Plan Feature Health Reimbursement Medical Plan Health Savings Medical Plan Sample Clauses

Plan Feature Health Reimbursement Medical Plan Health Savings Medical Plan. Annual deductible $1,150 per person $2,300 max per family $1,500 employee only $3,000 if covering dependents Annual out-of-pocket maximum (does not include deductible) $2,150 per person $4,300 per family $1,500 employee only $3,000 if covering dependents Preventive Care No Charge No Charge Primary Care Provider visits (non-preventive) PCP: $20 copay Specialist: PH&S employed: 10% after deductible Other in-network: 20% after deductible After deductible: PCP: 10% Specialist: PH&S employed: 10% after deductible Other in-network: 20% after deductible Lab and x-ray 20% after deductible 20% after deductible Alternative care (chiropractic, acupuncture) 20% after deductible Combined 12 visit limit per calendar year 20% after deductible Combined 12 visit limit per calendar year Naturopathy Covered as Specialist Covered as Specialist Behavioral health care providers No Charge 20% after deductible Outpatient hospital/surgery facility PH&S: 10% after deductible Other in-network: 25% after PH&S: 10% after deductible Other in-network: 25% after fees (except hospice, rehab) deductible deductible Inpatient hospital facility fees, including behavioral health PH&S: 10% after deductible Other in-network: 25% after deductible PH&S: 10% after deductible Other in-network: 25% after deductible Hospital physician fees PH&S: 10% after deductible Other in-network: 20% after deductible PH&S: 10% after deductible Other in-network: 20% after deductible Emergency room $250 copay (waived if admitted) 20% after deductible Urgent Care PH&S: 10% after deductible Other in-network: 20% after deductible PH&S: 10% after deductible Other in-network: 20% after deductible Maternity Preventive Care No Charge No charge Pre-natal, Delivery, and Post-natal Provider Care No Charge No Charge (Delivery/Post- Natal: same as hospital stay) Maternity Hospital Stay and Routine Nursery PH&S: 10% after deductible Other in-network: 25% after deductible PH&S: 10% after deductible Other in-network: 25% after deductible Medical Premiums The following are the premium contribution for the nurses for each pay period for a total of twenty four (24) pay periods for the year. Level of Benefit Health Reimbursement Medical Plan Health Savings Medical Plan Full Time 0000 0000 0000 0000 Employee Only $11.50 5% of premium $0.00 $0.00 Employee and child(ren) $22.50 8% of premium $11.00 Not to exceed 15% of premium Employee and Spouse/Partner $30.50 8% of premium $19.00 Not to exceed 15% of premium Employee and Family $42.00 ...
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Plan Feature Health Reimbursement Medical Plan Health Savings Medical Plan. Providence Pharmacies (30-day supply) Preventive: No Charge Generic: $10 copay per Rx Formulary brand: 20% of cost (maximum cost is $150 per Rx) after deductible. Non-Formulary brand: 40% of cost (maximum cost is $150 per Rx) after deductible Specialty 20% after deductible Preventive: No Charge Generic: 10% after deductible Formulary brand: 20% (maximum cost is $150 per Rx) after deductible Non-formulary brand: 40% (maximum cost is $150 per Rx) after deductible Specialty 20% after deductible
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Related to Plan Feature Health Reimbursement Medical Plan Health Savings Medical Plan

  • Medical Plan ‌ Eligible employees and dependants shall be covered by the British Columbia Medical Services Plan or carrier approved by the British Columbia Medical Services Commission. The Employer shall pay one hundred percent (100%) of the premium. An eligible employee who wishes to have coverage for other than dependants may do so provided the Medical Plan is agreeable and the extra premium is paid by the employee through payroll deduction. Membership shall be a condition of employment for eligible employees who shall be enrolled for coverage following the completion of three (3) months’ employment or upon the initial date of employment for those employees with portable service as outlined in Article 14.12.

  • RETIREE HEALTH SAVINGS PLAN Effective, December 24, 2006, or as soon as administratively possible, the County shall establish a retiree health savings plan (RHSP) by contributing an amount of $25.00 to the employee’s RHSP each biweekly pay period.

  • Medical Plans The Employer will maintain the current health (including vision) and dental insurance programs and practices. The Employer shall contribute 80% of the premium charge for PPO plans, 83% of premium for the POS plan, 85% of premium for the HMO plan, 80% for the prescription drug plan and 50% for the dental plan. There shall be no change in the State’s premium subsidy for health benefits plans in Fiscal Year 2012.

  • Health Care Savings Plan As provided in this Agreement, eligible ASF Members will participate in the health care savings plan (HCSP) established under Minnesota Statute 352.98, and as administered by the Plan Administrator. The Employer is responsible only for transferring funds, as specified in this agreement, to the Plan Administrator.

  • Health Plan An appropriately licensed entity that has entered into a contract with Subcontractor, either directly or indirectly, under which Subcontractor provides certain administrative services for Health Plan pursuant to the State Contract. For purposes of this Appendix, Health Plan refers to UnitedHealthcare Insurance Company.

  • Dental Care Plan The Welfare Plan will include a Dental Care Plan which will reimburse members for expenses incurred in respect of the coverages summarized in Appendix "1". The Plan will not duplicate benefits provided now or which may be provided in the future by any government program.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Retiree Health Benefits 1. There is currently in effect a retiree health benefit program for retired members of LACERS under LAAC Division 4, Chapter 11. All covered employees who are members of LACERS, regardless of retirement tier, shall contribute to LACERS four percent (4%) of their pre-tax compensation earnable toward vested retiree health benefits as provided by this program. The retiree health benefit available under this program is a vested benefit for all covered employees who make this contribution, including employees enrolled in LACERS Tier 3.

  • Group Health Benefit Plans, Carrier and Premiums 7.1.1 When enrolment and other requirements for group participation in various plans have been met, the Employer will sponsor such plans to the portion agreed upon and such sponsorship shall not exceed that which is authorized or accepted by the benefit agency.

  • Medical Benefits - Prescription Drugs Administered by a Provider (other than a pharmacist) This plan covers prescription drugs as a medical benefit, referred to as “medical prescription drugs”, when the prescription drug requires administration (or the FDA approved recommendation is administration) by a licensed healthcare provider (other than a pharmacist). Please note: Specialty prescription drugs meeting these requirements or recommendations are covered as a pharmacy benefit and not a medical benefit. These medical prescription drugs include, but are not limited to, medications administered by infusion, injection, or inhalation, as well as nasal, topical or transdermal administered medications. For some of these medical prescription drugs, the cost of the prescription drug is included in the allowance for the medical service being provided, and is not separately reimbursed.

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