Basic Medical - Health - Hospitalization Sample Clauses

Basic Medical - Health - Hospitalization. Full-time employees, their spouses, and dependent children are eligible for medical insurance on the first day of the month following official hire date. Optional benefits will be provided under the Classified Flexible Compensation Program (see program booklet for details). Effective January 1, 2016: For each eligible employee who elects to receive medical coverage from the College, the College will pay for the actual premium cost and/or illustrated rate cost for such medical coverage up to the hard cap threshold as determined by the State of Michigan on an annual basis. As an illustration, the current (2017) hard cap thresholds are: Single $6,344.80 2-Person $13,268.93 Family $17,304.02 By law, these amounts are subject to annual adjustment by the State for each calendar year (January 1st – December 31st). The annual hard cap amounts as established by the State will be accounted for by the College during the health insurance open enrollment period provided for employees. Notwithstanding this provision, the College’s Board of Trustees for the length of this agreement retains its right to elect any option (i.e. 80%/20%) provided under Michigan law relative to employer medical insurance coverage contributions on an annual basis. The medical plan options will include at least two PPO plan options (ex. MESSA-administered BCBS medical plan with $500/$1,000 deductible and MESSA-administered BCBS medical plan with $300/$600 deductible) and at least one high-deductible (HSA-eligible) plan option (ex. MESSA- administered BCBS medical plan with $1,300/$2,600 deductible). Summary Plan Descriptions for each medical coverage plan offered by the College will be provided to existing employees during the annual health insurance open enrollment period and to new employees upon hire. At any point during the term of this Agreement, the College may seek quotes from reliable medical carriers/providers for the existing deductible, co-pay, co-insurance and/or prescription drug card levels or alternative medical coverage plan designs. Upon request, representatives for the Union agree to meet with the College to review and discuss these quotes with the understanding that any change(s) in benefit level(s) is/are subject to negotiation by the parties.

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Basic Medical - Health - Hospitalization. Full-time employees, their spouses, and dependent children are eligible for medical insurance on the first day of the month following official hire date. Optional benefits will be provided under the Maintenance Flexible Compensation Program (see program booklet for details). Employee costs/refunds as follows: The following plans will continue through December 31, 2014 with 20% cost sharing. PPO $100/200 Deductible in-network $15 Office Visit Co-pay $10/20 Prescription Co-pay $25 Emergency Room Co-pay 10% of Premium Cost Share PPO Option 1 $15 Office Visit Co-pay 30% Prescription Co-pay $25 Emergency Room Co-pay $600 refund HAP $10 Office Visit Co-pay $5/$10 Prescription Co-pay $25 Emergency Room Co-pay 10% of Premium Cost Share BCN $10 Office Visit Co-pay $5/$10 Prescription Co-pay $25 Emergency Room Co-pay 10% of Premium Cost Share OPT OUT $1000 Cash Refund Effective January 1, 2015: Aetna Select-Open Access 20% of premium Deductible 0 Co-insurance 0 Office visit $10 Prescription $5/$10/$10 PPO A Plan (in-network) 20% of premium Deductible $500/$1,000 Co-insurance 90/10, limit of $1,000/$2,000 Office visit $15 Prescription $10/$20/$40 PPO B Plan (in-network) 20% of premium Deductible $100/$200 Co-insurance 0 Office visit $15 Prescription $10/$20/$40 Note: Failure to maintain current cost sharing payments while on a leave of absence (i.e., short-term disability, long-term disability, workers’ compensation, etc.) will result in termination of health insurance.

Basic Medical - Health - Hospitalization. ‌ Full-time employees, their spouses, and dependent children are eligible for medical insurance on the first day of the month following official hire date. For each eligible employee who elects to receive medical coverage from the College, the College will pay for the actual premium cost and/or illustrated rate cost for such medical coverage up to the hard cap threshold as determined by the State of Michigan on an annual basis. For each part-time employee meeting the standard for employer subsidized medical coverage as required under the Affordable Care Act and who elects to receive such medical coverage from the College, The College will pay up to the actual premium cost and/or illustrated rate cost for such medical coverage, up to the hard cap threshold as determined by the state of Michigan on an annual basis, for the employee only/single level of coverage. By law, these amounts are subject to annual adjustment by the State for each calendar year (January 1st – December 31st). The annual hard cap amounts as established by the State will be accounted for by the College during the health insurance open enrollment period provided for employees. Notwithstanding this provision, the College’s Board of Trustees for the length of this Agreement retains its right to elect any option (i.e. 80%/20%) provided under Michigan law relative to employer medical insurance coverage contributions on an annual basis. The medical plan options will include at least two PPO plan options and at least one high-deductible (HSA-eligible) plan option. Summary Plan Descriptions for each medical coverage plan offered by the College will be provided to existing employees during the annual health insurance open enrollment period and to new employees upon hire. At any point during the term of this Agreement, the College may seek quotes from reliable medical carriers/providers for the existing deductible, co-pay, co-insurance and/or prescription drug card levels or alternative medical coverage plan designs. Upon request, representatives for the Union agree to meet with the College to review and discuss these quotes with the understanding that any change(s) in benefit level(s) is/are subject to negotiation by the parties.

