VSBIT CORNER:

VEHI Health and Dental Insurance Rates for 2008-09

by Joe Zimmerman, Vermont School Board Insurance Trust Director

 

During the first week of January, the Vermont Education Health Initiative (VEHI) announced health and dental insurance rates for 2008-09. Beginning July 1, 2008, health plan premiums will increase by an average of 5%.   (The actual increase may vary somewhat, depending on the insurance plan selected and additional riders.)

 

The 2008-09 premium increase for VEHI health care plans is the lowest for the educational community since 1998-99.  Further, the 5% figure marks the 3rd consecutive year, and the 5th in the last seven (2002-09), that VEHI’s average premium increase has been less than 10%, a noteworthy accomplishment given skyrocketing insurance rates at the state and national level.

VEHI’s administrative costs continue to be lower than other self-funded groups that purchase insurance services from BCBS-VT. VEHI’s efforts to contain costs at all levels of operation—from administration and plan design to advanced wellness and chronic care management programs—helps explain why VEHI plans are less expensive than comparable plans offered by BCBS-VT to other community-rated associations.

 

With respect to VEHI-Delta’s dental care plans, there will be no premium change for these plans in 2008-09. Additionally, beginning on July 1, 2008, VEHI-Delta will provide enhanced dental benefits to subscribers, which will include the following services: (1) Four cleanings and/or periodontal cleanings in any consecutive 12-month period; (2) An additional fluoride treatment (for a total of two) during any consecutive 12-month period for children to the age of 19; (3) Sealant benefits extended to children to age 19, with replacements every 3 years; (4) Coverage for dental implants under Coverage C, including surgical placement of an endosteal implant body and healing cap.  VEHI/Delta is taking this action because there is a growing consensus in the medical field that prevention of periodontal disease reduces the incidence of diabetes, heart disease and low birth weights. In other words, high-quality, preventive dental services contribute to keeping adults and children healthier overall, which helps to reduce health care and insurance costs.

 

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