Hospital and Major Medical Sample Clauses

Hospital and Major Medical. The district shall provide the option for employees to select from among three Blue Cross/Blue Shield Alliance-Select Plans, as long as these options are made available by the carrier. The district will pay an amount equal to the monthly single Protector 500 w/Alliance-Select premium for eligible employees who work at least twenty (20) hours per week who elect to participate in the district’s group plan. (After completing the 30 day probationary period.) No insurance contributions will be required for an employee who declines in writing to be covered by the insurance, and in such case, the board shall have no liability for not providing health insurance coverage for such employee. The board shall determine the insurance company provided comparable insurance coverage is maintained. However, the board will not be held responsible for insurance carrier policy changes. Any balance due for single or family health insurance premiums shall be deducted from the employee’s salary, which may be deducted before the withholding of payroll taxes. The employee shall elect such options during the May open enrollment period in accordance with the district’s salary reduction plan and federal and state tax laws.
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Hospital and Major Medical. The district shall provide the option for employees to select from among three Blue Cross/Blue Shield Alliance-Select Plans, as long as these options are made available by the carrier. The district will pay an amount equal to the monthly single Select 750 premium for eligible employees who work at least twenty (20) hours per week who elect to participate in the district’s group plan. No insurance contributions will be required for an employee who declines in writing to be covered by the insurance, and in such case, the board shall have no liability for not providing health insurance coverage for such employee. The board shall determine the insurance company provided comparable insurance coverage is maintained. However, the board will not be held responsible for insurance carrier policy changes. Any balance due for single or family health insurance premiums shall be deducted from the employee’s salary, which may be deducted before the withholding of payroll taxes. The employee shall elect such options during the May open enrollment period in accordance with the district’s salary reduction plan and federal and state tax laws.
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Hospital and Major Medical. The Company will pay one hundred percent (100%) of the required premiums for semi-private hospital coverage and a major medical benefit plan.
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Related to Hospital and Major Medical

  • Hospital and Medical Insurance The University shall make available health insurance to the employees covered by this agreement to the same extent and in the same manner as is available to other University employees, such as Faculty and the Executive, Administrative and Professional Staff employees. It is the University's goal to have the same health insurance plans offered uniformly to all University groups and employees.

  • Major Medical Program provides benefits after basic coverage is exhausted, and for medical office visits, ambulance care and durable equipment. Notes: Deductible $100 per individual, $300/family Coinsurance 80/20 Stop Loss $2,000 per individual Outpatient Psychiatric Per State Mandate

  • Hospitals a. In every Hospital:

  • Hospital This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. Residential Treatment Facility This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. Intermediate Care Services This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Medical There shall be an open enrollment period for medical coverage in each year of this Agreement. An employee may elect no medical coverage during any open enrollment period. An employee who has elected no medical coverage may elect medical coverage during an open enrollment period. No pre-existing condition limitations will apply.

  • Mastectomy Services Inpatient This plan provides coverage for a minimum of forty-eight (48) hours in a hospital following a mastectomy and a minimum of twenty-four (24) hours in a hospital following an axillary node dissection. Any decision to shorten these minimum coverages shall be made by the attending physician in consultation with and upon agreement with you. If you participate in an early discharge, defined as inpatient care following a mastectomy that is less than forty-eight (48) hours and inpatient care following an axillary node dissection that is less than twenty-four (24) hours, coverage shall include a minimum of one (1) home visit conducted by a physician or registered nurse.

  • MEDICAL AND HOSPITAL INSURANCE 14.1 Current practices will prevail for the duration of this Agreement, except that any changes in medical or hospital insurance plans, including the premium payable by employees, applicable to the majority of those employed in the Public Service for whom the Treasury Board is the employer, will during the life of this Agreement be applicable to the employees under this Agreement.

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

  • Hospital Services The Hospital will:

  • Prosthodontics We Cover prosthodontic services as follows: • Removable complete or partial dentures, for Members 15 years of age and above, including six (6) months follow-up care; • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate; and • Interim prosthesis for Members five (5) to 15 years of age. We do not Cover implants or implant related services. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.

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