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Health Insurance Options
The following is a brief description of the three Blue Cross/Blue Shield health insurance options available for eligible employees. More information may be obtained by contacting Amadee Denton in the Business Office, extension 7056.
Vermont Health Partnership:
Insured selects a Primary Care Physician from a list of health care providers. Services are provided through a referral system.
The co-pay for office visits is $5.00.
Premium payments vary according to contractual relationships employees have with the District.
$200 Comprehensive Plan:
Insured is not limited to any particular health care provider and may see any provider each time service is required.
Insured is responsible for an annual deductible. The deductible for single coverage is the first $200 per year and the deductible for family coverage is the first $400 per year.
After the deductible is met, the insured pays 20% of incurred expenses until the out of pocket limit is reached. The out of pocket limit is $500 for individuals and $1,000 for a family.
Premium payments vary according to contractual relationships employees have with the District.
JY Managed Benefit Plan:
Insured is not limited to any particular health care provider and may see any provider each time service is required.
Blue Cross/Blue Shield will reimburse you for the first $200 of all Physician Office Visits. Once this amount is reached, the insured is responsible for a deductible. The deductible for individual coverage is $100 and $400 for family coverage. Once this deductible is reached, the insured is responsible for 20% of the costs up to an out of pocket limit. The out of pocket limit is $500 for individuals and $1,000 for a family.
Dental Insurance
Employees engaged in regular active full time employment performing at least 1,000 hours of service per year are eligible. Part time, temporary or regular employees working less than 1,000 hours are not eligible for coverage.
Spouses and the unmarried, dependent children (under the age of 19) of eligible employees are eligible for enrollment. Certain requirements may also allow dependent children of eligible employees who are enrolled full time at an accredited school or college up to the age of 23.
Coverage will begin on the first day of the calendar month following the employee's date of hire. Coverage includes:
100% of Reasonable and Customary costs of Diagnostic and Preventive care.
80% of Reasonable and Customary cost of Basic Restorations, Endodontics, Periodontics, Prosthodontics Maintenance and Oral Surgery.
50% of Reasonable and Customary costs of Major Restorations, Dentures and Bridgework.
50% of Reasonable and Customary costs of Orthodontics.
Calendar Year Deductibles:
$25 Individual Coverage Deductible
$75 Aggregate Family Coverage Deductible
For Basic Restorations, Endodontics, Periodontics, Prosthodontic Maintenance, Oral Surgery, Major Restorations, Dentures, Bridgework and Orthodontics.
Maximum Benefits:
$750 per person per year for Diagnostic and Preventive services, Basic Restorations, Endodontics, Periodontics, Prosthodontics Maintenance, Oral Surgery, Major Restorations, Dentures and Bridgework.
$1,000 per person per lifetime for Orthodontics
For more information please contact the Benefits Specialist in the Business Office:
Adenton@sbschools.net Telephone: 802/652-7056.
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