Tompkins Cortland Community College Plan Information

Class   Benefit Summary Summary of Benefits & Coverage Prescription Plan*
CSEA, FACULTY, ADMINISTRATORS, FSA, FARM,
CULINARY CENTER 


 
PPO
Indemnity
Platinum Plan
Gold Plan
Silver Plan
Bronze Plan

PPO
Indemnity
Platinum Plan
Gold Plan
Silver Plan
Bronze Plan
 

$ 5/20/35 Retail   $ 10/40/70 Mail
$ 5/20/35 Retail   $ 10/40/70 Mail
$ 5/35/70 Retail   $ 10/70/140 Mail
$ 5/35/70 Retail   $ 10/70/140 Mail
$ 5/35/70 Retail   $ 10/70/140 Mail
$ 5/35/70 Retail   $ 10/70/140 Mail

RETIREE GROUP

 
Indemnity
 

 
Indemnity
 
$ 5/20/35 Retail $ 10/40/70 Mail
RETIREE GROUP 
PPO
 
PPO $ 5/20/35  Retail $ 10/40/70 Mail

*Prescription Plan is linked to Drug Formulary
* To view Participating Providers and your subscriber information please sign on to your Excellus account