services, emergency care, and prescription drug benefits.

The presentation provides a detailed breakdown of financial responsibilities across various medical services, highlighting shifts in cost-sharing between the organization and employees. Key changes include modifications to prescription drug tiers, with adjustments to copayments and coinsurance rates for generic, preferred, and non-preferred brand drugs, as well as the introduction of a new tier for retail specialty medications. The document appears to be prepared by Deloitte Consulting LLP and is designed to transparently communicate upcoming medical plan alterations to employees, showing both the current and proposed benefit structures side-by-side to facilitate clear understanding of the changes.