The Daviess County Commissioners have made a number of changes to its health insurance in hopes of keeping costs under control. The commissioners approved a plan that will put the base of their self-insured health care program at $1.4 million. The amount is higher than officials had originally anticipated but lower than what they had feared.
“Our original estimate for our health care insurance was right at a million dollars,” said President of the Daviess County Commissioners Tony Wichman.
One of the biggest impacts on the health insurance are some of the new provisions of the Affordable Health Care Act. “That hit us with a 15 percent surcharge right off the bat,” said Wichman.
Those federal regulations also have produced some changes in the coverage. Those include additions to the prescription plan to cover birth control, tobacco cessation, and some over the counter drugs without co-pays. Other changes eliminate the exception for pre-existing conditions and lifetime limits.
The county was also put into the position under the Defense of Marriage Act to define what constitutes a spouse. “We are taking no stand on this,” said Commissioner Michael Taylor. “We are going to follow what the state defines as a spouse.”
With the rising costs and coverages the county has decided to make some further changes to try and keep costs under control. The county is expanding its pre-certification program to include cancer treatments and transplants and has added a wellness program that can impact the deductible for employees and their families.
“We need to get the employees to buy in to this and to make an effort to help control our costs,” said Wichman.
The plan is to hold a health screening for employees and their spouses that are on the county plan on Jan. 7. Those who participate will continue to maintain their current deductibles. Those who do not will have their deductible doubled. To try and get as much participation as possible the county will also be accepting screenings done by family physicians either 60 days before or 60 days after the health screening event. The plan is to be as flexible as possible for the employees to get as maximum participation.