Basic Medical - Health - Hospitalization. Full-time employees, their spouses, and dependent children are eligible for medical insurance on the first day of the month following official hire date. Optional benefits will be provided under the Classified Flexible Compensation Program (see program booklet for details). Cost sharing in the amount of 20% of health care premium is required of all covered employees in the bargaining unit who are subject to cost sharing through December 31, 2015. Effective July 1, 2015 through December 31, 2015: Select Choice – HMO 20% of premium Deductible 0 Co-insurance 0 Office visit $10 Prescription $5/$10/$10 PPO Plan (in-network) 20% of premium Deductible $500/$1,000 Co-insurance 90/10, limit of $1,000/$2,000 Office visit $15 Prescription $10/$20/$40 PPO Plan (in-network) 20% of premium Deductible $100/$200 Co-insurance 0 Office visit $15 Prescription $10/$20/$40 OPT OUT $1,000 Cash Refund Effective January 1, 2016: For each eligible employee who elects to receive medical coverage from the College, the College will pay for the actual premium cost and/or illustrated rate cost for such medical coverage up to the hard cap threshold as determined by the State of Michigan on an annual basis. As an illustration, the current (2015) hard cap thresholds are: Single $5,992.30 2-Person $12,531.75 Family $16,342.66 By law, these amounts are subject to annual adjustment by the State for each calendar year (January 1st – December 31st). The annual hard cap amounts as established by the State will be accounted for by the College during the health insurance open enrollment period provided for employees. Notwithstanding this provision, the College’s Board of Trustees for the length of this agreement retains its right to elect any option (i.e. 80%/20%) provided under Michigan law relative to employer medical insurance coverage contributions on an annual basis. The medical plan options will include at least two PPO plan options (ex. MESSA-administered BCBS medical plan with $500/$1,000 deductible and MESSA-administered BCBS medical plan with $300/$600 deductible) and at least one high-deductible (HSA-eligible) plan option (ex. MESSA-administered BCBS medical plan with $1,300/$2,600 deductible). Summary Plan Descriptions for each medical coverage plan offered by the College will be provided to existing employees during the annual health insurance open enrollment period and to new employees upon hire. At any point during the term of this Agreement, the College may seek quotes from reliab...

Related to Basic Medical - Health - Hospitalization

Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.
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HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.
Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.
Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias.
Mental Health The parties recognize the importance of supporting and promoting a psychologically healthy workplace and as such will adhere to all applicable statutes, policy, guidelines and regulations pertaining to the promotion of mental health.
Medical Care Leave An Employee who is unable to make the necessary arrangements for maintenance of personal health care outside of scheduled work time, shall be granted time off with pay. Such time off shall not exceed sixteen (16) working hours per calendar year. Hours in excess of sixteen (16) hours per calendar year shall be deducted from the Employee's sick leave accumulation.
Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.
Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.
Digital Health The HSP agrees to: (a) assist the LHIN to implement provincial Digital Health priorities for 2017-18 and thereafter in accordance with the Accountability Agreement, as may be amended or replaced from time to time; (b) comply with any technical and information management standards, including those related to data, architecture, technology, privacy and security set for health service providers by MOHLTC or the LHIN within the timeframes set by MOHLTC or the LHIN as the case may be; (c) implement and use the approved provincial Digital Health solutions identified in the LHIN Digital Health plan; (d) implement technology solutions that are compatible or interoperable with the provincial blueprint and with the LHIN Cluster Digital Health plan; and (e) include in its annual Planning Submissions, plans for achieving Digital Health priority initiatives.