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3.01 3.1 INSURANCE\Empire MediBlue Freedom Medicare Advantage Renewal for 2022- 10-4-2021 RESOLUTION AUTHORIZING 2022 RENEWAL CONTRACT FOR EMPIRE MEDIBLUE FREEDOM (PPO) MEDICARE ADVANTAGE INSURANCE RESOLUTION NO. ,2021 INTRODUCED BY: WHO MOVED FOR ITS ADOPTION SECONDED BY: WHEREAS, the Town of Queensbury previously entered into an agreement for an employee group health insurance plan with Empire MediBlue Freedom (PPO) Medicare Advantage, and WHEREAS, the Town Board, in conjunction with Upstate Agency LLC, has negotiated a renewal contract for the year 2022 with Empire MediBlue Freedom (PPO) Medicare Advantage, NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby approves and authorizes a renewal contract for the year 2022 with Empire MediBlue Freedom (PPO) Medicare Advantage with the 2022 monthly premium to be$387.89 per member, and BE IT FURTHER, RESOLVED, that in the event that surcharges, fees or taxes are mandated or imposed on the Town's health insurance policies that are beyond the Town's control, resulting rate changes may be passed on to all employees without further Town Board Resolution, although the Town will provide notice of any such rate changes to all employees and retirees, and BE IT FURTHER, RESOLVED, that the Town Board further authorizes and directs the Town Supervisor to execute any contracts and documentation and the Town Supervisor and/or Town Budget Officer to take such other and further action necessary to effectuate the terms of this Resolution. Duly adopted this 4'1'day of October,2022, by the following vote: AYES NOES ABSENT: 2 Town of Queensbury UPSTATE AGENCY. Medicare Advantage with Prescription Drug 14®INSURANCE January 1,2022 Effective date EMPLOYEE BENEFITS DIVISION Plan Benefits In-Network Out-of-Network Deductible None Coinsurance None Out-of-Pocket Maximum $3,400 Primary Office Visit $5 $5 Specialist Office Visit $20 $20 LiveHealth Online Covered in Full Covered in Full Preventive Services Covered in Full Covered in Full Inpatient Hospital $100($300 OOP per year) $100($300 OOP per year) Outpatient Surgery $50 $50 Emergency Room $50 $50 Urgent Care Center $20 $20 Ambulance $50 $50 Laboratory testing $20 $20 X-rays $20 $20 MRI/MRA,Cat Scan,PET $50 $50 Diabetic Supplies 10%Coinsurance ! 10%Coinsurance Physical/Speech/Occupational Therapy $20 $20 Skilled Nursing Facility $10 per day for days 1-100 $10 per day for days 1-100 Durable Medical Equipment 10%Coinsurance 10%Coinsurance Home Health Care Covered in Full Covered in Full Acupuncture(Medicare-covered) $5(up to 12 visits in 90 days) $5(up to 12 visits in 90 days) Routine Vision Exam $0(limited to a$70 max benefit)every 12 months Lenses&Frames Allowance $100 Allowance every 24 months Dental Allowance None Routing Hearing Exam $0(limited to a$70 max benefit)every 12 months Hearing Aid Benefit $500 Allowance(every 12 months) Preferred Pharmacy: $10/$20/$40 Prescription Drug-Part D Standard Pharmacy: $15/$25/$40 Mail Order(90 day supply) $30/$50/$90 Coverage gap/donut hole No gap Wellness Program SilverSneakers and Nurse Helpline Healthy Meals 14 meals per qualifying event,allows up to (4 events each year(56 meals in total) Rate 93 $395.80 $387.89 Estimated Monthly Cost $36,809 $36,074 Estimated Annual Cost $441,713 $432,885 Percent Change From Current N/A -2.0% This is a benefit summary only and is subject to the terms,conditions,limitations and exclusions set forth in the contract.