Flexible PPO HRA Health Plan (Appendix D Sample Clauses

Flexible PPO HRA Health Plan (Appendix D. 1): Effective September 1, 2009, the above eligible employees hired prior to 7-1-03 and drive hours according to J.1, 2 will have the Flexible PPO Health Plan. The Flexible PPO Health Plan is a PPO which includes an annual deductible amount that will be paid by the district through a Health Reimbursement Account (HRA). When the annual deductible has been met, the employee will then use their insurance card only and have no co-pays on in-network services as described in the plan. The employee’s prescription expenses are included in the annual deductible. When the annual deductible is met, the prescription co-pay will be $0 thereafter for all approved drugs as listed in the described plan. A mail-in prescription program is also available for maintenance drugs. The annual deductible amount is determined from January 1 – December 31 each year. Note: If the employee uses the HRA debit card for any unapproved purchases, the employee will be responsible for repayment of those costs.
Sample 1
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Flexible PPO HRA Health Plan (Appendix D. Effective September 1, 2009, any of the above eligible employees hired prior to 7-1-03 will have the Flexible PPO Health Plan. The Flexible PPO Health Care Plan is a PPO includes an annual deductible amount that will be paid by the district through a Health Reimbursement Account (HRA) and managed by a 3rd party administratorWhen the annual deductible has been met, the employee will have no co-pays on in-network services as described in the plan. The employee’s prescription expenses are included in the annual deductible. When the annual deductible is met, the prescription co-pay will be $0 thereafter for all approved drugs as listed in the described plan. A mail-in prescription program is also available for maintenance drugs. The annual deductible amount is determined from January 1 – December 31 each year. Note: If the employee uses the HRA debit card for any unapproved purchases, the employee will be responsible for repayment of those costs.
Sample 1

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