National Health Care Sample Clauses

National Health Care. 1. Should the national and/or state government mandate that the Employer provide a specific level and/or plan of health coverage, the Employer agrees to bargain over the implementation of said mandate and its effect upon the collective bargaining agreement and the health insurance coverage for members of the bargaining unit.
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National Health Care. If National Health Care becomes law, and everyone participates, our present health and welfare donation will be used to cover the above mentioned item, and if any monies are leftover, the monies left will become part of our wages.
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National Health Care. In the event that a National Health Insurance Program is enacted, the Employer’s contribution to the current Health and Welfare Plan, as described in Article 19, shall be applied to any cost incurred by the Employer and/or the Employees covered hereunder in connection with such National Health Plan. If the current Employer’s contribution is in excess of the cost of such National Health Plan, then at the discretion of the Employees covered hereunder, the difference shall be reallocated at the Union’s discretion.
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National Health Care. As a result of the Patient Protection and Affordable Care Act and its companion legislation, Health Care Reform has been, and will continue to be, enacted to fundamentally change the delivery, coverage, access and the relationship of patients, providers and plan sponsors in the delivery of healthcare for active and retired employees. New considerations such as mandated benefits, state exchanges, penalties, the potential for tax credits and coverage options may result in potential benefit changes, additional costs, or shared savings over the life of this agreement. This new health care delivery model will require the Company and Union to investigate and implement changes in order to meet the requirements of Health Care Reform regulations. It is agreed if Health Care Reform options become available, the medical plans contained in this agreement may be modified to address the opportunities as they arise provided that any changes are by mutual consent of the Employer and Unions. APPENDIX A – EMPLOYEE AND RETIREE MEDICAL COVERAGE AND PRESCRIPTION/ VISION/ DISABILITY/ HEARING COVERAGE Plan modifications for active employee medical program and retiree medical program are effective January 1, 2014. PROVISION Kaiser Blue Cross Blue Shield In-Network Blue Cross Blue Shield Out-of-Network Deductible None Single - $400 Single - $800 None Family - $800 Family - 1600 Coinsurance 100% plan 90% / 10% 70% / 30% Out of Pocket Max Single - $1500 Single - $1000 Single - $2000 Family - $3000 Family - $2000 Family - $4000 Copayments: Office Visit $30 $30 70% after deductible ER Visit $100 $100 70% after deductible Routine Physical 100% 100% Not covered Immunizations 100% 100% Not covered Mammogram 100% 100% 70% Hospital 100% 90% 70% Doctor/Surgeon/Anesthesia 100% 90% 70% Urgent Care $30 90% 70% Facility Services $30 90% 70% X-Ray/Lab at Facility 100% 100% 70% X-Ray/Lab at Hospital 100% 90% 70% Delivery 100% 90% 70% Prenatal Office Visits 100% 100% 70% Nursing Facility 100% 90% 70% Home Health Service 100% 100% 70% Mental Health / Substance Abuse - Inpatient 100% 90% 70% Mental Health / Substance Abuse - Outpatient $30 $30 70% Chiropractic Services Not covered $30 70% PRESCRIPTION DRUGS Express Scripts Express Scripts In-Network Out-of-Network Generic $10 Generic $10 Formulary $25 Formulary $25 Non-Formulary $40 Non-Formulary $40 Generic by Mail $20 Not Available by Mail Brand by Mail $40 Non-Formulary by Mail $80 VISION COVERAGE Employee/Retiree and Dependent Kaiser VSP Examina...
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National Health Care. In the event that a National Health Care program becomes law and is effective during the term of this contract, the parties shall negotiate the impact of such a program on the insurance provision of this Agreement.
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National Health Care. As a result of the Patient Protection and Affordable Care Act and its companion legislation, Health Care Reform has been, and will continue to be, enacted to fundamentally change the delivery, coverage, access and the relationship of patients, pro- viders and plan sponsors in the delivery of healthcare for active and retired employees. New considerations such as mandated benefits, state exchanges, penalties, the potential for tax credits and coverage options may result in potential benefit changes, additional costs, or shared savings over the life of this agreement. This new health care delivery model will require the Company and Union to investi- gate and implement changes in order to meet the requirements of Health Care Reform regulations. It is agreed if Health Care Reform options become available, the medical plans contained in this agreement may be modified to address the opportunities as they arise provided that any xxxxx- es are by mutual consent of the Employer and Unions.
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National Health Care. ‌ In the event a national health care plan is instituted, the parties agree to meet and confer on its effect on the Hospital’s medical insurance plan and on the benefits provided by the medical insurance plan to the Nurses.
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Related to National Health Care

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Health Care The Company will reimburse the Executive for the cost of maintaining continuing health coverage under COBRA for a period of no more than 12 months following the date of termination, less the amount the Executive is expected to pay as a regular employee premium for such coverage. Such reimbursements will cease if the Executive becomes eligible for similar coverage under another benefit plan.

  • Extended Health Care i) Effective July 1, 2004 the annual Extended Health Care deductible will be increased to fifty dollars ($50.00) for single or family coverage.

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

  • Health Services At the time of employment and subject to (b) above, full credit for registered professional nursing experience in a school program shall be given. Full credit for registered professional nursing experience may be given, subject to approval by the Human Resources Division. Non-degree nurses shall be placed on the BA Track of the Teachers Salary Schedule and shall be ineligible for movement to any other track.

  • Healthcare Section 1. Bargaining unit employees with one (1) year or more of service will be provided coverage for the duration of this contract through the “Full Coverage” Team Care Plan (“Team Care MM200”), which includes dental, vision, life, short term disability, medical and prescription drug benefits. Prior to January 1, 2020, bargaining unit employees with less than one (1) year of service will be provided coverage through the “Medical Only” plan. On January 1, 2020, all bargaining unit employees enrolled in the Medical Only plan shall be enrolled in the Full Coverage plan, and the Medical Only plan will eliminated. The rates for 2019 and a further description of the plan and rates are referenced

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

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