PLAN THREE. (Flex Plan - Current Retirees Only) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee) and a drug plan of $0/$6. This plan requires precertification for in-patient elective surgery, out-patient elective surgery, non-emergency use of emergency room, and emergency hospital confinement with a penalty of $100.00 for failing to obtain precertification. NOTE: Retirees are not eligible for flexible spending accounts.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). Additional provisions of the plan are listed on Appendix "H" to this Agreement which is attached hereto and incorporated by reference herein. This plan requires precertification for in-patient elective surgery, out-patient elective surgery, non-emergency use of emergency room, and emergency hospital confinement with a penalty of $100.00 for failing to obtain precertification. For the 12 month period following implementation of precertification requirements, the County will reimburse an employee the full cost of the first penalty and 50% of the second penalty. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). Additional provisions of the plan are listed on Appendix "Z" to this Agreement which is attached hereto and incorporated by reference herein. This plan requires precertification for in-patient elective surgery, out- patient elective surgery, non-emergency use of emergency room, and emergency hospital confinement with a penalty of $50.00 for failing to obtain precertification. Disputes may be subject to the grievance procedure. use.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). This plan requires pre-certification of all hospital confinements and out-patient surgery (non- emergency pre-certification shall be made prior to hospital confinement and/or out-patient surgical procedure and emergency pre-certification shall be made within 48 hours after hospital confinement and/or outpatient surgical procedures) as well as non-emergency use of an emergency room with a penalty of $50.00 for failing to obtain precertification. For the 12 month period following implementation of precertification requirements, the County will reimburse an employee the full cost of the first penalty and 50% of the second penalty. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts.
PLAN THREE. (Flex Plan) This health insurance plan shall incorporate an overall policy deductible of $200.00/single, $600.00/family with an 80%/20% split on the next $5,000, (80% County/20% Employee). Additional provisions of the plan are listed on Appendix "E" to this Agreement which is attached hereto and incorporated by reference herein. This plan requires pre- certification of all hospital confinements and out- patient surgery (non-emergency pre-certification shall be made prior to hospital confinement and/or out-patient surgical procedure and emergency pre-certification shall be made within 48 hours after hospital confinement and/or outpatient surgical procedures) as well as non- emergency use of an emergency room with a penalty of $50.00 for failing to obtain precertification. For the 12 month period following implementation of precertification requirements, the County will reimburse an employee the full cost of the first penalty and 50% of the second penalty. Disputes may be subject to the grievance procedure. NOTE: Retirees are not eligible for flexible spending accounts. Care Center prior to, or no later than 24 hours of its use.
