Health Care Options. The specific coverage in each of the health care options shall be mutually determined by the Board and the employee organization(s) representing covered employees, and shall be provided in writing each year to the employees. The Board shall provide a prescription drug benefit for Cigna OAP and Cigna OAPIN plan members, as well as a mail order Prescription Drug Program for the purchase of maintenance type prescription drugs, including insulin and related supplies. Generic substitutions will be mandatory.
Option 1 - Employees may choose to enroll in the Cigna Open Access Plus (OAP) plan that allows for in network and out of network coverage. The employee price tag will be 19% of the annual premium through December 31, 2016 according to the schedule in Appendix B, (20% for those hired on or after January 1, 2013); 20% as of January 1, 2017; 20% as of January 1, 2018; 22% as of January 1, 2019; 24% as of January
Option 2 - Employees may choose to enroll in the Cigna Open Access Plus In Network (OAPIN) plan that allows for in network coverage only. The employee price tag will be 14% of the annual premium through December 31, 2016 according to the schedule in Appendix B-1, (15% for those hired on or after January 1, 2013); 15% as of January 1, 2017; and 15% as of January 1, 2018 through December 31, 2021. Beginning January 1, 2013 through December 31, 2021, the prescription co-pay structure shall be as follows: Cigna OAPIN: Retail – up to a 30 day supply - $10 for generic; $20 for formulary; $35 for non-formulary; Mail Order: - 90 day supply of maintenance prescriptions - $20 for generic; $40 for formulary; $70 for non- formulary. Also, hospital emergency room co-pay will be $50 per visit and is waived if admitted.
Option 3 - Employees may choose to enroll in a qualified prepaid health maintenance organization (HMO) plan offered by Xxxxxx Permanente that provides comprehensive medical care through a network of participating hospitals, physicians and other health care providers. The employee price tag will be 14% through December 31, 2016 according to the schedule in Appendix B-1, (15% for those hired on or after January 1, 2013); 15% as of January 1, 2017; and 15% as of January 1, 2018 through December 31, 2021. A prescription drug benefit is included with the HMO offered. The co-pay structure through December 31, 2021 shall be as follows: up to 60-day supply - $5 generic; $5 brand; at participating community pharmacy - $15 generic; $15 brand; Mail Order - 90-da...
Health Care Options. We may use or give you your PHI to you to inform you about your health care options. We may use or give you your PHI to provide information about different health benefits or services that may be of interest to you.
Health Care Options. Program (HCO) -- A program within the California Department of Health Care Services which operates as an Enrollment Broker providing enrollment assistance to eligible MMP beneficiaries.
Health Care Options. Option 1 is a triple option plan. The employee will be able to select, at the time service is needed, coverage through a triple option (HMO, PA, indemnity) plan. The member cost will be according to the schedule in Appendix B and shall be equal to ten percent (10%) of the annual premium through 2006-2007.
Health Care Options. Gentlemen: This refers to the handling of health and welfare benefits for employees involved in the UP/SP merger. In order to ensure appropriate health and welfare coverage for affected employees, it is agreed that employees transferring from one collective bargaining agreement to another (i.e., DRGW employees) may elect one of the following options which must be exercised within thirty
Health Care Options. The specific coverage in each of the health care options shall be mutually determined by the Board and the employee organization(s) representing covered employees, and shall be provided in writing each year to the employees. The Board shall provide a prescription drug benefit for CareFirst, Cigna OAP, and Cigna OAPIN plan members, as well as a mail order Prescription Drug Program for the purchase of maintenance type prescription drugs, including insulin and related supplies. Generic substitutions will be mandatory. The co-pay structure through December 31, 2012 shall be as follows: CareFirst: Retail – Up to a thirty (30) day supply – Eight dollars ($8.00) for generic; twenty dollars ($20.00) for formulary; thirty-five dollars ($35.00) for non-formulary; Mail Order - ninety (90) day supply of maintenance prescriptions –fifteen dollars ($15.00) for generic; forty dollars ($40.00) for brand. twenty percent (20%) as of January 1, 2017. Beginning January 1, 2013 through December 31, 2017, the prescription co-pay structure shall be as follows: Cigna OAP: Retail – up to a 30 day supply - $10 for generic; $20 for formulary; $35 for non-formulary; Mail Order: - 90 day supply of maintenance prescriptions - $20 for generic; $40 for formulary; $70 for non-formulary. Also beginning January 1, 2013, the hospital emergency room co-pay will be $70 per visit and is waived if admitted.
