Vera Whole Health 6/7/2019 - Laserfiche WebLink

include, without limitation, on-site dispensary (Avg. 50 Generic Drugs); Full one dose drugs (i.e. antibiotics, etc); and a limited list of the most common and not complex maintenance drugs (i.e. high blood pressure, diabetes, etc.); and vaccines. Off-Site Laboratory charges shall include, without limitation, HIV Screening test; INR (blood coagulation measurement); Mononucleosis Test; Pregnancy Test; Stool Blood Test(FOBT); Strep Throat Test; and Urinalysis. Additionally, the cost of any prescribed IUDs will be billed through at cost under this section. Notwithstanding the foregoing,the parties acknowledge that state law requires that certain pathological interpretation services(such as pap smear and skin biopsy)be billed to a Participant's insurance plan or paid directly by the Participant and cannot be directly paid by Vera. Amounts payable for such interpretation services shall not be included in the Admin PPPM Fee and shall not be reimbursable hereunder. (b) Budgeting and Approvals. Vera acknowledges that intent of this Agreement is that Employer will, in addition to paying the Admin PPPM Fee,reimburse for Vera's actual costs as Reimbursable Charges described in(a)above,all without mark-up. 1. No later than July 1st of each year starting in 2020, Vera will submit to Employer a proposed budget for the Clinic Reimbursable Charges for the upcoming calendar year for Employer's Finance Director approval,which approval will not be unreasonably withheld. The proposed budget will be at least as detailed as the draft budget attached as Exhibit B to this Schedule. Any amendment to the approved budget must also be submitted to Employer for written approval by Employer's Finance Director,which approval will not be unreasonably withheld. Employer acknowledges that in the ordinary course of business Clinic Reimbursable Charges will change over time due to,for example but not limited to, staffing wage adjustments,changes in benefits offered to all Vera or Vera PC employees,and Vera system wide changes to clinic operational costs and related services. Employer has no obligation to pay any Reimbursable Charges not accounted for in an approved budget or budget amendment. 2. Vera will provide to Employer(or Employer's designee)all back-up information reasonably requested by Employer necessary to verify that the amounts invoiced as Reimbursable Charges are amounts equal to the amounts actually incurred by Vera. 3. Vera will not seek reimbursement from Employer for goods and services purchased from third parties in excess of the amounts reimbursed to Vera from Vera's other Washington clients for the same goods and services. 1.3. Guarantees Relating to Fees. (a) Introduction. As described in this Section 1.3, none, some or all of the aggregate annual Admin PPPM Fees may be refunded to Employer by Vera. Section 1.3(c)describes the"Conditional Fee Refund." Section 1.3(d)describes the"Performance Guarantee Refund." (b) Definitions Schedule 2, Page 2