Common use of Plan Design Clause in Contracts

Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Union, with the exception of Article 8.E. below, and as follows, effective January 1, 2020: a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network b. Outpatient Services a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non-network c. Telemedicine benefit d. SaveonSP Program: Members whose specialty medication is eligible for this Program shall enroll and participate; once properly enrolled, the member’s responsibility shall be $0 in copay. (If the SaveonSP Program is no longer available for a specialty medication, Article 8.E. copays shall apply.)

Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Unionunion, with the exception of Article 8.E. below, and as follows, effective January 1, 2020: a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network b. Outpatient Services a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non-network c. Telemedicine benefit d. SaveonSP Program: Members whose specialty medication is eligible for this Program shall enroll and participate; once properly enrolled, the member’s responsibility shall be $0 in copay. (If the SaveonSP Program is no longer available for a specialty medication, Article 8.E. copays shall apply.)

Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Unionunion, with the exception of Article 8.E. 8.F. below, and as follows, effective January 1, 2020: a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network b. Outpatient Services a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non-network c. Telemedicine benefit d. SaveonSP Program: Members whose specialty medication is eligible for this Program shall enroll and participate; once properly enrolled, the member’s responsibility shall be $0 in copay. (If the SaveonSP Program is no longer available for a specialty medication, Article 8.E. 8.F. copays shall apply.)

Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Unionunion, with the exception of Article 8.E. 8.F. below, and as follows, effective January 1, 2020 – December 1, 2020: a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network b. Outpatient Services a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non-network c. Telemedicine benefit d. SaveonSP Program: Members whose specialty medication is eligible for this Program shall enroll and participate; once properly enrolled, the member’s responsibility shall be $0 in copay. (If the SaveonSP Program is no longer available for a specialty medication, Article 8.E. 8.F. copays shall apply.)

Plan Design. The Board agrees to provide medical plan design coverage essentially equal to the coverage currently in effect for the Unionunion, with the exception of Article 8.E. below, and as follows, effective January 1, 2020-December 1, 2020: a. Maximum out-of-pocket (deductible, plus coinsurance, plus medical and prescription co-pays): $6,850/$13,700, network; unlimited, non-network b. Outpatient Services a. Non-Emergency use of an Emergency Room and Emergency Room Physician: $100 copay, then 100%, network; $100 copay, then 100%, non-network c. Telemedicine benefit d. SaveonSP Program: Members whose specialty medication is eligible for this Program shall enroll and participate; once properly enrolled, the member’s responsibility shall be $0 in copay. (If the SaveonSP Program is no longer available for a specialty medication, Article 8.E. copays shall apply.)