Common use of Hospital Discounts Clause in Contracts

Hospital Discounts. Section 1. The Employer Discount Program will apply to all full-time, part-time, weekend, per diem, laid off and retired employees and their spouses and eligible dependents that meet the following criteria: a.) eligible dependents as defined above must be covered by medical insurance through the Employer or any other source and considered eligible participants under the employee's medical insurance plan; or b.) eligible dependents as defined above, not covered by medical insurance must qualify as dependents for federal income tax purposes. Section 2. Discounts apply to employees and their eligible dependents, as defined in Section 1. above, as follows: a.) inpatient deductible will be 100% to a maximum of $250 per occurrence; b.) hospital billed coverage (including outpatient procedures) will have co-payments of up to $15 waived, and a fifty percent (50%) discount on the balance of the co-payment in excess of $15 will be applied; c.) outpatient services (non-covered) will have a discount of fifty percent (50%) exclusive of Emergency Room visits, except that employees at St. Xxxxxx Campus shall receive a one hundred percent (100%) discount on the ER co-pay if they use the St. Xxxxxx Campus ER; d.) private room discount will be one hundred percent (100%) for employee or spouse and a fifty percent (50%) discount for dependents. Section 3. Discounts apply to authorized services only. Discounts do not apply to charges in excess of plan limits, cosmetic surgery, orthodontia or dentures, experimental techniques, medical devices and durable medical equipment. Section 4. The discounts referenced in this Article are applicable at any Catholic Health System (CHS) hospital or outpatient facility. Section 5. Discounts and waivers will not be applied to co-payments, deductibles or other patient payment portions of a Medicare, Medicaid or any other federally funded beneficiaries. Section 6. Federal regulations prohibit transactions that could be construed as inducing a referral, or which could result in increased cost to the government under its programs. Therefore, Campus employees are prohibited for accepting professional fee waivers and discounts from physicians or other healthcare providers that are in excess of any waiver or discount offered to the general public. Section 7. Discounts for inpatient deductibles and outpatient co-pays will be reimbursed for pediatric services not provided at Catholic Health facilities. To be eligible for reimbursement, discounted pediatric services must be delivered within the eight (8) counties of Western New York. Discounts for pediatric services not provided at Catholic Health facilities are only available to employees, their spouse and children who are covered by medical insurance through the Catholic Health. Section 8. To receive the benefits outlined under this Article, eligible employees must complete the “Hospital Discount Form for Approved Unreimbursed Medical Expenses” and submit to the HR benefits specialist.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

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Hospital Discounts. Section 1. The Employer Employer/Hospital Discount Program will apply to all full-timetime employees, regular part-timetime employees, weekendflexible employees, weekend employees, per diemdiem employees, laid retirees, and laid-off and retired employees and their spouses and eligible dependents that meet the following criteria: a.) eligible dependents as defined above must be covered by medical insurance through the Employer Employer/Hospital or any other source and considered eligible participants under the employee's medical insurance plan; or b.) eligible dependents as defined above, not covered by medical insurance must qualify as dependents for federal income tax purposes. Section 2. Discounts apply to employees and their eligible dependents, as defined in Section 1. above, as follows: a.) inpatient deductible will be one hundred percent (100% %) to a maximum of $250 250.00 per occurrence; b.) hospital billed coverage (including outpatient procedures) will have co-payments of up to fifteen dollars ($15 15.00) waived, and a fifty percent (50%) discount on the balance of the co-payment in excess of fifteen dollars ($15 15.00) will be applied; c.) outpatient services (non-covered) will have a discount of fifty percent (50%) exclusive of Emergency Room visits, except that employees at St. Xxxxxx Campus shall receive a one hundred percent (100%) discount on the ER co-pay if they use the St. Xxxxxx Campus ER; d.) private room discount will be one hundred percent (100%) for employee or spouse and a fifty percent (50%) discount for dependents. Section 3. Discounts apply to authorized services only. Discounts do not apply to charges in excess of plan limits, cosmetic surgery, orthodontia or dentures, experimental techniques, techniques and medical devices and durable medical equipmentdevices. Section 4. The discounts referenced in this Article article are applicable at any Catholic Health System (CHS) hospital or outpatient facility. Section 5. Discounts and waivers will not be applied to Medicare co-payments, deductibles or other patient payment portions of a Medicare, Medicaid or any other federally funded beneficiariesMedicare beneficiary claim. Section 6. Federal regulations prohibit transactions that could be construed as inducing a referral, or which could result in increased cost to the government under its programs. Therefore, Campus Employer/Hospital employees are prohibited for from accepting professional fee waivers and discounts from physicians or other healthcare providers that are in excess of any waiver or discount offered to the general public. Section 7. Discounts for inpatient deductibles and outpatient co-pays will be reimbursed for pediatric services not provided at Catholic Health facilities. To be eligible for reimbursement, discounted pediatric services must be delivered within the eight (8) counties of Western New York. Discounts for pediatric services not provided at Catholic Health facilities are only available to employees, their spouse and children who are covered by medical insurance through the Catholic Health. Section 8. To receive the benefits outlined under this Article, eligible employees must complete the “Hospital Discount Form for Approved Unreimbursed Medical Expenses” and submit to the HR benefits specialist.

