Board Of Aldermen - Agenda - 11/26/2019 - P200
Effective upon signing of this agreement, plans offered by the City under options a and b shall
have the following features:
(a) Twenty Dollars ($20.00) per medical visit;
(b) | One Hundred Dollars ($100.00) per emergency room hospital 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).