SAWS: Medical\Healthcare Benefit Plans
Aquifer Beaker

Edwards Aquifer

Aquifer Level 681.2'
10/22/18 - Official

The Edwards aquifer and its catchment area in the San Antonio region is about 8,000 square miles and includes all or part of 13 counties in south-central Texas.

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Year-Round Watering Hours

Watering with an irrigation system or sprinkler is allowed any day of the week before 11 a.m. or after 7 p.m.

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Aquifer Level 681.2 | Year-Round Watering Hours

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Benefits

Medical Plans

SAWS offers two medical plans, the PPO Economy (base plan) and the EPO (buy up plan).


UHC Plan Cost Estimator

Choosing the right plan for you and your family can be challenging. To assist employees with becoming better consumers of health care, UHC has created a Plan Cost Estimator that allows you to consider both the coverage (below) and the premiums you have to pay each month when selecting your medical coverage for 2018. Click on “Estimate your costs” to use the Plan Cost Estimator.

PPO Economy: The in-network benefit plan design has a $1,500 deductible and out-of-pocket maximum of $4,600 per individual. Primary care physician co-pays will remain at $40 per office visit, and in network specialist physician co-pay at $60 per office visit.

2018 PPO Economy Medical Premiums
Hired Before Jan. 1, 2011 Hired After Jan. 1, 2011
Tier Selection SAWS Employee SAWS Employee
Employee Only $399 $23 $399 $23
Employee + Spouse $799 $86 $659 $226
Employee + Child(ren) $697 $62 $587 $172
Employee + Family $1,177 $130 $917 $390

EPO Plus: This in-network benefit plan has a deductible of $500 per individual and out-of-pocket maximum of $4,100 per individual. In-network primary care physician co-pays will remain at $25 per office visit, and specialists at $40 per office visit.

2018 EPO Plus Medical Premiums
Hired Before Jan. 1, 2011 Hired After Jan. 1, 2011
Tier Selection SAWS Employee SAWS Employee
Employee Only $447 $95 $447 $95
Employee + Spouse $892 $245 $752 $385
Employee + Child(ren) $780 $195 $675 $300
Employee + Family $1,324 $355 $1,049 $630

PPO Networks: Both plans will offer the same PPO network through UnitedHealthcare. Go online to list of participating providers, and select the "UnitedHealthcare Choice Plus" network, or call 1-888-651-7277 to get personal assistance from a UnitedHealthcare representative. If you register on myuhc.com, your will access your personal account, along with direct access to the provider network.

Summary of Coverage
PPO Economy EPO PLus
Plan Benefit In-Network Out of Network In-Network Out of Network
Deductible $1,500 individual $2,500 individual $500 individual Not Covered
$4,500 family $7,500 family $1,500 family Not Covered
Coinsurance 80% after deductible 60% after deductible 80% after deductible Not Covered
Out of Pocket* 4,600 individual $6,600 individual $4,100 individual Not Covered
$9,200 family $13,200 family $8,200 family Not Covered
Office Visit
PCP/SCP
$40/$60 60% after deductible $25/$40 Not Covered
Preventive Care 100% 60% after deductible 100% Not Covered
Virtual Visits $30 N/A $15 n/A
Urgent Care $40 60% after deductible $40 Not Covered
Emergency Room $150 per visit co-pay, plus deductible and coinsurance $150 per visit co-pay, plus deductible and coinsurance
EMERGENCY ONLY
Hospital Inpatient 80% after deductible 60% after deductible 80% after deductible Not Covered
*Note: Out-of-pocket maximums for both the PPO Economy and EPO Plus include medical and prescription copay, deductible, and coinsurance amounts.

For all of the coverage details, see the official plan documents below.


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Medical Downloads



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