High HMO definition

High HMO. Coverage: Defined as the coverage level provided to unit members in 2010-11 (copays $5 for office visits, and $5 generic/$15 non-generic for prescription drugs) unless modified by agreement of the District and SEIU. Unit members will contribute the following amounts for this level of coverage: Note: If no generic drug is available the unit member has to pay the brand drug rate. Monthly Premium Contributions for Kaiser “High HMO” Copays: Doctor Visits: $5; and Rx: $5 Generic/$15 Brand Coverage 2019-2022 EE $50 EE + 1 $100 Family $150 Monthly Premium Contributions for Anthem Blue Cross “High HMO” Office Visits: $15 and Rx: $15 Generic/$25 Brand Coverage 2019-2022 EE $85 EE + 1 $170 Family $255 For Anthem Blue Cross “High HMO” coverage, it is understood that the premium contributions in years 2013-14 and 2014-15 are predicated on raising copays for doctor visits and prescription drugs in increments not to exceed $5 per year.

High HMO. Coverage: Defined as the coverage level provided to unit members in 2010-11 (copays $5 for office visits, and $5 generic/$15 non-generic for prescription drugs) unless modified by agreement of the District and SEIU. Unit members will contribute the following amounts for this level of coverage, up through and including academic year 2015-2016, in the amounts shown below: Note: If no generic drug is available the unit member has to pay the brand drug rate. Monthly Premium Contributions for Kaiser “High HMO” Premium Contributions for 2012-13 begin January 1, 2012* Copays: Doctor Visits: $5; and Rx: $5 Generic/$15 Brand Coverage 2012-13* 2013-14 2014-15 2015-2016 EE $30 $40 $50 $50 EE + 1 $60 $80 $100 $100 Family $90 $120 $150 $150 Monthly Premium Contributions for Anthem Blue Cross “High HMO” Copays and Premium Contributions for 2012-13 begin January 1, 2012* Copays increment in years 2013 and 2014 2012-13: Office Visits: $5 and Rx: $5 Generic/$15 Brand 2013-14: Office Visits: $10; and Rx: $10 Generic/$20 Brand 2014-15: Office Visits: $15 and Rx: $15 Generic/$25 Brand 2015-16: Office Visits: $15 and Rx: $15 Generic/$25 Brand Coverage 2012-13* 2013-14 2014-15 2015-2016 EE $60 $70 $85 $85 EE + 1 $120 $140 $170 $170 Family $180 $210 $255 $255 For Anthem Blue Cross “High HMO” coverage, it is understood that the premium contributions in years 2013-14 and 2014-15 are predicated on raising copays for doctor visits and prescription drugs in increments not to exceed $5 per year.

Examples of High HMO in a sentence

• Thereafter, the County Superintendent of Schools shall contribute an amount comparable to fifty percent (50%) of the increased cost for the High HMO health and welfare outlined in Appendix C.

• Eliminate Private Healthcare Network (“PHCS”) from High HMO and POS Elite Network: AvMed will continue to assume administration over the County’s Medical Plans, and lease the Elite (PHCS) wrap network for medical services to achieve Provider discounted rates for out-of-area services.

• Eliminate Private Healthcare Network (“PHCS”) from High HMO and POS Elite Network: AvMed will continue to assume administration over the County’s Medical Plans, and lease the Elite (PHCS) wrap network for medical services to achieve Provider discounted rates for out-of- area services.

• During fiscal years 2018-2019 through 2019-2020, the SCCOE agrees to pick up 50% of any increase in Health and Welfare benefits based on the High HMO plan; bargaining unit members shall be responsible for all additional increases.

• Therefore, should there be an increase in the cost of 2018-2019 health and welfare benefits based on the High HMO plan, the Santa Xxxx County Superintendent of Schools will contribute fifty percent (50%) of the increased costs of the benefits.

• Currently (in 2014), the High HMO and POS plans are at the “platinum” level.

• User can make appropriate changes and re-submit before the Proposal deadline.

• They should be torqued to 55 to 65 inch pounds (NOT FOOT POUNDS) of torque.

• There are two exceptions to this statement and that is for the Family Plan offered under the High HMO Plan of which there are currently 5 enrollees in this plan and for all of the tiers under the PPO Plan except the Employee Only tier – these 4 tiers have 43 enrollees.

• Therefore, should there be an increase in the cost of the 2016-2017 health and welfare benefits based on the High HMO plan, the Santa Xxxx County Superintendent of Schools will contribute fifty percent (50%) of the increased costs of the benefits.