MPI Health Plans

Below, find the MPI Health Plan breakdown chart.

Understand that this chart outlines the plans in their current state. The current contract negotiations could include changes to these plans. If any changes are made, this chart will be updated.

Motion Picture Industry Health Plan
Eligibility	Earned after six month qualifying period where at least 600 hours is worked.Participation is checked every six months and maintained by working at least 400 hours in the previous six month period.
Premiums	Currently, there are no premiums for participation in the MPI Health plans. However, that may change with the new contract being negotiated.
Bank of Hours	Funded by hours worked after participation in the next six-month period is reached. Capped at 450 hours. Used to maintain participation in the health plan if there aren’t enough hours worked when the plan checks for eligibility.
Who is covered?	* Participant * Spouse/Same-Sex Domestic Partner (if that person works and their job offers health care, they must take minimum and MPI will act as secondary) * Children
	Medical Options
	BCBS/MPI PPO (MPTF Health Centers)	Kaiser HMO	HealthNet HMO
Co-Pay	$30 per visit($5 per visit at MPTF Health Centers)	$15 per visit	$15 per visit
Insurance covers	90% In-Network costs	All in-network costs	All in-network costs
Out Of Pocket Maximums	$1000 per year	$8000 per individual / $16,000 per family, per year	$8000 per individual / $16,000 per family, per year
Comparison Chart	http://animationguild.org/organ ize/MPIActive_MedDentalComparison2011.pdf
	Dental Options
	Delta Dental PPO	DeltaCare USA HMO
Co-Pay	$25 Individual / $50 Family per year	No Co-Pay
Insurance covers	80% In-Network Usual and Customary fees	>All in-network costs
Out Of Pocket Maximums	$2000 per year	No Out of Pocket Max (no costs passed to participant)
Orthodontics	Eligible dependent children only 50% of costs covered $1k lifetime maximum	$1,100 for Children $1,500 for adults $250 start-up fee
	Vision Service Plan (VSP)
Co-Pay	$20 per visit
Insurance covers	One Standard Exam Lenses once per year Frames once per two-years
Frames Allowance	$145 Can be put towards cost of expensive frames 20% discount on cost difference after allowance
Contact Lenses	Once a year in lieu of Frames and Lenses $105 allowance for lenses and fitting exam If prescribed by doctor, all costs are covered
	Medco (Prescription Drugs)
Co-Pay (less than 90 day need)	Generic name: $10 Brand Name: $40
Co-Pay (Medco-By-Mail) (for prescriptions lasting over 90 days)	Generic name: $25 Brand Name: $100

Motion Picture Industry Health Plan Chart

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