Basic health insurance definition

Basic health insurance means (1) an insurance plan where an employer pays at least eighty (80) percent of the premium for individual coverage or the individual contribution plus fifty (50) percent of the difference between the individual rate and the dependent care rate for family coverage; deductibles and out-of-pocket
Basic health insurance means (1) an insurance plan where an employer pays at least 80 percent of the premium for individual coverage or the individual contribution plus 50 percent of the difference between the individual rate and the dependent care rate for family coverage; covers at least 80 percent of the costs for office visits, emergency care, surgery and formulary prescriptions; has annual out of pocket maximums of no more than $1,500 for individual and $3,000 for family; and maternity coverage for in-network services; and if an out-of-network option is provided, out-of-pocket maximums will not exceed $2,000 for individual and $4,000 for family; (2) a deductible insurance plan provided by an employer where in-network deductibles do not exceed 25 percent for office visits, inpatient care, outpatient care and/or urgent/emergency care, there is a $1,500 out of pocket maximum for individual and $3,000 out of pocket maximum for family, and any out-of-network deductible plan’s out-of-pocket maximum does not exceed $2,000 for individual and $4,000 for family; or (3) an employer provides a health plan not less in value than that provided to first level supervisory employees provided that the benefit costs employers a minimum of 75% of the difference between 110% and 130% of the federal poverty level for a family of four.

Examples of Basic health insurance in a sentence

  • Basic health insurance benefits for the employee shall be covered by the District during the time an employee is out-of-work due to the injury.

  • Basic health insurance coverage is provided by the national health insurance of the student during his/her stay in another country.

  • Basic health insurance coverage might be provided by the national health insurance of the student during his/her stay in another country.