Common use of Major Medical Clause in Contracts

Major Medical. The Employer agrees to pay one hundred percent (100%) of the billed single/family rate, whichever is applicable, for employees who participate in the plan. If an employee is otherwise covered, the employer shall not be obligated to contribute. The Employer will continue the drug card with a seven dollars and fifty cents ($7.50) dispensing fee cap and a one dollar ($1.00) deductible per prescription (positive enrolment to be included). Reimbursement for prescribed drugs covered by the Plan will be based on the cost of the lowest cost interchangeable drug, unless there is a documented adverse reaction to the drug or where the employee’s doctor stipulates in writing that there are other medical reasons why the lowest cost interchangeable drug cannot be prescribed.

Major Medical. The Employer agrees to pay one hundred percent (100%) of the billed single/family rate, whichever is applicable, for employees who participate in the plan. If an employee is otherwise covered, the employer shall not be obligated to contribute. The Employer will continue the drug card with a seven dollars and fifty cents ($7.507. 50) dispensing fee cap and a one dollar ($1.00) deductible per prescription (positive enrolment to be included). Reimbursement for prescribed drugs covered by the Plan will be based on the cost of the lowest cost interchangeable drug, unless there is a documented adverse reaction to the drug or where the employee’s 's doctor stipulates in writing that there are other medical reasons why the lowest cost interchangeable i nterchangeable drug cannot be prescribed.