POS Co-pays and Deductibles:
Effective July 1, 2012, the POS Plan shall have the following co-pays and deductibles:
(a) Twenty Dollars ($20.00) per medical visit;
(b) One Hundred Dollars ($100.00) per emergency room visit;
(c) Two Hundred Fifty Dollars ($250.00) Per Person, Five Hundred Dollars
($500.00) Per 2 Person/Family Inpatient/Outpatient Facility Deductible; and
(d) Three Tier Pharmacy Benefit of $5/$15/$35 ($5/$30/$70 Mail Order).
HMO Co-pays and Deductibles:
Effective July 1, 2021, the HMO shall have the following co-pays and deductibles:
(a) Twenty-Five Dollars ($25.00) per medical visit;
(b) One Hundred Dollars ($100.00) per emergency room visit;
(c) One Thousand Five Hundred Dollars ($1.500.00) Per Person, Three Thousand
Dollars ($3,000.00) Per 2 Person/Family Inpatient/Outpatient Facility Deductible;
and
(d) Three Tier Pharmacy Benefit of $10/$30/$50 ($20/$60/$100 Mail Order).
High Deductible Health Plan with Health Savings Account (HDHP w/ HSA):
The deductibles in the High Deductible Health Plan with Health Savings Account (HDHP w/
HSA) are $2,000 individual / $4,000 2-person or family. The City’s contribution to Health
Savings Accounts is $1,500 individual / $3,000 2-person or family.
The City HSA contribution will be distributed in 2 installments, one on or about July 1 and on
one or about October 1, provided however that if an employee is required to pay more towards
his / her deductible than the initial 50% contribution, upon presentation of suttable
documentation, the City will contribute the remaining 50% before October 1.
Employees who join the HDHP w/ HSA. at any time other than July 1 will receive a pro-rated
City contribution of $125 monthly for a single plan and $250 monthly for 2-person or family
plan for each full month remaining in that fiscal year.
Annual Audit: The city hereby agrees to conduct a yearly loss ratio analysis of all health insurance
plans offered to employees and return all employee overpayments in the form of a health Insurance
Premium Holiday at the completion of the analysis.
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