HEALTH CARE, LIFE AND DENTAL INSURANCE. 30.1: Each regularly scheduled full time employee shall be eligible to participate in the Blue Cross/Blue Shield (BC/BS) Community Blue Option 2 Plan with the following features that are not inclusive of all benefits: Core Annual Deductible: $100 – Employee $200 – Family Annual Co-Pays: 90%/10% (BC/BS pays 90% of all approved charges.) Out-Of-Pocket Maximum Including Deductible (Excluding Mental Health Services): $ 600 – Employee $1,200 - Family $15 Office Visit Co-Pay Prescription Drugs: $10.00 Generic Prescription Drugs $20.00 Brand Name Prescription Drugs MOPD – Mail Order Prescription Drugs $250 Maximum Annual In Network Preventative Health Care Services VCA 80 - Vision Care HCA – Hearing Care FC – Family Continuation SD – Sponsored Dependent The Employer shall pay the plan cost with the following exceptions:
HEALTH CARE, LIFE AND DENTAL INSURANCE. 29.1: Effective January 1, 2009 each full time Nurse Supervisor and each part time Nurse Supervisor regularly scheduled to work twenty [20] or more hours a week shall be eligible to participate in the health care plan offered by the County. The core plan is equivalent to the following: Community Blue PPO Option 2 Annual Deductible $ 100 – Employee $ 200 – Family (two or more insured members) Annual Co-Pays 90% - Plan Approved Charges 10% - Employee Annual Co-Pays Maximums (plus deductibles) $ 500 – Employee $ 1,000 – Family (two or more insured members) Office Visit Copay - $15 Prescription Drug Rider Deductibles $15.00 - Generic Prescription Drugs $30.00 - Brand Name Prescription Drugs $45.00 – Non-Preferred Prescription Drugs MOPD - Mail Order Prescription Drugs requires a single co-pay for 90 day supply via mail or retail. $250 Maximum Annual In Network Preventative Services VCA 80 – Vision Rider HCA – Hearing Care FC – Dependent Eligibility SD – Sponsored Dependent
HEALTH CARE, LIFE AND DENTAL INSURANCE. SECTION 1 Each full time employee shall be eligible to participate in one of two health care plans offered by the County. The core plan is the Flexible Blue Plan 2 which is comprised of the following benefits. This is a limited summary of the plan and not an exhaustive list of the benefits. Annual Deductible $ 1,250 – Employee $ 2,500 – Family (two or more insured members) Regular Co-Pays 80% - Plan Approved Charges 20% - Employee Annual Co-Pay Maximum $ 1,000 – Employee $ 2,000 – Family (two or more insured members) Annual Out-Of-Pocket Maximum Including Deductibles $ 2,250 - Employee $ 4,500 – Family (two or more insured members) Prescription Drug Rider Deductibles $15.00- Generic Prescription Drugs $30.00 - Brand Name Prescription Drugs $45.00 – Non-Preferred Prescription Drugs MOPD - Mail Order Prescription Drugs require one co-pay for 90 day supply via mail or retail. 100% Plan Paid Preventative Services Up To $500 (This is a sample list not an exhaustive list.) • Annual Gynecological Examination – One visit per insured member • Annual Pap Smear Screening Laboratory Services – One visit per insured member • Fecal Occult Blood Screening – One visit per insured member • Health Maintenance Exam – One visit per insured member • Immunizations through age 16 • Mammography – One visit per insured member no age restriction • Prostate Specific Antigen (PSA) Screening • Well Baby and Child Care 6 visits per year through age 2
HEALTH CARE, LIFE AND DENTAL INSURANCE. 29.1: Each full time nurse and each part time nurse regularly scheduled to work twenty
