Comprehensive Medical and Dental Plan Sample Clauses

Comprehensive Medical and Dental Plan. The Company agrees to maintain for the life of this Agreement for eligible year-round employees a comprehensive medical and dental plan. The plan shall be set forth in separate booklets apart from this Agreement, but shall be considered a part of this Agreement. Medical Benefit Summary: Each employee selects a provider from the managed care network prior to January 1 of each year. Eligible services received from the selected provider are paid at Network benefit levels; services provided out-of-network are paid at a reduced benefit level as follows: Network Out-of-Network Comprehensive Medical Deductible, then 80% Deductible, then 70% Chiropractic Deductible, then 80% No Coverage Prescription Drugs $8 co-pay, closed generic formulary Mental Health Deductible, Then 80% Deductible, then 70% Inpatient *30 days per year *30 days per year Outpatient 40 hours per year 40 hours per year Chemical Dependency Deductible, Then 80% Deductible, then 70% Inpatient *30 days per year *30 days per year Outpatient 130 hours per year 130 hours per year Deductible $150 per person $450 family aggregate Additional $200 per person $350 per person maximum Coinsurance $500 per person $1500 family aggregate Additional $800 per person $1300 per person maximum Annual Maximum Out of Pocket $650 per person $1950 family aggregate Additional $1000 per person $1650 per person maximum *Inpatient services are reviewed and must be medically necessary. Dental Benefit Summary