Benefit

2009 Benefit Level

2010 Benefit Level

Network Hospital/Hospital Extension Clinic (Blue Cross)

Emergency Room

$60 copay

$70 copay

Outpatient Lab/Radiology services

$35 copay

$40 copay

Administration of Desferal for Cooley’s Anemia

$35 copay

$40 copay

Outpatient Surgery

$35 copay

$60 copay

Basic Medical Program (UHC)

Annual Deductible

$363

$375

Annual Coinsurance Maximum

$1,000 for enrollee

$1,000 for spouse/partner

$1,000 for all dependent children combined

$1,033 for enrollee

$1,033 for spouse/partner

$1,033 for all dependent children combined

Mental Health and Substance Abuse Program (OptumHealth)

Emergency Room

$60 copay

$70 copay