Common use of PPO Health Insurance Plan Clause in Contracts

PPO Health Insurance Plan. The Board of Education shall continue to provide low-deductible PPO health insurance. Effective September 1, 2016, participating employees shall pay ten percent (10%) of the cost of the premium for single or family coverage for the PPO health insurance plan. Benefits MMO PPO Plan Network Non-Network Deductible* $500(S)/$1,000(F) $1,500(S)/$3,000(F) Coinsurance 80%/20% 60%/40% Coinsurance Limits $1,000(S)/$2,000(F) $3,000(S)/$6,000(F) Out of Pocket Max (includes deductibles, copayments, coinsurance) $6,350(S)/ $12,700(F) NA Office Visits/Urgent Care $20 (100% Preventative) Emergency Room 80% RX Copays Retail Mail Generic $10 $20 Formulary $20 $40 NonFormulary $30 $60