Health Care Options. The parties recognize that during the life of the contract, the Health Care Options program will be a dynamic program requiring numerous changes to its operations and that the scope and complexity of changes will vary widely over the life of the Contract. The parties agree that the development of a system which has the capability to implement such changes in an orderly and timely manner is of considerable importance. Maximus 96-26293 Article II
1. All obligations under this contract or Contract extension will be terminated after turnover requirements are completed.
2. With respect to any report, invoice, record, paper, document, books of account, or other contract required data submitted, pursuant to the requirements of this contract, the Contractor's representative or his designee will certify under penalty of perjury, that the report, invoice, record, paper, document, books of account or other contract required data is current, accurate, complete and in full compliance with legal and contractual requirements to the best of that individual's knowledge and belief, unless the requirement for such certification is expressly waived by the Department in writing.
Health Care Options. The specific coverage in each of the health care options shall be mutually determined by the Board and the employee organization(s) representing covered employees, and shall be provided in writing each year to the employees. The Board shall provide a prescription drug benefit for plan members, as well as a mail order Prescription Drug Program for the purchase of maintenance type prescription drugs, including insulin and related supplies. Generic substitutions will be mandatory. The co-pay structure through 2011-2012 shall be as follows: CareFirst: Retail – Up to a thirty (30) day supply – Eight dollars ($8.00) for generic; Twenty dollars ($20.00) for formulary; Thirty-five dollars ($35.00) for non-formulary; Mail order - ninety (90) day supply of maintenance prescriptions –Fifteen dollars ($15.00) for generic; Forty dollars ($40.00) for brand.
Health Care Options. The specific coverage in each of the health care options shall be mutually determined by the Board and the employee organization(s) representing covered employees, and shall be provided in writing each year to the employees. Option 1 - is the CareFirst Triple Option (POS, PPO, indemnity) plan. Employees and pre-65 retirees currently enrolled in this plan will remain covered through December 31, 2012, at which point the plan coverage will terminate. During the 2012 fall open enrollment period, all employees and pre-65 retirees covered under this plan must select one of the other available health care options. Option 1 is not available to employees hired on or after January 1, 2011. The employee price tag will be ten percent (10%) of the annual premium through December 31, 2012 according to the schedule in Appendix B-1. The Board shall provide a prescription drug benefit for CareFirst, Cigna OAP, and Cigna OAPIN plan members, as well as a mail order Prescription Drug Program for the purchase of maintenance type prescription drugs, including insulin and related supplies. Generic substitutions will be mandatory. The co-pay structure through December 31, 2012 shall be as follows: CareFirst: Retail – Up to a thirty (30) day supply – Eight dollars ($8.00) for generic; twenty dollars ($20.00) for formulary; thirty-five dollars ($35.00) for non-formulary; Mail Order - ninety
Health Care Options. The specific coverage in each of the health care options shall be mutually determined by the Board and the employee organization(s) representing covered employees, and shall be provided in writing each year to the employees. The Board shall provide a prescription drug benefit for plan members, as well as a mail order Prescription Drug Program for the purchase of maintenance type prescription drugs, including insulin and related supplies. Generic substitutions will be mandatory. The co-pay structure through 2011-2012 shall be as follows: CareFirst: Retail – Up to a 30-day supply - $8 for generic; $20 for formulary; $35 for non-formulary; Mail order - 90-day supply of maintenance prescriptions - $15 for generic; $40 for brand. premium for each market through 2011-2012. The employee price tag will be 10% of the annual premium through 2011-2012 according to the schedule in Appendix B. A prescription drug benefit is included with each HMO offered. The co-pay structure through 2011- 2012 shall be as follows: • Kaiser: Retail - Up to 60-day supply - $5 generic; $5 brand; At participating community pharmacy - $15 generic; $15 brand; Mail order - 90-day supply - $5 generic; $5 brand. • Keystone: Retail - Up to a 30-day supply - $5 generic; $15 brand; Mail order - Up to a 90- day supply - $10 generic; $30 brand.
