Alternative Delivery Systems. The State Health Plan shall also provide 33 hospice care and birthing center care benefits to employees and enrolled 34 family members. To be eligible for the hospice care benefit, the covered 35 individual must be diagnosed as terminally ill by the attending physician 36 and/or hospice medical director with a medical prognosis of six months or 37 less life expectancy. Covered hospice benefits include physical, 38 occupational, and speech language therapy; home health aid services; 39 medical supplies; and nursing care. Covered hospice benefits are not 40 subject to the individual deductible or any co-payment and will be paid 41 only for services rendered by federally certified or state licensed hospices. 42 Hospice services covered under the SHP will be continued. Details of the 43 covered service will be provided in the SHP booklet. Both hospice care 44 and birthing center care shall be available to employees at their option in 1 lieu of hospital confinement. Birthing center care is covered under the 2 delivery and nursery care benefit set forth in Appendix K.
Alternative Delivery Systems. The State Health Plan shall also provide hospice care and birthing center care benefits to employees and enrolled family members. To be eligible for the hospice care benefit, the covered individual must be diagnosed as terminally ill by the attending physician and/or hospice medical director with a medical prognosis of six months or less life expectancy. Covered hospice benefits include physical, occupational, and speech language therapy; home health aid services; medical supplies; and nursing care. Covered hospice benefits are not subject to the individual deductible or any co-payment and will be paid only for services rendered by federally certified or state licensed hospices. Hospice services covered under the SHP will be continued. Details of the covered service will be provided in the SHP booklet. Both hospice care and birthing center care shall be available to employees at their option in lieu of hospital confinement. Birthing center care is covered under the delivery and nursery care benefit set forth in Appendix X.
Alternative Delivery Systems. The State Health Plan shall also provide hospice 20 care and birthing center care benefits to employees and enrolled family 21 members. To be eligible for the hospice care benefit, the covered individual must 22 be diagnosed as terminally ill by the attending physician and/or hospice medical 23 director with a medical prognosis of six months or less life expectancy. Covered 24 hospice benefits include physical, occupational, and speech language therapy; 25 home health aid services; medical supplies; and nursing care. Covered hospice 26 benefits are not subject to the individual deductible or any co-payment and will be 27 paid only for services rendered by federally certified or state licensed hospices.
Alternative Delivery Systems. The State Health Plan shall also provide 23 hospice care and birthing center care benefits to employees and enrolled 24 family members. To be eligible for the hospice care benefit, the covered 25 individual must be diagnosed as terminally ill by the attending physician 26 and/or hospice medical director with a medical prognosis of six months or 27 less life expectancy. Covered hospice benefits include physical, 28 occupational, and speech language therapy; home health aid services; 29 medical supplies; and nursing care. Covered hospice benefits are not subject 30 to the individual deductible or any co-payment and will be paid only for 31 services rendered by federally certified or state licensed hospices. Hospice 32 services covered under the SHP will be continued. Details of the covered 33 service will be provided in the SHP booklet. Both hospice care and birthing 34 center care shall be available to employees at their option in lieu of hospital 35 confinement. Birthing center care is covered under the delivery and nursery 36 care benefit set forth in Appendix G. 38 B. Prescription Drugs: Bargaining unit members who are covered by the State 39 Health Plan will be enrolled in the alternative prescription drug PPO.. The 40 Employer shall continue an optional mail order plan for maintenance prescription 41 drugs. The employee co-pay shall be $7 per prescription for generic drugs and a 42 $15 co-pay per prescription for brand name drugs for both the retail and mail
