PIPA changes for 2022
For 2022, The Medical Association worked with Blue Cross to keep the rate increase to a minimum. While many groups are experiencing double digit increases, our increase is only between 2% -6.5%.
See changes as follows:
- The high option out of pocket deductible has been increased to $1500/$4500 per year
- We now have the Source Rx 1.0 formulary for prescriptions. Effective January 1, 2022, PIPA will now be under the Source Rx 1.0 formulary. Since it’s inception in December 2014, PIPA has been under the Standard formulary for prescriptions, (where it covered the broadest list of drugs, including high cost outliers, non-essential drugs and prescription drugs with over the counter alternatives). The Source Rx formulary excludes select non-preferred drugs, non-essential drugs and prescription drugs with over the counter equivalents, however, exceptions can be made for those with prior authorization. This change keeps PIPA more in line with other large group plans and will help to keep premiums lower in the future for all participants. (These changes will be shown in the Matrices once available.)
Please contact BCBS customer service at 800-292-8868 for specific questions regarding the Source Rx 1.0 formulary.
- All options now have a 10% coinsurance for in-network, which includes: Inpatient Physician Visits and Consultations (except Mental Health/SUBA), Outpatient Diagnostic Lab, X-Ray (including MRI, CAT Scan, PET/SPECT), Pathology, Dialysis, IV Therapy, Chemotherapy & Radiation Therapy, Physician Second Surgical Opinions, Physician Diagnostic Lab, X-Ray (including MRI, CAT Scan, PET/SPECT), Pathology, Dialysis IV Therapy, Chemotherapy & Radiation Therapy, Physician Surgery & Anesthesia, Physician Maternity Care and Home Health and Hospice.
*This Blue Cross and Blue Shield group rated health insurance plan continues to be a valuable membership benefit to physician members and their staff.
effective January 1-December 31, 2022
Rates shown are MONTHLY amounts. Premiums will be billed QUARTERLY.
*Dental coverage is optional.