Health & Dental Insurance - Human Resources & Employment | Wartburg College, Waverly, Iowa USA

Eligibility: Full-time faculty status (5/7 load), administrative staff who work at least 3/4 time, and support staff who work at least 1486 hours per year

Providers: Wellmark Bue Cross Blue Shield for Health; Delta Dental for Dental

HEALTH INSURANCE

PPO Alliance Select

MCO Blue Advantage

HD-HSA Alliance Select

Office visit in network: $20
Inpatient hospital in network: 80/20
Prescriptions: 10/30/45/85
100/200 Deductible

Deductible/calendar year

$1,000/$2,000

Maximum out-of-pocket/calendar year

$2,000/$4,000

PPO Summary (PDF)
www.wellmark.com
1-800-355-2031

Office visit in network: $15
Inpatient hospital in network: 90/10
Prescriptions: 10/30/45/85
100/200 Deductible

Deductible/calendar year

$750/$1,500

Maximum out-of-pocket/calendar year

$1,500/$3,000

MCO Summary (PDF)
www.wellmark.com
1-800-355-2031

Office visit: Subject to deductible
Inpatient hospital: Subject to deductible
Prescriptions: Subject to deductible

Deductible/calendar year

$2,500/$5,000 (in network)

Maximum out-of-pocket/calendar year

$2,500/$5,000 (in network)

HD-HSA Summary (PDF)
www.wellmark.com
1-800-355-2031

DENTAL INSURANCE

Delta Dental - Core Plan	Delta Dental - Buy-Down Plan
Deductible/calendar year Waived for checkups Employee: $50 Employee + 1: $100 Family: $150 Orthodontia for dependents: 50% Cavity repair, extractions, gum diseases: 15% Delta Dental Core Summary (PDF) Delta Dental - (800) 544-0718	Deductible/calendar year Waived for check-ups Employee: $50 Employee + 1: $100 Family: $150 No orthodontia Cavity repair, extractions, gum diseases: 50% Delta Dental Buy-Down Summary (PDF) Delta Dental - (800) 544-0718

Additional information: Jane Juchems, Director of HR at 352-8431, Luther Hall 203 or Jamie Hollaway, Payroll & Benefits Manager, at 352-8418, Luther Hall 209