Adelanto School District

Blue Shield Plan Changes Effective July 1, 2007

 

 

Standard HMO

 

Current Benefit

Change To

$5 office visit copay

$10 office visit copay

$5 specialist copay

$10 specialist copay

$35 ER copay

$100 ER copay

Rx $10/20/35 retail/ $20/40/60 mail order

Rx $8/25/40 retail/ $16/50/80 mail order

 

Premier PPO

 

Current Benefit

Change To

$10 office visit copay

$10 office visit copay

$10 specialist copay

$10 specialist copay

$50 ER copay

$100 ER copay

Rx $10/15/30 retail/ $10/20/45 mail order

Rx $8/20/35 retail/ $8/30/50 mail order

 

 

 

 

 

*Please be advised that these changes were made in the best interest of our employees in order to keep monthly premium contributions down.  There was input from both our Certificated and Classified Bargaining Units.