The NMI Retirement Fund Group Health Insurance program proposes to implement a uniform coverage rates for its members, beginning with its room coverage and maximum benefits.<\/p>\n
Under the program\u2019s proposal, it would adopt a $300 limit per day for on-island hospital room and board. This represents the maximum amount the program will pay for room and board and general nursing care while an employee is confined in an on-island hospital.<\/p>\n
For on-island intensive care room and board, the proposed limit is $900 a day, while for an on-island skilled nursing facility, the limit would be $60 per day for 60 days.<\/p>\n
For off-island facilities, the plan would shoulder 80 percent of the room rate.<\/p>\n
Currently, the plan\u2019s high-option rate for on-island hospital room and board is $300 while the low option is $250.<\/p>\n
For on-island intensive care room and board, the high-option limit is $900 a day while low-option is at $750.<\/p>\n
For on-island skilled nursing facility, the limit for high-option is $150 for 60 days; low-option is $125 per day for 30 days.<\/p>\n
For other hospital charges such as operating room, drugs, x-ray, laboratory, and medical supplies, the plan\u2019s proposed coverage is 80 percent.<\/p>\n
Under the proposed amendments to the plan\u2019s regulations, the program aims to reduce four-tier enrolment categories to three\u2014single, couple, and family\u2014and to delete \u201chigh option\u201d and \u201clow option\u201d subcategories.<\/p>\n
The program proposes to retain high option\u2019s 80\/20 contribution\u201480 percent government and 20 percent member. <\/p>\n
Under the proposal, the plan aims to set the annual maximum covered benefits per enrollee at $100,000, while lifetime maximum benefits is $500,000.<\/p>\n
For single, out-of-pocket maximum is $4,000; couple, $8,000; and family, $12,000.<\/p>\n
The proposed changes to the plan\u2019s rules and regulations are to take effective July 1, 2006.<\/p>\n","protected":false},"excerpt":{"rendered":"
The NMI Retirement Fund Group Health Insurance program proposes to implement a uniform coverage rates for its members, beginning with its room coverage and maximum benefits.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-100069","post","type-post","status-publish","format-standard","hentry","category-local-news"],"_links":{"self":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/posts\/100069","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/comments?post=100069"}],"version-history":[{"count":0,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/posts\/100069\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/media?parent=100069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/categories?post=100069"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.saipantribune.com\/index.php\/wp-json\/wp\/v2\/tags?post=100069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}