Coverage for drug and alcoholism treatment is limited to a maximum of twenty five thousand dollars ($25,000) lifetime benefits for all in-patient and out-patient care. In-patient care shall be maintained at a maximum of thirty one (31) days per calendar year. Out-patient coverage shall be expanded to a maximum of twenty five hundred dollars ($2,500) per calendar year at fifty per cent co-insurance. Employees using drug and alcohol treatment programs must use the Fire Department Employee Assistance Program when one is available. The Co-operative health network or other such agency selected the City for managing health care must be used by employees to certify coverage for drug and alcohol treatment for themselves or their dependents. Treatment of alcoholism and drug addiction, in addition to coverage for nervous/mental diseases or disorders, coverage for in-patient treatment of alcoholism and drug abuse is limited to thirty-one days (31) per calendar year for each covered person following that covered person’s admission to a hospital. Once combined in-patient/out-patient maximum of twenty five thousand dollars ($25,000) has been met for alcohol and drug care, no further in-patient benefits will be available. Coverage is limited to a lifetime maximum of twenty five thousand dollars ($25,000). Covered services for a covered person’s first admission will paid at one hundred percent (100%) of the provider’s reasonable charge. A second admission will be paid at seventy five percent (75%) of the provider’s reasonable charge. A third admission will be paid at fifty percent (50%) of the provider’s reasonable charge. After three admissions per lifetime, no further in-patient benefits are available.
