Alternate Services Clause Samples
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. - Broken appointments; - Dental care covered under a medical plan provided by an employer or government; - Which, in the absence of insurance, there would be no charge; - Stainless steel crowns on permanent teeth; - Oral hygiene instruction or nutritional counselling; - Protective athletic appliances; - A full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction; - Replacement of lost or stolen prostheses; or replacement of bridgework - Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued.
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result.
Alternate Services. Members have a right to request any covered service, whether or not the service has been recommended as necessary or appropriate by a professional or the interdisciplinary team responsible for coordinating their care. The MCO is not restricted to providing only the services in the benefit package. The MCO may provide, but is not required to provide, a support or service to a specific member that is not specified in the benefit package if the alternative support or service is:
a. An alternative to a support or service that is in the benefit package otherwise available to the member, and
b. Cost-effective in comparison to the support or service in the benefit package for which it is substituting, and
c. Appropriate to support that member’s long-term care outcomes and needs, and
d. The member agrees to the alternative. The cost of such alternatives that are specifically documented in the encounter reporting system defined in Article XIV, Reports and Data, page 194, will be examined by the Department’s actuary and, if appropriate, will be included in the development of actuarially sound rates as defined in Addendum I, Actuarial Basis, page 243.
Alternate Services. If you are not comfortable with the limitations of 9-1-1 emergency calls, Quadro recommends that you terminate the VoIP services or consider an alternate means for accessing traditional 9-1-1 emergency services.
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a profes- sionally adequate result. Dental care which is cosmetic; Broken appointments; Dental care covered under a medical plan provided by an employer or government; Which, in the absence of insurance, there would be no charge; Stainless steel crowns on permanent teeth: Oral hygiene instruction or nutritional counselling: protective athletic appliances; correction, or for diagnosis or correction of a temporo- mandibular joint dysfunction; replacement of lost or stolen prostheses: or replacement of bridgework Prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this ben- efit is discontinued. Charges up to the Benefit Maximum for: Diagnostic procedures, including models Therapy and appliances; and Correction or malocclusion This is a description of the covered benefits and not the policy. Eligible expenses and exclusions are outlined in the Teamsters Self Funded Health Care and Dental Care Plan Document. It is designed to tell you about the provisions of the benefits which are of most general interest. Not all of the Plan’s details are included. If you have any questions about the Plan rules or provisions, or if you would like to find out about any matter affecting your status in it, write to the Plan administrator: retire you continue Health Care and Dental Care Benefits for yourself and your eligible dependents, provided you have satisfied the eligibility provisions with a minimum of years of continuous plan participation and are between age and at retirement. to age if attending school).
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Everyone hopes to enjoy a reasonable standard of living during their retirement years. This private company pension plan, which is wholly paid for by the Company, is designed to make a significant contribution to your personal retirement planning. It is intended to supplement your personal retirement savings, registered retirement savings plans, Canada Pension Plan and Old Age Security benefits. The following is a summary for general purposes only; for specific terms of the Plan, reference should be made to the actual Plan itself copies of which are available from the Secretary of the Company, at West Avenue, Vancouver, Eligibility full-time employees join after months of service. other employees join at the later of: months of service; and
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Schedule 3 Everyone hopes to enjoy a reasonable standard of living during their retirement years. This private Company Defined Benefit (DB) Plan, which is wholly paid for by the Company, is designed to make a significant contribution to your personal retirement planning. It is intended to supplement your personal retirement savings, registered retirement savings plans, Canada Pension Plan and Old Age Security benefits. The following is a summary for general purposes only; for specific terms of the Plan, reference should be made to the actual Plan itself - copies of which are available from the Secretary of the Company, at ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇, ▇▇.
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionalIy adequate I No amount will be paid for charges for: dental care which is cosmetic; completion of claim forms; broken appointments; dental care covered under a medical plan provided by an employer or government; which, in the absence of insurance, there would be no charge; stainless steel crowns on permanent teeth; oral hygiene instruction or nutritional counselling; protective athletic appliances; a full mouth reconstruction, for a vertical dimension correction, or for diagnosis or correction of a temporomandibular joint dysfunction; replacement of lost or stolen prostheses; or replacement of bridgework prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued. Orthodontics (Dependent Children Only) Charges up to the Benefit Maximum for: diagnostic procedures, including models therapy and appliances; and correction or malocclusion NOTE: This is a description of the insurance benefits and not the policy. It is designed to tell you about the provisions of the insurance coverage which are of most general interest. Not all of the Plan's details are included. If you have any questions about the Plan or provisions, or if you would like to find out about any matter affecting your status it, write to the Plan administrator Norseman Street, Ontario General Telephone Number: Toll Free: Fax Number: TEAMSTERS LOCAL BENEFITS PROGRAMME TRUST FUND.
Alternate Services. If you are not comfortable with the limitations of 9-1-1 emergency calls, Minutel recommends that you terminate the VoIP services or consider an alternate means for accessing traditional 9-1-1 emergency services.
Alternate Services. If alternate services may be performed for the treatment of the dental condition, the maximum amount payable will be the amount shown in the Suggested Fee Guide for the least expensive service or supply required to produce a professionally adequate result. Limitations No amount will be paid for charges for: dental care which is cosmetic; completion of claim forms; broken appointments; dental care covered under a medical plan provided by an employer or government; which, in the absence of insurance, there would be no charge; stainless steel crowns on permanent teeth; oral hygiene instruction or nutritional counselling; protective athletic appliances; prostheses, including crowns and bridgework, and the fitting thereof which were ordered while insured, but which were finally installed or delivered after this benefit is discontinued. Orthodontics (Dependent Children Only) Charges up to the Benefit Maximum for: diagnostic procedures, including models therapy and appliances; and correction or malocclusion ▇▇▇▇▇▇▇ ASSOCIATES LTD. Street, Ontario General Telephone Number: Toll Free: Fax Number: SUMMARY OF WELFARE RETIREE BENEFITS TEAMSTERS LOCAL BENEFITS PROGRAMME TRUST FUND.