The District will continue the Direct Contract with CHI for 2026.  This will allow access to CHI facilities for membership in the Traditional PPO Plan and Broad Network HDHP.  We will still offer the CHI Narrow Network HDHP as well.

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There are a few noteworthy changes for 2026:  

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• The deductible and maximum out of pocket limits have increased for all health plans offered by MPS.

  • The Broad Network HDHP will have a $3,900 individual / $7,800 family deductible and out of pocket maximum.

  • The CHI and NHN Narrow Network Plans will have a $3,400 individual / $6,800 family deductible and out of pocket maximum.

    • Because of the deductible and maximum out of pocket changes for 2026, all staff electing health coverage will be issued a new ID card.

  • The Traditional PPO plan will have a $1,200 individual / $2,400 family deductible and $5,200 individual / $10,400 family out of pocket maximum.

    • The Diabetic Supply Copays will increase on the PPO plan to match existing copay tiers

      • Retail - $40 / $100 / $150

      • Mail Order - $100 / $250 / $375

• Adding PillarRX Copay Assistance Program to all health plans.

  • What is Copay Assistance?

    • Copay assistance is a process in which drug manufacturers provide financial support to patients by covering all or most of the copay applied to a specialty medication.

  • How Does the Copay Assistance Program Save Money?

    • The manufacturer assistance received for these high-cost medications may substantially reduce or completely cover a member’s cost share for the medication. Members will only be responsible for their remaining cost share after the manufacturer assistance is applied, not to exceed your existing prescription benefit copayment for PPO plan enrollees or remaining deductible for high deductible health plan (HDHP) enrollees.

    • Certain specialty drugs may be eligible for a reduced member cost share if you are enrolled under the PillarRX Copay Program. If drugs are eligible under the PillarRx Copay Program and you do not participate, you may be subject to higher cost.

• Addition of Enhanced Eye360 Preferred Provider Network for EyeMed Vision Coverage

  • Staff who utilize a Preferred Provider will have their exam copay waived, and an additional $50 frame / contact lens benefit added

  • Free glasses lens upgrade for UV Coating and Anti-Reflective Coating

• Dependent Care FSA:  Increasing to $7,500