Medical and Hospitalization Insurance. 20.1: The Employer shall provide full family Blue Cross/Blue Shield Community Blue PPO Option 4 which provides 80% coverage with an annual deductible of $500/$1,000 and annual co-insurance maximum of $1,500/$3,000. The plan will have a 3-tier drug card of $2/$25/$50 and a 2 times mail order benefit. Employees hired with the Sheriff’s Office prior to June 30, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired into any bargaining unit position from outside the county on or after June 30, 2011, contribute 20% of the cost of their selected health and dental benefits (plus buy-up costs), with the base benefit being PPO 4 benefits and Rx benefits as described above. Mail order prescriptions - “Maintenance” prescriptions that are prescribed for chronic conditions of a duration not less than ninety (90) days, shall be filled through the Blue Cross/Blue Shield sponsored mail order drug program, subject to the terms of that plan or other equivalent plan approved by the employer. Generic version - Employees will be required to use the generic version of all prescribed drugs if one is available, unless the prescribing physician documents a bona fide medical reason for requiring a name brand drug. If an employee opts to receive the name brand drug without physician documented need, the employee shall be responsible for paying the difference between the actual cost of the name brand drug and the actual cost of the generic version. Where no generic version is available, the standard drug card provisions apply.
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Medical and Hospitalization Insurance. 20.1: The Employer shall provide full family Blue Cross/Blue Shield Community Blue PPO Option 4 which provides 80% coverage with an annual deductible of $500/$1,000 and annual co-insurance maximum of $1,500/$3,000. The plan will have a 3-tier drug card of $2/$25/$50 and a 2 times mail order benefit. Employees hired with the Sheriff’s Office prior to June 30, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired into any bargaining unit position from outside the county on or after June 30, 2011, contribute 20% of the cost of their selected health and dental benefits (plus buy-up costs), with the base benefit being PPO 4 benefits and Rx benefits as described above. Mail order prescriptions - “Maintenance” prescriptions that are prescribed for chronic conditions of a duration not less than ninety (90) days, shall be filled through the Blue Cross/Blue Shield sponsored mail order drug program, subject to the terms of that plan or other equivalent plan approved by the employer. Generic version - Employees will be required to use the generic version of all prescribed drugs if one is available, unless the prescribing physician documents a bona fide medical reason for requiring a name brand drug. If an employee opts to receive the name brand drug without physician documented need, the employee shall be responsible for paying the difference between the actual cost of the name brand drug and the actual cost of the generic version. Where no generic version is available, the standard drug card provisions apply. The County may substitute an alternate medical and hospitalization insurance carrier provided 90% of the doctors in the Community Blue PPO 4 network are in new network.
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