Cigna PPO. The Board shall provide a PPO health plan to all eligible employees as described in Appendix B entitled “Bloomfield Benefit Plan Description. The employee pays 20% of the annual cost for either the individual, spouse, or family plan and the full cost to the Board of the difference between the PPO and the HDHP and the Board of Education pays the remaining cost. • Prescription Drugs: Cigna: $15/$20/$35 retail copays, 1 x's retail for a 100 day supply mail order with a $2,000 annual maximum (includes oral contraceptives or any contraceptive device). • Outpatient physical therapy. Occupational therapy, speech therapy and chiropractic visits in excess of 50 shall be paid in the same manner and to the same extent as an out-of-network expense.
