provider. If not a true provider. If not a true provider. If not a true emergency then emergency then emergency then coinsurance coinsurance coinsurance level applied to covered level applied to level applied to services. covered services. covered services. - Hospital Emergency Room $100 Copay Emergency care $100 Copay Emergency care 100% After Deductible Emergency care (Waived if Admitted) meeting of CT (Waived if Admitted) meeting State of CT meeting State of CT prudent person’s prudent person’s prudent person’s definition of emergency definition of definition of will be paid at emergency will be paid emergency will be paid levels at in-network levels at in-network levels regardless of the regardless of the regardless of the provider. If not a true provider. If not a true provider. If not a true emergency then emergency then emergency then coinsurance coinsurance coinsurance level applied to covered level applied to level applied to services. covered services. covered services. - Urgent Care Facilities $75 Copay Emergency care $75 Copay Emergency care 100% After Deductible Emergency care (Waived if Admitted) meeting State of CT (Waived if Admitted meeting State of CT meeting of CT prudent person’s prudent person’s prudent person’s definition of emergency definition of definition of will be paid at emergency will be paid emergency will be paid levels at in-network levels at in-network levels regardless of the regardless of the of the provider. If not a true provider. If not a true provider. If not a true emergency then emergency then emergency then coinsurance coinsurance co-insurance level applied to covered level applied to level applied to services. covered services. covered services. - Ambulance No Charge Emergency care No Charge Emergency care 100% After Deductible Emergency care meeting of CT meeting State of CT meeting State of CT prudent person’s prudent person’s prudent person’s definition of definition of definition of emergency will be paid emergency will be paid emergency will be paid at in-network levels at in-network levels at in-network levels regardless of the regardless of the of the provider. If not a true provider. If not a true provider. If not a true emergency then emergency then emergency then coinsurance coinsurance co-insurance
provider. If not a true emergency then coinsurance level applied to covered services. provider. If not a true emergency then coinsurance level applied to covered services. provider. If not a true emergency then coinsurance level applied to covered services. - Hospital Emergency Room $100 Copay (Waived if Admitted) Emergency care meeting of CT prudent person’s definition of emergency will be paid at levels regardless of the provider. If not a true emergency then coinsurance level applied to covered services. $100 Copay (Waived if Admitted) Emergency care meeting State of CT prudent person’s definition of emergency will be paid at in-network levels regardless of the provider. If not a true emergency then coinsurance level applied to covered services. 100% After Deductible Emergency care meeting State of CT prudent person’s definition of emergency will be paid at in-network levels regardless of the provider. If not a true emergency then coinsurance level applied to covered services. - Urgent Care Facilities $75 Copay (Waived if Admitted) Emergency care meeting State of CT prudent person’s definition of emergency will be paid at levels regardless of the provider. If not a true emergency then coinsurance level applied to covered services. $75 Copay (Waived if Admitted Emergency care meeting State of CT prudent person’s definition of emergency will be paid at in-network levels regardless of the provider. If not a true emergency then coinsurance level applied to covered services. 100% After Deductible Emergency care meeting of CT prudent person’s definition of emergency will be paid at in-network levels of the provider. If not a true emergency then co-insurance level applied to covered services. - Ambulance No Charge Emergency care meeting of CT prudent person’s definition of emergency will be paid at in-network levels regardless of the provider. If not a true emergency then coinsurance No Charge Emergency care meeting State of CT prudent person’s definition of emergency will be paid at in-network levels regardless of the provider. If not a true emergency then coinsurance 100% After Deductible Emergency care meeting State of CT prudent person’s definition of emergency will be paid at in-network levels of the provider. If not a true emergency then co-insurance
2017-2020-rockyhillboe-teachercontract-final.docx