Long-Term Disability Benefit Policy. The University will provide a group long-term disability benefit plan to members of the bargaining unit who have not yet qualified for such coverage under the Ohio Public Employees Retirement System or a comparable state retirement fund, with coverage for such bargaining unit member to continue only until he/she becomes eligible for disability benefits under such state fund.
Long-Term Disability Benefit Policy. The University will provide a group long-term disability benefit plan to members of the bargaining unit who have not yet qualified for such coverage under the Ohio Public Employees Retirement System or a comparable state retirement fund, with coverage for such bargaining unit member to continue only until he/she becomes eligible for disability benefits under such state fund. APPENDIX G SUMMARY OF HEALTH CARE COVERAGE Lifetime Maximum $2,000,000 $2,500,000 Unlimited PHYSICIAN OFFICE SERVICES Office Visits $10 Co- payment 1 $10 Co- payment 1 $10 Co- payment 1 Office Surgeries 15% of Coinsurance After Deductible $10 Co-payment $10 Co-payment Preconception Care/ Education 15% of Coinsurance After Deductible $10 Co-payment 1 $10 Co-payment 1 Allergy – Testing 15% of Coinsurance After Deductible In Network Covered in Full in Network Covered in Full in Network 25% of Coinsurance After Deductible Non- Network Non Authorized Services; 80% Coinsurance after Deductible – Inpatient care Non Authorized Services; 50% Coinsurance after Deductible – Outpatient care Allergy ─ Treatment Serum & Injections 15% of Coinsurance In Network Covered in Full in Network Non Authorized Services; 80% Coinsurance after Deductible – Inpatient care Non Authorized Services; 50% Coinsurance after Deductible – Outpatient care Covered in Full in Network 1$10 co-payment if seen by a physician APPENDIX G SUPERMED CLASSIC (REPLACES TRADITIONAL)† SUPERMED SELECT SUPERMED HMO (REPLACES ANTHEM) Network Hospital only Hospital & Physician Must Select Primary Care Physician (PCP). Referrals are not needed to see in Network specialists. Hospital & Physician Must Select Primary Care Physician (PCP) Referrals are not needed to see in Network. specialists Dependent Age The end of the year of the 25th birthday The end of the year of the 25th birthday The end of the year of the 25th birthday Deductible $200 / $400 $100 / $300 for Non-Authorized Services N/A Coinsurance Limits In-Network -15% Coinsurance until $225 / $450 Non-Network- 25% Coinsurance until $725 / $950† $1,200 /$2,400 for Non- Authorized Services N/A † The University will reimburse bargaining unit members enrolled in the SuperMed Classic plan (or subsequent comparable plans) for out of network charges incurred by the bargaining unit member of his/her covered dependents as a result of use of a non-network hospital. SUMMARY OF HEALTH CARE COVERAGE
