BENEFITS AND SERVICES. Purpose Of This Provision A Member may be covered under this Contract and subsequently become covered by or eligible for coverage under Medicare or coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan. This provision allows Us to coordinate the services and supplies We provide with what Medicare pays or what Medicare would pay. This provision also allows us to coordinate benefits with what a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan pays. Coordination of benefits is intended to avoid duplication of benefits while at the same time preserving certain rights to coverage under all Plans under which the Member is covered. Please note: The ONLY circumstances in which a person may be covered under both this Contract and under Medicare or coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan occur when a Member is already covered under this Contract and subsequently becomes eligible for Medicare or coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan.
BENEFITS AND SERVICES. Purpose Of This Provision A [Member] may be covered for health benefits or services by more than one Plan. For instance, he or she may be covered by this [Contract] as an Employee and by another plan as a Dependent of his or her spouse. If he or she is covered by more than one Plan, this provision allows Us to coordinate what We pay or provides with what another Plan pays or provides. This provision sets forth the rules for determining which is the Primary Plan and which is the Secondary Plan. Coordination of benefits is intended to avoid duplication of benefits while at the same time preserving certain rights to coverage under all Plans under which the [Member] is covered.
BENEFITS AND SERVICES. Your membership fee entitles you to the following benefits that the Provider agrees to provide, specified under “Membership benefits.” This membership, including all consultations relevant to the membership option chosen, is exclusive to you and may not be transferred to your spouse, partner or other dependants. It remains your responsibility to submit the bill for all consumable products used to your Medical Aid/Health Insurer for re-imbursement, should you so desire. Your medical coverage, deductibles and co-payments will apply in typical fashion. Your enrollment in the membership will continue until this Membership Agreement is terminated.
BENEFITS AND SERVICES. Purpose Of This Provision A [Member] may be covered for health benefits or services by more than one Plan or may be eligible for Medicare, but not enrolled for Medicare Part B. For instance, he or she may be covered by this [Contract] as an Employee and by another plan as a Dependent of his or her spouse or he or she may be covered by this [Contract] as an Employee and eligible to be covered under Medicare Part B. . If he or she is covered by more than one Plan or eligible to be covered under Medicare Part B, this provision allows Us to coordinate what We pay or provides with what another Plan pays or provides. This provision sets forth the rules for determining which is the Primary Plan and which is the Secondary Plan. Coordination of benefits is intended to avoid duplication of benefits while at the same time preserving certain rights to coverage under all Plans under which the [Member] is covered.
BENEFITS AND SERVICES. (1) An eligi- ble veteran on whose behalf payments are made to the employer shall be pro- vided all other Chapter 31 benefits and services furnished to other veterans re- ceiving employment services. A vet- eran may not be paid a subsistence xx- xxxxxxx during the period in which job training or work experience is fur- nished under this section.
BENEFITS AND SERVICES. Purpose Of This Provision A Member may be covered under this Contract and subsequently become covered by or eligible for coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan. This provision also allows us to coordinate benefits with what a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan pays. Coordination of benefits is intended to avoid duplication of benefits while at the same time preserving certain rights to coverage under all Plans under which the Member is covered. Please note: The ONLY circumstances in which a person may be covered under both this Contract and under coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan occur when a Member is already covered under this Contract and subsequently becomes eligible for coverage under a group Health Benefits Plan, Group Health Plan, Governmental Plan, or Church Plan. Note: See the separate provision addressing Medicare.
BENEFITS AND SERVICES. Benefits only for preventive care • No Pre-Existing Limitations for Medical • No Medical Deductibles • Choice of four family tiers • 100% coverage for covered services as long as a Multiplan provider is utilized • Guaranteed Issue for all eligible employees • Preventative Prescription benefits available through MedTrack Stay Healthy (MEC) Plans do not constitute comprehensive health insurance (often referred to as “major medical coverage”) Highlights of Insure Plus Benefits Employees can elect with or without a Stay Healthy (MEC) plan • Medical Indemnity and Accident Benefits • No Pre-Existing Limitation for Medical or Hospital Indemnity Plans • No Medical Deductibles • Guaranteed Issue for all eligible employees • Choice of four family tiers • Prescription benefits available through PharmAvail • Teladoc telemedicine included • Benefits for preventive care are included ONLY if Stay Healthy (MEC) is choice with Insure Plus Additional Benefit Options Employees do not have to elect Stay Healthy (MEC) to enroll in the following • 24-hour Group Accident • Short-term Disability* • Term-life and AD&D • Dental • Vision Quality Assurance As a part of Team1Medical’s Cycle of Improvement, Team1Medical takes a proactive approach in quality assurance. All of Team1Medical’s clients, participate in our Quality Assurance Program. A portion of this program is designed to measure the soft skills and performance of our contingent labor through their assignment. Customized to fit your requirements, Team1Medical’s Quality Control may include: • Arrival confirmation • 1st day quality check call • 1st week evaluation • Periodic scheduled and unscheduled calls • Participation in Team1Medical’s PERC program (Program for Employee Relations and Customer Service) • Quality Reviews with Team1Medical’s Management team If during the performance monitoring, we discover areas in which our employees require improvement in order to be totally successful in their position, a Team1Medical staffing specialist will counsel the employee off-site through proven professional methods. However, in the event a termination does occur, Team1Medical will contact the employee after work hours to end the assignment. Simply notifying a Team1Medical representative by phone will ensure receipt of the information for immediate action. An integral part of our Program for Employee Relations and Customer Service (PERCS) is the Assignment Merit Evaluation. This evaluation is used to monitor the performance of our...
BENEFITS AND SERVICES. All benefits for doing a particular job should be the same for men and women. The College practices on pensions, sick pay, etc should be monitored to ensure there is no direct or indirect discrimination against women. Access to overtime should be checked to ensure that women and men have equal access to this work, and an equal right to refuse non-contractual overtime Complaints The College should seek to provide a supportive environment for staff who wish to make a claim of pay inequality. Review and Consultation This Joint Agreement on Guidance should be reviewed on a regular basis in accordance with legislative developments and the need for good practice, by the College. As part of the review the College should seek and take into account the views of stakeholders including the consultation/negotiating arrangements within the College, and appropriate equality bodies.
BENEFITS AND SERVICES. C. Physician Benefits- Inpatient. The following benefits are available only at HMO Participating Hospitals and Participated Skilled Nursing Facilities when the Member is referred by Member's Participating Primary Physician by means of a prior written referral except for emergency services as described in Section F. -
BENEFITS AND SERVICES. 1. Unlimited physician services (other than for mental illness) when referred by Member's Participating Primary Physician, including pre-operative and post-operative surgical, medical, obstetrical and anesthesia services.
