Comprehensive Medical Coverage. The insurance programs will be optional to all eligible employees. For those employees electing to participate in the program, the City will make contributions towards the cost of such insurance, in the same amounts as it makes for all other non-managerial City employees. Those employees who elect to participate in the City’s group insurance programs will pay a share of the total premium through deductions from payroll, for the cost not paid by the City.
Comprehensive Medical Coverage. The Employer will provide a choice of comprehensive group health plans from which the employee may select. A five percent (5%) employee contribution is required for all plans except for the designated no contribution plan(s). In addition, the Employer will pay fifty percent (50%) of the cost of the comprehensive medical coverage for eligible dependents. The employee will pay the remaining fifty percent (50%) of the cost.
Comprehensive Medical Coverage. A. The F.O.P. would offer acceptance of Employer contributions to the F.O.P.’s health plans at the rate of fifty-eight and eight tenths (58.8%) percent of the total annual premium cost for our F.O.P. employee and dependent tiers, and retirees. The F.O.P. agrees not to take any action that will result in the Employer receiving a penalty due to a reduction in city enrollees. To that end, the F.O.P. agrees to use Florida Blue as its health plan provider through December 31, 2022. This offer is contingent upon the Union having the option to re-enter the Employer’s health plans at a future date.
Comprehensive Medical Coverage. The Employer agrees to provide a choice of comprehensive group health plans from which the employee may select, including one high deductible health plan at no cost to the employee. Effective January 1, 2012, employees will be required to pay five percent (5%) of the actual cost of any health plan selected other than the high deductible plan, but such a payment shall be capped and not exceed thirty dollars ($30.00) per month. In addition, the Employer will pay fifty percent (50%) of the cost of comprehensive medical coverage of eligible dependents. The employee will pay the remaining fifty percent (50%) of the cost.
Comprehensive Medical Coverage. The provisions of Section E-2 of the Human Resource Manual shall apply.
Comprehensive Medical Coverage. C-1 The Board shall provide, furnish, and entirely pay for the full premium on the following Blue Cross and Physician Service plans and riders herein outlined for all professional teaching personnel in the Providence School Department for individual and family plan coverage. Benefit Coverage at Network Providers Outside of PPO Network you pay: Office Visits 100% minus $10 co-payment $10 plus 20% Note: Chiropractic visits are limited to 12 per calendar year. Allergists and dermatologists have a $15 co-payment. Medication visits for serious mental illness are included. Preventive Services Note: Includes gynecological visits, pap smears, mammograms and routine physicals. 100% minus$10 office visit co-payment $10 plus 20% Pediatric Preventive Services 100% minus$10 office visit co-payment $10 plus Note: Includes routine physicals, lab work and immunizations. Prescription Drugs $2 generic/$5 brand Note: CVS, Xxxxxx and several independent pharmacies in RI, MA and CT. Emergency Room Care Note: Co-payment waived if admitted within 24 hours. Coverage for accidents and life- threatening emergencies only. 100% minus $25 co-payment $25 $25 Hospitalization Note: Unlimited days at general hospitals, 45 specialty days per year 100% 20%* Inpatient Medical & Surgical Care (Doctor Services) Note: Unlimited days at general hospitals, 45 specialty days per year 100% 20%* Outpatient Medical & Surgical Care (Facility & Doctor Services) Note: e.g. Ambulatory surgi-centers and outpatient surgery 100% 20%* Obstetrical Care Note: Pre-natal, delivery and post- natal care 100% 20% Lab Tests & X-rays Note: Some hospital outpatient labs and hospital outpatient X- ray services are not part of the Network and will be covered at 80% 100% 20% Routine Eye Exam Note: One exam annually| 100% minus $10 co-payment $10 plus 20% Physical/Occupational Therapy Note: Hospital-basedtherapist; following a hospital stay 100% 20% Ambulance, Private Duty Nursing & Durable Medical Equipment 80% 20% Home Care & Hospice Care Note: In lieu of hospitalization. Includes doctor, nurse, and home health aide visits 100% 20% Inpatient Mental Health Care Note: Limited to 45 days per calendar year (up to 90 days per admission for serious mental illness) when arranged by Care Manager. No Gatekeeper 100%* 50%* Outpatient Mental Health Care Note: $15 co-payment for individual therapy,$10 co-payment or group therapy. 20 visits per year. $1,000 annual maximum when arranged by Care Manager. No Gatekeeper 100% minus co- p...
Comprehensive Medical Coverage. Effective January 1, 2020, the FOP proposes to separate its active employees and retirees from the Employer’s health plans. The FOP would offer acceptance of Employer contributions to the FOP’s newly formed health plans at the rate of eighty six percent (86%) of the current percentage the employer pays of the total annual premium cost for our FOP employee and dependent tiers, and retirees. The FOP agrees not to take any action that will result in the Employer receiving a penalty due to a reduction in city enrollees. To that end, the FOP agrees to use Florida Blue as its health plan provider through December 31, 2022. This offer is contingent upon the Union having the option to re-enter the Employer’s health plans at a future date.
Comprehensive Medical Coverage. C-1 The Board shall provide, furnish, and entirely pay for the full premium on the following Blue Cross and Physician Service plans and riders herein outlined for all professional teaching personnel in the Providence School Department for individual and family plan coverage. Benefit Coverage at Network Providers Outside of PPO Network you pay: Office Visits 100% minus $10 co-payment $10 plus 20% Note: Chiropractic visits are limited to 12 per calendar year.Allergists and dermatologists have a$15 co-payment. Medication visits for serious mental illness are included.
