the new connecticut partnership plan

Saving your city or town money by joining with the state to purchase health benefits

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Why Join CT Partnership 2.0


Rate Stability: Claims from Partnership 2.0 are being pooled with all the state claims and will be factored into the yearly renewal rating thus reducing exposure to volatile claims.

Rich Plan Design: Same point-of-service (POS) plan design offered to state employees providing: in- and out-of-network coverage, 100% coverage for preventive care, an extensive local and national network through UnitedHealthcare, and low co-pays for maintenance drugs available at local pharmacies.

Health Enhancement Program (HEP): The Health Enhancement Program (HEP) is also included in the Partnership Plan 2.0. It is a program designed to promote preventive screenings, wellness visits and chronic disease education and counseling for employees and, as a result, saves money on health care in the long term by focusing health care dollars on prevention.

Dedicated Service Team: The Partnership Plan 2.0 has a dedicated team of individuals who are your point of contact throughout the process. You will not be lost in the shuffle with questions or concerns about enrollment, billing, or claims.

Ease of Applying: Simply fill out an application on the partnership website to start the process. Fixed (quarterly) rates are posted on the website so you know exactly what you are paying and can budget appropriately.


Per Employee, Per Month (PEPM) Rates by Quarter of Enrollment*:


Jul. 1 - Sept. 30 Single Employee +1 Family
Active $814.60 $1,745.82 $2,133.83
Pre-65 Retirees $1,018.47 $2,187.37 $2,674.41
Medicare Retirees $599.26 $1,156.80 $1,156.80
Post-65 Retirees
Not Eligible for Medicare
$1,819.42 $3,950.41 $4,838.35

Calculate your monthly premium

Application      Partial Group Preapproval


* Rates are for Medical and Rx, and are paid monthly. Applicable rates are dependant on start date and are guaranteed through June 30, 2016

View Dental Rates | View Vision Rates

Medical Benefit Summary

IN NETWORK CT Partnership Plan 2.0
Medical Office Visit $15 co-pay
Specialist Office Visit $15 co-pay
Vision Exams (one per calendar year) $15 co-pay
Inpatient Hospital $0 co-pay
Outpatient Hospital $0 co-pay
Emergency Room $35 co-pay (waived if admitted)
Urgent Care $15 co-pay
Walk-In $15 co-pay
Lab/X-Ray
High Cost Radiological and Diagnostic Tests
$0 co-pay
In-Network Deductible Individual: $350
Family: $350 each member ($1,400 maximum).
Waived for HEP-compliant members.
Coinsurance Not applicable
Max out of pocket $2,000 individual
$4,000 family
PREVENTIVE SERVICES CT Partnership Plan 2.0
with Health Enhancement Program (HEP)
Primary Care (Adult and Child Wellness Exams) $0 co-pay
Gynecologist Wellness $0 co-pay
Mammogram $0 co-pay
Lifetime Maximum Unlimited
PRESCRIPTION COVERAGE Maintenance Drugs Non-Maintenance Drugs HEP Chronic Condition Drugs
Generic $5 $5 $0
Preferred/Listed Brand Name $10 $20 $5
Non-Preferred/Non-Listed Brand Name $25 $35 $12.50
Annual Maximum Unlimited
Max out of Pocket $4,600 Individual / $9,200 Family
OTHER SERVICES CT Partnership Plan
with Health Enhancement Program (HEP)
Deductible Not applicable
Acupunture (20 visits/year) $15 co-pay
Chiropractic $0 co-pay
Nutritional Counseling (3 visits/year) $0 co-pay
Physical/Occupational Therapy $0 co-pay
Durable Medical Equipment $0 co-pay
Routine Hearing Screening (as part of an exam) $15 co-pay
OUT OF NETWORK CT Partnership Plan
with Health Enhancement Program (HEP)
Annual Deductible $300 individual / $900 family
Coinsurance 20% of allowable UCR charges
Max out of Pocket $2,300 individual / $4,900 family
Lifetime Maximum Unlimited

Dental Benefit Summary

Unlimited Maximum Plan
In/Out Network
$750 Annual Maximum Plan
In/Out Network
$1,000 Annual Maximum Plan
In/Out Network
$1,500 Annual Maximum Plan
In/Out Network
Dental HMO
Annual Deductible $0 $0 $25 indiv/$75 family $0 $0
Annual Maximum NONE $750 $1,000 $1,500 NONE
Lifetime Orthodontia Max N/A N/A $1,500 $1,500 covered
DEDUCTIBLE WAIVED
Preventive Yes Yes Yes Yes N/A
Basic N/A N/A No N/A N/A
Major N/A N/A No N/A N/A
PREVENTIVE
X-Ray 100% 100% 100% 100% 100%
Cleanings 100% 100% 100% 100% 100%
Oral Exam 100% 100% 100% 100% 100%
Flouride 80% 100% 80% 100% 100%
BASIC
Fillings 80% 0% 80% 80% covered
Endodontics 80% 0% 80% 80% covered
Periodontics 80%/50% 0% 80%/50% 80% covered
Simple Extractions 80% 100% 80% 80% covered
Dentures (Repair Only) 80% 0% 80% 80% covered
Bridges (Repair Only) 80% 0% 80% 80% covered
MAJOR
Crown 67% 0% 50% 67% covered
Inlays 67% 0% 50% 67% covered
Onlays 67% 0% 50% 67% covered
Dentures 0% 0% 0% 67% covered
Bridges 0% 0% 0% 67% covered
Space Maintainers 67% 100% 50% 100% covered
Oral Surgery 67% 0% 50% 67% covered
ORTHODONTIA
Braces (Adult and Child) N/A N/A 50% 50% Child Only covered

Pharmacy Benefit Summary

PRESCRIPTION COVERAGE Maintenance Drugs Non-Maintenance Drugs HEP Chronic Condition Drugs
Generic $5 $5 $0
Preferred/Listed Brand Name $10 $20 $5
Non-Preferred/Non-Listed Brand Name $25 $35 $12.50
Annual Maximum Unlimited
Max out of Pocket $4,600 Individual / $9,200 Family

Vision Rider

BENEFIT IN-NETWORK OUT-OF-NETWORK
Materials Co Pay $0 N/A
Single Vision Lenses Covered in Full $40 Allowance
Bifocal Lenses Covered in Full $65 Allowance
Trifocal Lenses Covered in Full $75 Allowance
Lenticular Lenses Covered in Full $100 Allowance
Contact Lenses (Retail Allowance)
Elective $360 Allowance $345 Allowance
Therapeutic Covered in Full $345 Allowance
Frame (Retail Allowance) $175 Allowance $126 Allowance

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