Jump to other news and events
Purdue signature

Employee Costs Summary

2014 Employee Costs Summary


 
Purdue
Health Plan
Purdue Health Plan
Plus HSA 1
Purdue Health Plan
Plus HSA 2
University's Contribution to Employee's Health Savings Account Employee only
N/A
$650
$650
  Employee + one or
more covered family
members
N/A
$1,300
$1,300
Deductible
(On Purdue Health Plan only: No deductible on in-network primary care provider office visits and mental health/behavioral/substance abuse outpatient & professional visits.)
Employee only
$750 (in)
$1,500 (out)
$1,750 (in)
$3,500 (out)
$2,500 (in)
$5,000 (out)
Employee + one or more covered family members
$1,500 (in)
$3,000 (out)
$3,500 (in)
$ 7,000 (out)
$5,000 (in)
$10,000 (out)
Coinsurance
80/20 (in)
60/40 (out)
80/20 (in)
60/40 (out)
75/25 (in)
55/45 (out)
Out-of-Pocket Maximum
(includes deductible)
Employee only
$2,400 (in)
$4,800 (out)
$3.500 (in)
$7,000 (out)
$5,000 (in)
$10,000 (out)
Employee + one or more covered family members
$4,800 (in)
$9,600 (out)
$7,000 (in)
$14,000 (out)
$10,000 (in)
$20,000 (out)
Center for Healthly Living
$10
copay
$45
flat fee
$45
flat fee
 
Purdue Health Plan
Purdue Health Plan
Plus HSA 1
Purdue Health Plan
Plus HSA 2
Labs
Employee Pays:
Tier 1 Labs, including Center for Healthy Living lab
$0
Preventive = 0%
Non-preventive = Deductible, then 20%
Preventive = 0%
Non-preventive = Deductible,
then 25%
Tier 2 Labs
Preventive = 0%
Non-preventive = Deductible,
then 20%
Preventive = 0%
Non-preventive = Deductible,
then 20%
Preventive = 0%
Non-preventive = Deductible,
then 25%
Tier 3 Labs
Preventive and Non-preventive = Deductible, then 40%
Preventive and Non-preventive = Deductible, then 40%
Preventive and Non-preventive =
Deductible, then 45%
Prescription Drugs: Retail (30-day supply)
Employee Pays:
Preventive Generic
$0
$0
$0
Preventive Formulary/
Preferred Brand Name
No deductible, 30%,
up to $100 max 
No deductible, 35% 
No deductible, 35% 
Preventive Non-Formulary/
Non-Preferred Brand Name
No deductible, 40%,
up to $150 max 
No deductible, 55% 
No deductible, 55% 
Generic
No deductible, actual cost,
up to $10 max
Deductible, then actual cost,
up to $10 max
Deductible, then actual cost,
up to $10 max
Formulary/Preferred Brand Name
No deductible, 30%,
up to $100 max
Deductible, then 35%
Deductible, then 35%
Non-Formulary/ Non-Preferred Brand Name
No deductible, 40%,
up to $150 max
Deductible, then 55%
Deductible, then 55%
Prescription Drugs: Mail Order (90-day supply)
Employee Pays: 
Preventive Generic
 $0
 $0
$0 
Preventive Formulary/
Preferred Brand Name
No deductible, 30%,
up to $250 max 
 No deductible, 25%
 No deductible, 25%
Preventive Non-Formulary/
Non-Preferred Brand Name
No deductible, 40%,
up to $350 max 
 No deductible, 45%
No deductible, 45% 
Generic
No deductible, actual cost,
up to $25 max
Deductible, then actual cost,
up to $25 max
Deductible, then actual cost,
up to $25 max
Formulary/Preferred Brand Name
No deductible, 30%, up to $250 max
Deductible, then 25%
Deductible, then 25%
Non-Formulary/ Non-Preferred Brand Name
No deductible, 40%, up to $350 max
Deductible, then 45%
Deductible, then 45%