APPENDIX D – HEALTH, DENTAL, AND VISION INSURANCE Sample Clauses

APPENDIX D – HEALTH, DENTAL, AND VISION INSURANCE. The Medical Center and the Association agree that the nurses will participate in the medical, prescription, dental, and vision plans, as offered to the majority of the Medical Center’s employees, provided, however, that the Medical Center agrees that the plan will have the following provisions in 2016:

APPENDIX D – HEALTH, DENTAL, AND VISION INSURANCE. 2 The Medical Center and the Association agree that the nurses will participate in the 3 medical, prescription, dental, and vision plans, as offered to the majority of the 4 Medical Center’s employees, provided, however, that the Medical Center agrees 5 that the plan will have the following provisions in 2021: 6 Medical Benefit Design In Network Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings (HSA) Medical Plan Annual deductible $1,150 per person $2,300 max per family $1,500 employee only $3,000 if covering dependents Annual out-of-pocket maximum $3,300 per person $6,600 per family $3,000 employee only $6,000 if covering dependents Preventive Care No Charge No Charge Primary Care Provider visits (non-preventive) $20 copay 10% after deductible Specialist Provider Tier I network: 10% after deductible Tier II network: 20% after deductible Tier I network: 10% after deductible Tier II network: 20% after deductible Lab and x-ray Tier I network: 10% after deductible Tier II network: 20% after deductible Tier I network: 10% after deductible Tier II network: 20% after deductible Alternative care (chiropractic, acupuncture) Tier I, Tier II network: 20% after deductible Combined 12 visit limit per calendar year Tier I, Tier II network: 20% after deductible Combined 12 visit limit per calendar year Naturopathy Tier I, Tier II network: 20% after deductible Tier I, Tier II network: 20% after deductible Outpatient Behavioral health care visits No Charge Tier I, Tier II network: No charge after deductible Outpatient hospital/surgery facility fees (except hospice, rehab) Tier I network: 10% after deductible Tier II network: 25% after deductible Tier I network: 10% after deductible Tier II network: 25% after deductible Inpatient hospital facility fees, including behavioral health Tier I network: 10% after deductible Tier II network: 25% after deductible Tier I network: 10% after deductible Tier II network: 25% after deductible Hospital physician fees Tier I network: 10% after deductible Tier II network: 20% after deductible Tier I network: 10% after deductible Tier II network: 20% after deductible Emergency room $250 copay (waived if admitted) 20% after deductible (waived if admitted) Urgent Care Tier I network: 10% after deductible Tier II network: 20% after deductible Tier I network: 10% after deductible Tier II network: 20% after deductible Maternity Pre-Natal as Preventive Care No charge No charge Delivery, and Post-natal Provider Care No charge Tier...