Office of HuMan resources

The College has two types of medical coverage *

1. Oxford Freedom Plan Access (A) – with in-network and out-of network MD’s.
2. Oxford Freedom Plan Access (B) – with in-network MD’s.

OXFORD FREEDOM PLAN ACCESS (A)

When network MD’s are used, the copayment is $15 per office visit.  Specialist office visits is $25 per office visit

When out-of-network MD’s are selected there is a $300 deductible per person or $600 per family.  Oxford pays 70% of usual and customary charges.  After deductible, annual out-of-pocket co-insurance maximum is $1,800 per person or $3,600 per family.  Out-of-network hospital bills are paid at 70% after deductible.

Prescriptions are paid when using a participating pharmacy:  $10 per generic prescription, $20 per preferred brand name prescription or $35 per brand name prescription.

OXFORD FREEDOM PLAN ACCESS (B)

When network MD’s are used the copayment is $10 per office visit.  Specialist office visits is $15 per office visit.

When out-of-network MD’s are selected there is a $3000 deductible per person or $7,500 per family.  Oxford pays 70% of usual and customary charges.  After deductible, annual out-of-pocket co-insurance maximum is $10,500 per person or $26,250 per family.  Out-of-network hospital bills are paid at 70% after deductible.

Prescriptions are paid when using a participating pharmacy:  $10 per generic prescription, $20 per preferred brand name prescription or $35 per brand name prescription.

Employees are responsible for some contribution to either plan.

*All full-time permanent employees and their dependents are covered under our medical plan after 30 days of employment.

Oxford Forms

• Oxford Claim Form
• Oxford Mail Order Prescription Form
• Oxford Gym Reimbursement Form
• Oxford Add/Term Change Form
• Oxford Coordination of Benefits Form
• Oxford Student Verification Form
• Oxford HIPAA Authorization Form
• Oxford Prescription Reimbursement Form

July 2005