PPO Plan. The lesser of: Individual Plan 85% of premium or 85% of projected premium as of March 1st of the agreement year. Parent/Child Plan 80% of premium or 80% of projected premium as of March 1st of the agreement year. Husband/Wife Plan 70% of premium or 70% of projected premium as of March 1st of the agreement year. Family Plan 70% of premium or 70% of projected premium as of March 1st of the agreement year. The current plan agreement covers the period of September 1st to August 31st. Any additional premium payable by the unit members above the Board's contribution will be payroll deducted, as equally as possible, during the months of September through August. No unit member will receive more than 100% of the premium cost of their basic hospitalization plan.
PPO Plan. A. Effective July 1, 2016
PPO Plan. This plan is the Blue Cross Blue Shield of Michigan's PPO Option. $20 co-pay for office/urgent care visits in a network physician's office. $250 single/$500 family calendar year deductible in network and $500 single/$1,000 family deductible out-of-network. $1,250 single/$2,500 family annual out of pocket max in-network and $3,500 single/$7,000 family out of pocket max out of network. When services are provided by a community provider, the provider pays eighty percent (80%) of the reasonable amount as determined by the carrier after deductibles and the participant is responsible for the remaining charges. If services are received from a provider who is not a member of the Plan network, the plan pays sixty percent (60%) of the reasonable amount as determined by the carrier and the participant is responsible for the remaining charges. Specific policy terms are those in the executed insurance contract with the carrier. Medical benefits shall be provided as agreed to by the University and the Association. Coverage information will be on file in University Human Resources and additional information will be provided by the medical carriers. The PPO plan described above is subject to specific carrier policy provisions and the Group Operating Agreements between Oakland University and the carrier.
PPO Plan. The Board will offer a PPO (Preferred Provider Organization) option. All benefits will be negotiated as a separate item and be outlined in the summary plan description which is posted on the district website and outlines the bargaining unit member’s percentage of coverage and co-pays not addressed within this Article.
PPO Plan. The Cleveland Clinic System will be covered in-network with one or more Preferred Provider Organizations (PPO). The CCBDD may change the specifications to the following limits:
PPO Plan. In addition to the coverage specified in the current plan, the employer will provide a PPO Plan each year of the Agreement with an in-network annual medical deductible of five hundred ($500) dollars for each covered individual in the plan and children under age twenty-six (26) years as defined in the ACA. Regular office visits with a primary care doctor will require a twenty dollars ($20) copay, while office visits for specialists will require a forty dollars ($40) copay. See the simplified chart below for a brief summary of these and other key medical benefit provisions. PPO Plan Medical Benefits: In Network Out of Network Deductibles $500 per person $1000/family $1,000 per person $3,000/family Coinsurance 0% 20% Coinsurance Out of Pocket Max n/a $2,000/$6,000 Emergency Room Copay $100 – waived if admitted OV Copay/Specialist Copay $20/$30 30% Urgent Care Copay $40 30% OOP MAX SINGLE: $3,675 OOP MAX FAMILY: $7,350
PPO Plan. Single coverage deductible shall remain at $150.00. Prior to implementation of the Plan, the Township shall provide new benefit books and orientation during work hours. The Township shall provide at their cost, inoculations to prevent lyme disease upon approval and release by the appropriate State Regulatory Agency.
PPO Plan. The lesser of: Individual Plan 80%of premium or 80% of projected premium as of March 1of the agreement year. Parent/Child Plan 70% of premium or 70% of projected premium as of March 1 of the agreement year. Husband/Wife Plan 70% of premium or 70% of projected premium as of March 1of the agreement year. Family Plan 70% of premium or 70% of projected premium as of March 1 of the agreement year. The current plan agreement covers the period of September 1 to August 31. Any additional premium payable by the certificated employees above the Board's contribution will be payroll deducted, as equally as possible, during the months of September through June. No certificated employee will receive more than 100% of the premium cost of his/her basic hospitalization plan.
PPO Plan. Effective July 1, 2023, the City will be authorized to deduct from an employee’s pay nineteen and one- half percent (19.5%) of the cost of medical and prescription insurance coverage. Effective as of July 1, 2024, the City will be authorized to deduct from an employee’s pay twenty percent (20.0%) of the cost of medical and prescription insurance coverage. Effective as of July 1, 2025, the City will be authorized to deduct from an employee’s pay twenty and one-half percent (20.5%) of the cost of medical and prescription insurance coverage. Effective as of July 1, 2026, the City will be authorized to deduct from an employee’s pay twenty-one percent (21.0%) of the cost of medical and prescription insurance coverage. Effective as of July 1, 2027, the City will be authorized to deduct from an employee’s pay twenty-two percent (22.0%) of the cost of medical and prescription insurance coverage. Any deduction from an employee’s pay under this provision shall be based on a fifty-two (52) week payment of cost schedule. Alternate HDHP Plan For the alternate $2000/$4000 HDHP/HSA set forth in Section 17.1, effective July 1, 2023, employees will pay eleven and one-half percent (11.5%) of the cost of medical and prescription insurance coverage. Effective July 1, 2024, employees will pay twelve percent (12%) of the cost of medical and prescription insurance coverage. Effective July 1, 2025, employees will pay twelve and one-half percent (12.5%) of the cost of medical and prescription insurance coverage. Effective July 1, 2026, employees will pay thirteen percent (13.0%) of the cost of medical and prescription insurance coverage. Effective July 1, 2027, employees will pay fourteen percent (14.0%) of the cost of medical and prescription insurance coverage. The City shall contribute 50% of the deductible to the employee’s HSA. Any employee hired prior to January 20, 2008, will be provided with the following medical retiree benefit options: The Employer shall contribute for the then existing City of Groton Plans (hereinafter “Plans”) for then current bargaining unit members, the same percent cost share as that being contributed for then current bargaining unit employees, individual and spousal coverage only, or comparable insurance then in effect, for an employee who retires at age sixty (60) or later under the normal retirement provision of the pension plan, up to the date said employee reaches the age of sixty-five (65) or Medicare age eligibility whichever comes later. Cit...
PPO Plan. Office Visit $30 Specialist Office Visit $35 Hospital $500 ER $200 Outpatient Surgery $250 Urgent Care $75 Prescriptions (Public Sector Option 2) $5/$30/$40 ($2,000 annual maximum) Out of Network Deductible $2,500/$5,000/$7,500 Out of Network Coinsurance 70%/30% OR
