Our Health Care Benefits are maintained by the Office of Risk & Benefits Management which facilitates the plan through Consociate.
Employee Benefits Guide      Health Benefit Plan
2025 Benefits
Monthly Premium
	
		
			| Medical Coverage | PPO, Maxi I, Maxi II | MRP, Supplemental | 
	
	
		
			| Employee Only | $95 | $47.50 | 
		
			| Employee + Spouse | $209 | $104.50 | 
		
			| Employee + Child | $152 | $76 | 
		
			| Family | $247 | $123.50 | 
	
 
Deductible & Medical Out-of-Pocket Maximum
	
		
			| Health Plan Level | Deductible (In-network/Out-of-network) | Maximum Out-of-Pocket | 
	
	
		
			| Individual | $500 | $1,800* | 
		
			| Single + Spouse | $900 | $3,960* | 
		
			| Single + Child | $1,100 | $3,600* | 
		
			| Family | $1,300 | $3,960* | 
		
			| Out-of-Network | *Out-of-network coverage above “usual, customary, & reasonable” (as defined by the plan) do not track towards out of pocket maximum | 
	
 
Co-Pay Prescription Drug
	
		
			| Generic | Brand - Single Source; Multi-Source (no sub) | Brand - Multi-Source | Specialty Drug | 
	
	
		
			| $12 | $25 | $60 | $200 | 
	
 
Co-Pay Emergency Room Visit
$250 Copay + Deductible
Care Providers
For more information, visit our care provider's
Risk & Benefits Management
 (309) 694-5398
 benefits@icc.edu
 Mon-Fri: 8 am - 4:30 pm
 East Peoria Campus, Academic Building, 236A
 
 
DeductibleIndividual