Aetna
 


  The CPI-U is an index of inflation and is determined as follows:

  • Go to the following URL: http://www.bls.gov/cpi
  • In the CPI Databases section, select the “Tables” button in the row labeled:“All Urban Consumers (Current Series) (Consumer Price Index - CPI)”
  • In the list “CPI Detailed Report Tables:”, select:“Consumer Price Index Detailed Report (tables 1-29 only) for most recent date.
  • In the document, scroll down to “Table 1”. Look up the value for Medical Care at the bottom of the first page, in the 3rd column, for the latest month in the Unadjusted indexes (value is hereafter referred to as “CPI-U Unadjusted”).
  • Enter that value into the following formula:

    • CPI = (CPI-U Unadjusted – 387.142) / 387.142
  • The maximum new copay allowed is the greater of the following two numbers:

    • Old copay + $5 + ($5 * CPI) or
    • Old copay * (CPI + 15%)
    • Example - The plan has an old copay of $10 and the most recent CPI-U is 388.199 (for June 2010).

      • CPI = (388-199 - 387.142) / 387.142 = 0.27%
      • Maximum new copay is equal to $15 (rounded)

        • $10 + $5 + ($5 * 0.27%) = $15.01 or
        • • $10 * (0.27% + 15%) = $11.53
  • The maximum deductible or out-of-pocket increase = CPI + 15%.

    • Example - The plan has an old deductible of $1,000 and the most recent CPI-U is 388.199 (for June 2010).

      • CPI = (388-199 - 387.142) / 387.142 = 0.27%
      • Maximum deductible increase is equal to $153 (rounded)

        • $1,000 * (0.27% + 15%) = $152.70
      • Maximum new deductible = $1,153