| Georgetown University Hospital 2007 Benefits for Full-Time House Staff Health Insurance Employees may chose the CareFirst Blue Choice PPO Basic Health Plan, CareFirst Blue Choice PPO Enhanced, or Kaiser Permanente Select HMO. The “Preferred Provider Organization” or “PPO” plan allows members to select from a list of network providers each time you need care rather than choose a PCP to coordinate your care of refer you to specialists. The traditional Kaiser HMO allows members to obtain medical services with participating providers located in Baltimore, Washington D.C. and Northern Virginia. Many in-network services are covered at 100% with the remainder calling for a minimal copayment. • Single, Employee + Child, Employee + Spouse, or Family coverage is available. • Coverage starts on the 1st day of work as long as the employee has completed enrollment within thirty days after your date of hire. • The employee and the hospital share the cost of the plan. Employee biweekly cost: CareFirst Blue Choice PPO Basic $29.42 Single $60.31 Employee + Child $80.91 Employee + Spouse $99.10 Family CareFirst Blue Choice PPO Enhanced $34.00 Single $77.46 Employee + Child $87.95 Employee + Spouse $110.63 Family Prescription drug coverage is included with the health plan coverage. CareFirst prescription drugs will be covered through Express Scripts. Kaiser Permanente Select HMO $45.12 Single $101.67 Employee + Child $119.61 Employee + Spouse $137.49 Family | Dental Insurance There are 2 plan options available: Cigna Comprehensive and Cigna DHMO (100% coverage with a small copay when you use a network dentist). • Single, Employee + Child, Employee + Spouse, or Family coverage is available. • Coverage starts on the first day of work as long as the employee has completed enrollment within thirty 30 days after your date of hire. The employee and the hospital share the cost of the plan. Employee biweekly cost: Cigna Comprehensive $10.50 Single $20.80 Employee + Child $25.54 Employee + Spouse $36.10 Family Cigna DHMO $3.82 Single $8.79 Employee + Child $7.98 Employee + Spouse $13.61 Family Vision Care Employees may choose to participate in the Advantica EyeCare plan. The plan provides comprehensive vision benefits from a network of providers. Employee biweekly cost: Advantica $2.66 Single $4.40 Employee + Child $4.40 Employee + Spouse $5.70 Family | Life Insurance and Accidental Death and Dismemberment GUH provides employees with Basic Life Insurance equal to one times your annual base pay up to a combined (basic and supplemental) maximum of $1,000,000. Your coverage will be rounded up to the next higher $1,000. This coverage is provided for free. • Supplemental Life Insurance coverage is available in amounts equal to one, two, or three times your base pay, up to a combined (basic and supplemental) maximum of $1,000,000. The amount of total life coverage is rounded up to the next higher $1,000. • Coverage for supplemental life starts on the first day of work as long as the employee has completed enrollment within thirty days after the date of hire. • If you do not enroll when eligible you will be required to provide evidence of insurability. • Dependent life insurance for your spouse and dependent children is available. MedStar Health Retirement Savings Plan • This is a tax-deferred savings account which offers a variety of investment options and a company match. • Contribute a fixed dollar amount or a percent of your salary. • Employees may start contributing toward this plan at any time. • Contact Fidelity at 1-888-766-6817 or www.Fidelity.com/atwork. Flexible Spending Accounts The GUH program includes two flexible spending accounts (FSA’s) that let you use tax-free dollars to pay for certain medical and dependent care expenses. Health Care Spending AccountEach calendar year employees may put aside up to $5,000 of pre-tax salary to cover out-of-pocket health and dental care expenses, such as co-pays and deductibles. Dependent Care Spending Account Each calendar year employees may put aside up to $5,000 of pre-tax salary to cover out-of-pocket dependent and elder care expense. |