Medical and Hospitalization Insurance. 22.1: The Employer shall provide full family, PPO 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 prior to June 20, 2011 shall pay 10% of the premium/illustrated rate for medical coverage. Employees hired on or after June 20, 2011 shall contribute 20% of the premium/illustrated rate for medical coverage. Employees shall pay $10 per pay period for spouses enrolled in the medical plan. Step-children for whom the employee provides 50% or more support are included under this section. 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. Joint committee - The parties agree to form a joint committee to explore viable ways of reducing the employer’s healthcare insurance costs.
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