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Motion Picture Industry Health Plan |
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Eligibility |
Earned after six month qualifying period where at least 600 hours are worked. Participation is checked every six months and maintained by working at least
400 hours in the previous six month period. |
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Premiums |
There is no premium cost to the member-participant.
For the member plus one dependent (spouse or child), there is a $25 per month premium.
For family coverage (member + 2 or more), there is a $50 per month premium.
Premiums are paid on a quarterly basis. |
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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. If you have not worked 400 hours in the period but have hours available in your bank, those hours will be used to bring your total to 400 hours if possible. This helps ensure your continued coverage even if you have a few months off between projects. |
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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 |
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Medical Options |
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BCBS/MPI PPO
(MPTF Health Centers) |
Kaiser HMO |
HealthNet HMO |
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Co-Pay |
$30 per visit($5 per visit at MPTF
Health Centers) |
$15 per visit |
$15 per visit |
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Insurance covers |
90% In-Network costs |
All in-network costs |
All in-network costs |
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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 |
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Dental Options |
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Delta Dental PPO |
DeltaCare USA HMO |
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Co-Pay |
$25 Individual / $50
Family per year |
No Co-Pay |
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Insurance covers |
80% In-Network Usual
and Customary fees |
>All in-network costs |
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Out Of Pocket Maximums |
$2000 per year |
No Out of Pocket Max
(no costs passed to participant) |
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Orthodontics |
Eligible dependent
children only
50% of costs covered
$1k lifetime maximum |
$1,100 for Children
$1,500 for adults
$250 start-up fee |
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Vision Service Plan (VSP) |
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Co-Pay |
$20 per visit |
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Insurance covers |
One Standard Exam
Lenses once per year
Frames once per two-years |
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Frames Allowance |
$145
Can be put towards
cost of expensive frames
20% discount on cost difference after allowance |
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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 |
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Express Scripts (Prescription Drugs) |
Co-Pay (less than 90
day need) |
Generic name: $10
Brand Name: $40 |
Co-Pay
(3 month mail order supply of medications taken for more than 90 days) |
Generic name: $25
Brand Name: $100
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