Common use of Plan Options Clause in Contracts

Plan Options. Medical insurance plans are currently offered through Blue Cross/Blue Shield as described in Appendix A. Plan coverage specifications and costs, including required faculty contributions to premiums, deductibles and co-pays, are available for review in the University summary plan descriptions available from Human Resource Services or at its website. The Blue Cross/Blue Shield plan will be the same plan provided to non-represented employees with the following clarifications: (a) Prescription drugs: • Three tier formulary of $5 -20 -40 for thirty (30) day supply with deductibles of $100 for single, $200 for two person and $300 for family • Three tier formulary of $10 -40 -80 for ninety (90) day mail order supply with no deductibles • Cap of $1300 for a single; $2600 for two persons and $3800 for family (b) Durable medical equipment: • Deductibles of $100 for single; $200 for two persons and $300 for family • Plan pays 80% and employee pays 20% of costs up to $6600 ($13,200 per family). After $6600 ($13,200 per family), the plan will pay 100% of covered expenses. (c) Hospitalization co-pay of $250 per admission, limited to $750 per calendar year. If there is a subsequent hospitalization based on same diagnosis within three months of the initial hospitalization, the $250 co-pay will be waived. (d) Outpatient surgical co-pay of $100. Regarding outpatient surgical visits, if there is a subsequent surgery based on the same diagnosis within three months, the $100 co pay for that visit will be waived. (e) Note on health care coverage: It is understood that treatments such as dialysis, chemotherapy, MRI, blood drawing and testing do not fall under the category of “Outpatient Surgery” but fall under either Outpatient Services or X-Ray/Lab which are 100% covered.

Plan Options. Medical insurance plans are currently offered through Blue Cross/Blue Shield as described in Appendix A. Plan coverage specifications and costs, including required faculty contributions to premiums, deductibles and co-pays, are available for review in the University summary plan descriptions available from Human Resource Services or at its website. The Blue Cross/Blue Shield plan will be the same plan provided to non-represented employees with the following clarifications: (a) Prescription drugs: •  Three tier formulary of $5 -20 -40 for thirty (30) day supply with deductibles of $100 for single, $200 for two person and $300 for family •  Three tier formulary of $10 -40 -80 for ninety (90) day mail order supply with no deductibles •  Cap of $1300 for a single; $2600 for two persons and $3800 for family (b) Durable medical equipment: •  Deductibles of $100 for single; $200 for two persons and $300 for family •  Plan pays 80% and employee pays 20% of costs up to $6600 ($13,200 per family)15,000. After $6600 ($13,200 per family), the 15,000 plan will pay 100% of covered expenses. (c) Hospitalization co-pay of $250 per admission, limited to $750 per calendar year. If there is a subsequent hospitalization based on same diagnosis within three months of the initial hospitalization, the $250 co-pay will be waived. (d) Outpatient surgical co-pay of $100. Regarding outpatient surgical visits, if there is a subsequent surgery based on the same diagnosis within three months, the $100 co pay for that visit will be waived. (e) Note on health care coverage: It is understood that treatments such as dialysis, chemotherapy, MRI, blood drawing and testing do not fall under the category of “Outpatient Surgery” but fall under either Outpatient Services or X-Ray/Lab which are 100% covered.

Plan Options. Medical insurance plans are currently offered through Blue Cross/Blue Shield as described in Appendix A. Plan coverage specifications and costs, including required faculty contributions to premiums, deductibles and co-pays, are available for review in the University summary plan descriptions available from Human Resource Services or at its website. The Blue Cross/Blue Shield plan will be the same plan provided to non-represented employees with the following clarifications: (a) Prescription drugs: • Three tier formulary of $5 -20 -40 for thirty (30) day supply with deductibles of $100 for single, $200 for two person and $300 for family • Three tier formulary of $10 -40 -80 for ninety (90) day mail order supply with no deductibles • Cap of $1300 for a single; $2600 for two persons and $3800 for family (b) Durable medical equipment: • Deductibles of $100 for single; $200 for two persons and $300 for family • Plan pays 80% and employee pays 20% of costs up to $6600 ($13,200 per family)15,000. After $6600 ($13,200 per family), the 15,000 plan will pay 100% of covered expenses. (c) Hospitalization co-pay of $250 per admission, limited to $750 per calendar year. If there is a subsequent hospitalization based on same diagnosis within three months of the initial hospitalization, the $250 co-pay will be waived. (d) Outpatient surgical co-pay of $100. Regarding outpatient surgical visits, if there is a subsequent surgery based on the same diagnosis within three months, the $100 co pay for that visit will be waived. (e) Note on health care coverage: It is understood that treatments such as dialysis, chemotherapy, MRI, blood drawing and testing do not fall under the category of “Outpatient Surgery” but fall under either Outpatient Services or X-Ray/Lab which are 100% covered.

Plan Options. Medical insurance plans are currently offered through Blue Cross/Blue Shield as described in Appendix A. Plan coverage specifications and costs, including required faculty contributions to premiums, deductibles and co-pays, are available for review in the University summary plan descriptions available from Human Resource Services or at its website. The Blue Cross/Blue Shield plan will be the same plan provided to non-represented employees with the following clarifications: (a) Prescription drugs: • : a. Three tier formulary of $5 -20 -40 for thirty (30) day supply with deductibles of $100 for single, $200 for two person and $300 for family • b. Three tier formulary of $10 -40 -80 for ninety (90) day mail order supply with no deductibles • c. Cap of $1300 for a single; $2600 for two persons and $3800 for family (b) Durable medical equipment: • Deductibles of $100 for single; $200 for two persons and $300 for family • Plan pays 80% and employee pays 20% of costs up to $6600 ($13,200 per family). After $6600 ($13,200 per family), the plan will pay 100% of covered expenses. (c) Hospitalization co-pay of $250 per admission, limited to $750 per calendar year. If there is a subsequent hospitalization based on same diagnosis within three months of the initial hospitalization, the $250 co-pay will be waived. (d) Outpatient surgical co-pay of $100. Regarding outpatient surgical visits, if there is a subsequent surgery based on the same diagnosis within three months, the $100 co pay for that visit will be waived. (e) Note on health care coverage: It is understood that treatments such as dialysis, chemotherapy, MRI, blood drawing and testing do not fall under the category of “Outpatient Surgery” but fall under either Outpatient Services or X-Ray/Lab which are 100% covered.