Common use of PPO Clause in Contracts

PPO. The City shall provide hospitalization and major PPO medical coverage with a deductible of $250.00 per person to a maximum of $500.00 per family. Out of network deductibles shall be $500.00 single/$1000.00 family. Office visit co-pay of $20.00 for in network and paid at 70% for out of network. Healthcare expenses will be paid at 90% in network with a maximum out of pocket at $750 single/$1500 family per year. Out of network expenses will be paid at 70% up to a maximum out of pocket expense of $1500 single/$3,000 family per year. Prescription drug plan available at $10.00 for generic drug, $30.00 brand formulary and $50.00 brand non-formulary. Mail in drug plan, cost for a 90 day supply at the same rate as that of the 30 day prescription. The City shall continue to provide the AFSCME, Ohio Council 8 Health and Welfare Plan. The City shall pay the cost of such coverage not to exceed $47.50 per employee. In patient hospital in network paid at 90% after deductible and out of network hospital paid at 70% after deductible, until maximum out of pocket expense is made. Emergency room co-pay of $50.00 in network and 70% for out of network after deductible. Urgent Care co-pay of $25.00 in network and 70% out of network after deductible.