Benefits Guide and Rate Information

Thompson School District is proud to offer a comprehensive benefits package including medical, dental, vision and life insurance as well as other programs for benefit eligible employees.

2024-25 Information
Medical Plan Comparison

2024-25 Information

To learn more about our benefits options, please visit the 2024-25 Benefits Guide.
2024-2025 Benefits Guide

2024-2025 Folleto de Beneficios

To calculate your monthly benefits premium, please use the calculator below.

Medical Plan Comparison

Medical Benefits Comparison
Medical Base Plan	PPO Select	PPO5	Kaiser DHMO 1500
Office Visit (Primary/Speciality)	Primary: Tier 1 $0 Copay Tier 2 Deductible + 50% to OOP Max Specialist: Tier 1 $100 Copay Tier 2 Deductible + 50% to OOP Max	$45 Copay / $45 Copay	$40 Copay / $40 Copay
Deductible (single/Family)	Single Tier 1: $1,500, Tier 2: $3,000 Family Tier 1: $3,000, Tier 2: $6,000	$2,500 / $5,000	$1,500 / $3,000
Coinsurance (in/Out)	Tier 1: 20% / Tier 2: 50%	20% In / 40% Out	20% In Network Only
Out of Pocket Single (in/out)	Tier 1: $4,000 / Tier 2: $8,000	$4,500 / $9,000	$4,000
Out of Pocket Family (in/out)	Tier 1: $8,000 / Tier 2: $16,000	$9,000 / $18,000	$8,000
Inpatient Hospital	Tier 1: Deductible + 20% to OOP Max Tier 2: Deductible + 50% to OOP Max	Deductible + 20% to OOP Max	Deductible + 20% to OOP Max
Outpatient Hospital	Tier 1: Deductible + 20% to OOP Max Tier 2: Deductible + 50% to OOP Max	Deductible + 20% to OOP Max	Deductible + 20% to OOP Max Amb Surgery Center $500 Copay
Rx Retail	Generic $20 / Preferred $40 / Non-preferred $60	Generic $20 / Preferred $40 / Non-preferred $60	Generic $20 / Preferred $40 / Non-preferred $60
RX Mail Order	2 times copay	2 times copay	2 times copay
Preventative Visit	Covered 100%	Covered 100%	Covered 100%
Outpatient Mental Health Visit	Covered 100%	$45 Copay	$40 Copay
Teladoc	Covered 100%	Covered 100%	N/A
Telehealth	$45 Copay	$45 Copay	Covered 100%
Advanced Imaging	Tier 1 $500 Copay / Tier 2 Deductible + 50% to OOP Max	Deductible + 20% to OOP Max	Deductible + 20% to OOP Max
X-Ray	$25 Copay	$45 Copay Office Setting / Outpatient subject to deductible	Deductible + 20% to OOP Max
Lab	$25 Copay	$45 Copay	$40 Copay
Urgent Care	Covered 100%	$75 Copay	Office Setting $0 Copay / Outpatient setting Deductible + 20% to OOP Max
Emergency Care	Tier 1: Deductible + 20% to OOP Max Tier 2: Deductible + 50% to OOP Max	Deductible + 20% to OOP Max	Deductible + 20% to OOP Max

If you need assistance with any of the above information, please contact a member of the Benefits Team.

Tracy Dockter, Insurance Benefits Specialist
tracy.dockter@tsd.org | 970.613.5004

Dorothy Barnhart, Director, Benefits and Risk Management
dorothy.barnhart@tsd.org | 970.613.5006

In This Section

Benefits Guide and Rate Information

2024-25 Information

Medical Plan Comparison

Medical Benefits Comparison

In This Section

Links and Resources