May 2009
2009 Boeing Plan benefit changes
Changes for most medical plans
On January 1, 2010, the benefit year will change from a fiscal year (July to June) to a calendar year (January to December). The deductible and out-of-pocket maximum amounts, if applicable, will be reduced by 50% for services received between July 1 and December 31, 2009. This fall, members will have a special enrollment period to change their plan for January 1, 2010.
Changes for some members
Effective July 1, the changes listed below will apply to Society of Professional Engineering Employees in Aerospace (SPEEA) employees enrolled in the Boeing Traditional or Regence Select NetworkSM Plans.
Traditional Medical Plan benefit changes
| Type of Service | Benefit |
|
Deductible |
Will increase to $225 or greater per individual, depending on employee status |
|
Lifetime Benefit Maximum |
Will increase to $2 million per individual |
|
Professional Services from a Network provider |
|
|
Routine physical examinations for employees, spouses and children age 2 and older |
100% (deductible waived) up to $500 per benefit year per covered examination. Includes related office visits, X-ray, laboratory services and childhood and adult immunizations and vaccines, excluding travel vaccines, as recommended by the U.S. Preventive Services Task Force (USPSTF) guidelines. |
Limited to one examination per child every benefit year for ages 2 to 18 Limited to one examination per person every three benefit years for ages 19 to 34, then one examination per person every benefit year
|
Routine physical examinations for children from birth to age 2 |
100% (deductible waived) and includes immunizations and vaccines, excluding travel vaccines, as recommended by the USPSTF guidelines and the provider |
Limited to eight examinations
|
Routine Pap tests, mammograms, prostate screenings and colorectal screenings, including colonoscopies |
100% (deductible waived) |
|
Mental Health |
|
Note: Coordination is required through ValueOptions at |
Outpatient services from network providers |
Coinsurance will increase from 80% to 100% |
|
Inpatient and outpatient services from a non-network provider |
Coinsurance will increase from 50% to 60% |
|
Inpatient and outpatient benefit year limits for non-network providers |
Removed day and visit limits |
|
Substance Abuse |
||
| Inpatient and outpatient services from a non-network provider | Coinsurance will increase from 50% to 60%. |
Note: Coordination is required through ValueOptions at |
Other Benefits |
|
|
Neurodevelopmental therapy |
Benefit maximum will increase from $1,000 to $1,500 per benefit year |
|
Hearing aids |
Benefit will increase from $600 to $800 per ear every three consecutive benefit years |
|
Wigs and hair prostheses |
New benefit: 80% after deductible up to $500 per benefit year |
Covered only for hair loss resulting from chemotherapy or radiation therapy |
Regence Select Network Plan benefit changes
| Type of Service | Benefit |
|
Deductible |
Will increase to $225 or greater per individual, depending on employee status |
|
Lifetime Benefit Maximum |
Will increase to $2 million per individual |
|
Mental Health |
|
|
Inpatient and outpatient benefit year limits for non-network providers |
Removed day and visit limits |
Note: Coordination is required through ValueOptions at |
Substance Abuse |
|
|
Detoxification and outpatient rehabilitation |
Lifetime maximum will change from two courses of treatment (COT) or $10,000, if greater; to lifetime maximum of two COT with a $7,500 maximum per COT |
Note: Coordination is required through ValueOptions at |
Other Benefits |
|
|
Neurodevelopmental therapy |
Benefit maximum will increase from $1,000 to $1,500 per benefit year |
|
Physical, occupational and speech therapy |
Removed inpatient and outpatient maximums |
|
Home health care |
Removed visit limit |
|
Transplants |
Removed lifetime maximum and donor procurement limit |
|
Vision Hardware |
|
|
Frames |
Allowance will increase from $70 to $90 |
|
Contact Lenses |
Allowance will increase from $105 to $120 |
|