Find Answers now, Changing workplace procedures tends to be counterproductive?, Mr. TellMe is #search engine of Meanings and Definitions.
If done with care and forethought, changing work procedures can increase productivity. However, if done improperly, doing so can easily be counter productive.
I assume it does vary state by state
but I was allowed to pick my own plan on medi-cal and medi-care. I actualy got a very good Blue-Cross PPO medicare supplemental plan (covers prescriptions, doctors visits & hospitilization at much lower rates than traditional medi-care. I saw the doctor today for $10 co-pay & got 2 30-day prescriptions for $1.05 each) and the state covers the premiums. I'm in California (San Francisco) and had about 30 plans to choose from, I hear in smaller areas sometimes you don't have a choice or only have 1 or 2 choices for prescriptions or supplemtal HMO or PPO plans. 4 of the plans in my area the premium was free, and the rest it was $5-50 per month.
Medi-cal only offers 2 supplemental HMO plans (some people must choose an HMO, some are allowed to keep straight medi-cal, depends on your area, and why you're getting medi-cal. For example if you're on welfare here you must choose an HMO plan. If you're on SSI you can choose regular or an HMO) but both plans here are very good and have 0 premium. The HMOs a lot more than traditional medi-cal.