Appears in 1 contract

Samples: Collective Bargaining Agreement

Hospital Discounts. Section 1. The Employer Employer/Hospital Discount Program will apply to all full-timetime employees, regular part-timetime employees, weekendweekend employees, per diemretirees, laid off and retired employees employees, and their spouses and eligible dependents that meet the following criteria: a.) eligible dependents as defined above must be covered by medical insurance through the Employer Employer/Hospital or any other source sources and considered eligible participants under the employee's ’s medical insurance plan; or b.) eligible dependents as defined above, not covered by medical insurance must qualify as dependents for federal income tax purposes.insurance Section 2. Discounts apply to employees and their eligible dependents, as defined in Section 1. above, as follows: a.) inpatient deductible will be one-hundred percent (100% %) to a maximum of $250 per occurrence;maximum b.) hospital billed coverage (including outpatient procedures) will have co-payments of up to fifteen dollars ($15 15.00) waived, and a fifty percent (50%) discount on the balance of the co-payment in excess of fifteen dollars ($15 15.00) will be applied; c.) outpatient services (non-covered) will have a discount of fifty percent (50%) exclusive of Emergency Room visits, except that employees at St. Xxxxxx Campus shall receive a one hundred percent (100%) discount on the ER co-pay if they use the St. Xxxxxx Campus ER; d.) private room discount will be one hundred percent (100%) for employee or spouse and a fifty percent (50%) discount for dependents.; and Section 3. Discounts apply to authorized services only. Discounts do not apply to charges in excess of plan limits, cosmetic surgery, orthodontia or dentures, experimental techniques, medical devices and durable medical equipment. Section 4. The discounts referenced in this Article are applicable at any Catholic Health System (CHS) hospital or and outpatient facilityfacility associated with CHS. Section 5. Discounts and waivers will not be applied to co-payments, deductibles or other patient payment portions of a Medicare, Medicaid or any other federally funded beneficiaries. Section 6. Federal regulations prohibit transactions that could be construed as inducing a referral, or which could result in increased cost to the government under its programs. Therefore, Campus Hospital employees are prohibited for from accepting professional fee waivers and discounts from physicians or other healthcare providers that are in excess of any waiver or discount offered to the general public. Section 7. Discounts for inpatient deductibles and outpatient co-pays will be reimbursed for pediatric services not provided at Catholic Health CHS facilities. To be eligible for reimbursement, discounted pediatric services must be delivered within the eight (8) counties of Western New York. Discounts for pediatric services not provided at Catholic Health CHS facilities are only available to employees, their spouse and children who are covered by medical insurance coverage through the Catholic HealthKenmore Mercy Hospital. Section 8. To receive the benefits outlined under this Article, eligible employees must complete the “Hospital Discount Form for Approved Unreimbursed Medical Expenses” and submit to the HR employee benefits specialistrepresentative.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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Hospital Discounts. Section 1. The Employer Employer/Hospital Discount Program will apply to all full-timetime employees, regular part-timetime employees, weekendflexible employees, weekend employees, per diemdiem employees, laid retirees, and laid-off and retired employees and their spouses and eligible dependents that meet the following criteria: a.) eligible dependents as defined above must be covered by medical insurance through the Employer Employer/Hospital or any other source and considered eligible participants under the employee's medical insurance plan; or b.) eligible dependents as defined above, not covered by medical insurance must qualify as dependents for federal income tax purposes. Section 2. Discounts apply to employees and their eligible dependents, as defined in Section 1. above, as follows: a.) inpatient deductible will be one hundred percent (100% %) to a maximum of $250 250.00 per occurrence; b.) hospital billed coverage (including outpatient procedures) will have co-payments of up to fifteen dollars ($15 15.00) waived, and a fifty percent (50%) discount on the balance of the co-payment in excess of fifteen dollars ($15 15.00) will be applied; c.) outpatient services (non-covered) will have a discount of fifty percent (50%) exclusive of ). Emergency Room visits, except that employees at St. Xxxxxx Campus shall receive a one hundred visits will have fifty percent (10050%) discount on the of ER co-pay if they use the St. Xxxxxx Campus ERwaived, up to a discounted maximum of twenty-five dollars ($25); d.) private room discount will be one hundred percent (100%) for employee or spouse and a fifty percent (50%) discount for dependents. Section 3. Discounts apply to authorized services only. Discounts do not apply to charges in excess of plan limits, cosmetic surgery, orthodontia or dentures, experimental techniques, techniques and medical devices and durable medical equipmentdevices. Section 4. The discounts referenced in this Article article are applicable at any Catholic Health System (CHS) hospital or outpatient facility. Section 5. Discounts and waivers will not be applied to Medicare co-payments, deductibles or other patient payment portions of a Medicare, Medicaid or any other federally funded beneficiariesMedicare beneficiary claim. Section 6. Federal regulations prohibit transactions that could be construed as inducing a referral, or which could result in increased cost to the government under its programs. Therefore, Campus Employer/Hospital employees are prohibited for from accepting professional fee waivers and discounts from physicians or other healthcare providers that are in excess of any waiver or discount offered to the general public. Section 7. Discounts for inpatient deductibles and outpatient co-pays will be reimbursed for pediatric services not provided at Catholic Health facilities. To be eligible for reimbursement, discounted pediatric services must be delivered within the eight (8) counties of Western New York. Discounts for pediatric services not provided at Catholic Health facilities are only available to employees, their spouse and children who are covered by medical insurance through the Catholic Health. Section 8. To receive the benefits outlined under this Article, eligible employees must complete the “Hospital Discount Form for Approved Unreimbursed Medical Expenses” and submit to the HR benefits specialist.

Appears in 1 contract

Samples: Collective Bargaining Agreement

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