Benefits Overview. A. PAYMENT FOR SERVICES: This Contract provides benefits for Covered Services provided to Covered Persons except as stated in Part X, Exclusions and Limitations. The amount of benefit payment is determined by the following guidelines:
Benefits Overview. This Section summarizes the basic features of the benefits program. Detailed information about these features can be found in the Schedule of Benefits, including specific terms and amounts and any special exceptions.
Benefits Overview. MCSA benefits include: a) cost reduction through aggregation and optimization initiatives; b) service delivery improvement through simplification, process improvement, and service level agreements; and
Benefits Overview. The services described here are eligible for coverage under your health plan. Evergreen Health will provide benefits described here for your Medically Necessary Covered Services. The Schedule of Benefits lists your Deductibles, Out-of-Pocket Maximum and Copayments and Coinsurance amounts for certain Covered Services. It is important to refer to the Schedule of Benefits to determine your cost-share and to this Description of Covered Services for any limitations. Benefits apply when Covered Services are provided by the Member’s Primary Care Provider or obtained from other Network or non-Network Providers with a referral from the Primary Care Provider, and prior authorization when necessary. Except for Emergency Services or Out-of-Area Urgent Care, obstetric and gynecological care visits or for a referral to a Specialist or Non-physician Specialist who is not a Network Provider, services must be provided or arranged by your Primary Care Provider and obtained from a Network Provider. Benefit payments are based on the Allowed Benefit as determined by the Plan for various types of services and providers.
Benefits Overview. If you choose to accept this offer, please sign and date this offer letter and At-Will Employment, Confidential Information, Invention Assignment, and Arbitration Agreement. Please email the signed copies to xx@xxxxxxx.xxx. We are very excited about Xxxxxxx’x prospects, and are confident you will be an important contributor to our success. If you have questions or concerns, please feel free to contact me. Sincerely, I have read and accept this offer of employment: /s/ Xxxxxxx X. Xxxxxxx Signature: /s/ Xxxx Xxxxxxxx Xxxxxxx X. Xxxxxxx President and Chief Executive Officer Date: June 13, 2018
