May 22, 2013   TABLE OF CONTENTS   B. BENEFITS APPLICABLE TO NON-MEDICARE RETIREES   7. VALUE PLAN MEDICAL BENEFITS Calendar year deductible per person: $1000 Percentage payable for PPO providers Each calendar year after satisfaction of Deductible: 50% of the first $5,000 90% of the next $65,000 100% thereafter Calendar Year Out Of Pocket Maximum Per person: $10,000* *Includes the deductible and percentage of covered charges you are required to pay beyond the deductible. Individuals covered under the Value Plan, must use HealthLink (or USA) PPO providers (except in limited circumstances as described in Part VI). 8. VALUE PLAN PRESCRIPTION DRUG BENEFITS The following prescription drug benefits apply to individuals enrolled in the Value Plan. Generic Drugs: Calendar year deductible per person: $200 Reimbursement after deductible: 50% Single-Source Brand Name Drugs: Calendar year deductible per person: $500 Reimbursement after deductible: 50% Multi-Source Brand Name Drugs: Not covered (no exceptions) The Value Plan provides no reimbursement of multi-source brand name drugs (those for which there is a generic equivalent). For details about covered drugs, exclusions and limitations, please see Section 6.2 on pages 95-96.   TABLE OF CONTENTS   St. Louis Graphic Arts Joint Health & Welfare Fund 14323 South Outer Forty Rd. - Suite S106 Chesterfield, Missouri 63017 Fund Office: (314) 878-1579 twesthues@slgahw.org Fax: (314) 275-2640   If you have any comments about this web site, please contact us at twesthues@slgahw.org.   Site Concept and Design ©2002 jWeb. Maintenance and Hosting provided by jWeb.