The Girard City Council is once again looking at its insurance coverage.
This time, it was health insurance, as the council heard a report Tuesday from Jeff Kramer, area representative for Blue Cross Blue Shield of Kansas, the city's current provider.
The city's current insurance policy is due for renewal Aug. 1. The renewal notice represented about an 8 percent overall increase in premium costs.
Kramer presented three options for consideration by the council. The current policy carries a $2,500 deductible for an individual and $5,000 for two or more persons, with an 80/20 co-payment to a maximum of $1,000 for an individual, $2,000 for two or more.
The current policy also provides 100 percent coverage to a maximum of $1,000 per person, a $25 office visit co-payment, prescription drug card and dental coverage.
The renewal proposals would give employees more options to potentially save money on their share of the insurance payments.
“If you wanted to offer multiple options for your employees, you could,” Kramer said. “You could give each employee the option to buy up to a lower deductible, for example.”
The first proposal would offer three different levels of deductible, with consequent increased premium payments, Kramer said. Coverage would otherwise be identical to what city employees currently have.
A second option Kramer called the AffordaBlue Option has a different deductible structure, with levels for $500, $1,000 and $2,000 per individual and $1,500, $3,000 and $6,000 for three or more.
“The other benefits are similar to what you have today,” Kramer said. “The biggest difference is in prescription drug coverage. That's why we can get the lower deductibles.”
With the AffordaBlue plan, covered persons would pay the first $100 of the cost of prescription drugs, then would be charged a discount rate. Employees would be responsible for filing paperwork received from their pharmacist and would receive half what they paid back, Kramer said.
Another difference would be a limit of five office visits per year with a $25 co-payment. At the sixth visit, it would still be covered, but the cost would start applying to regular deductible coverage, Kramer said.
The third option combines high-deductible coverage with institution of health savings accounts. The option meets Internal Revenue Service standards to qualify for the accounts, Kramer said.
With the high deductible option, everything is counted toward matching the annual deductible. Certain preventative and wellness procedures would be covered at 100 percent. Once the deductible is met, the insurance pays 100 percent.
Kramer said he wouldn't suggest the high-deductible insurance as an only option, but would recommend it, in conjunction with any of the other plans.