Alternative Care Benefit. Nurses may choose to enroll in the alternative care benefit at the level that the nurse has enrolled in medical insurance and will pay the following additional premiums per pay period: Tier Enrolled in Medical Plans Alternative Care Premium EE only $23.09 EE+Children $41.56 EE+Spouse $46.17 EE+Family $69.26
Alternative Care Benefit. Nurses may participate in the alternative care benefit 5 that will be included as part of the health insurance plan for 2012 and 2013 in 6 accordance with terms of the alternative care benefit plan. Nurses may choose 7 to enroll in the alternative care benefit at the level that the nurse has enrolled in 8 medical insurance and will pay the following additional premiums per pay period 9 for 2012. Premiums for the Alternative Care Benefit in 2013 will be set by the 10 plan in the usual and customary manner. Tier Enrolled in Medical Plans Alternative Care Premium EE only $23.09 EE+Children $41.56 EE+Spouse $46.17 EE+Family $69.26 1 EXHIBIT ONE 2 HEALTH INSURANCE Provider Visits In Network Out of Network Preventive Care Visits (and associated tests) Covered in full Deductible + 40% Primary Care Office Visit (non-preventive) $20 (no deductible) Specialist Care Office Visit Deductible + 20% Emergent Services/Hospital Immediate/Urgent Care PMG Immediate Care: $20 / Urgent Care: $50 Emergency Room (copay waived, if admitted) $250 copay (no deductible) Inpatient admission PH&S: Deductible + 10% PHP Network: Deductible + 20% Deductible + 40% (in-network coinsurance applies if emergency admission) Outpatient admission PH&S: Deductible + 20% PHP Network: Deductible + 30% Ancillary Services Rehab, Imaging, Lab and Supplies Deductible + 20% Deductible + 40% Specialty pharmaceutical procedures Deductible + 20% n/a Pharmacy (per 30 day Rx) Value / Generic $5 / $10 n/a Brand (30 days per drug) 50% to $150 maximum n/a Maternity Prenatal, Delivery, Postnatal (obstetrician services) Deductible and Coinsurance waived Deductible + 40% Hospital PH&S: Deductible + 10% PHP Network: Deductible + 30% Deductible + 40% Routine Nursery PH&S: 10% coinsurance PHP Network: 30% coinsurance (deductible waived) Deductible + 40%
Alternative Care Benefit. Up to $100 annually may be credited to patient’s account for alternative care measures including but not excluded to the following list. Up to $150 annual credit may be applied if Patient receives services exclusively from Practice’s preferred providers (list can be supplied):
Alternative Care Benefit. Nurses may participate in the 24 alternative care benefit that will be included as part of the health insurance plan 25 for 2012, in accordance with terms of the alternative care benefit plan. Nurses 26 may choose to enroll in the alternative care benefit at the level that the nurse has 27 enrolled in medical insurance and will pay the following additional premiums per 28 pay period: Tier Enrolled in Medical Plans Alternative Care Premium EE only $23.09 EE+Children $41.56 EE+Spouse $46.17 EE+Family $69.26 1 Letter of Agreement on Task Force for Health Insurance 2 The parties acknowledge and agree that there is a shared interest in engaging 3 employees in their own health and the impact of their health management on the 4 insurance program offered by the Medical Center. Toward that end, the Medical Center 5 will form a Task Force on Health Insurance. 7 The purpose of this committee is to review relevant data and provide input and
Alternative Care Benefit. Nurses may participate in the 21 alternative care benefit that will be included as part of the health insurance plan 22 for 2012, in accordance with terms of the alternative care benefit plan. Nurses 23 may choose to enroll in the alternative care benefit at the level that the nurse has 24 enrolled in medical insurance and will pay the following additional premiums per 25 pay period: Tier Enrolled in Medical Plans Alternative Care Premium EE only $23.09 EE+Children $41.56 EE+Spouse $46.17 EE+Family $69.26 Page 10 of 11 Date Accepted / / Accepted by XXX Accepted by Employer 1 Page 11 of 11 Date Accepted / / Accepted by XXX Accepted by Employer 1 LETTER OF AGREEMENT – HEALTH CARE UNIT RESTRUCTURING 2 The parties recognize that the Health Care Industry is now undergoing an 3 unprecedented level of change, due in part to the passage and implementation of 4 the Affordable Care Act. One possible effect of that change is that employers 5 throughout the industry are considering how best to restructure their care delivery
