Certain Eye and Hearing Care Clause Samples
The 'Certain Eye and Hearing Care' clause defines the coverage or benefits provided for specific eye and hearing-related healthcare services under an agreement or insurance policy. Typically, this clause outlines which types of eye exams, corrective lenses, hearing tests, or hearing aids are included, and may specify any limitations, exclusions, or required procedures for obtaining these services. By clearly delineating what eye and hearing care is covered, the clause helps prevent misunderstandings and ensures that both parties understand the extent of benefits or obligations related to these health needs.
Certain Eye and Hearing Care. Charges for eye refractions or examinations for the fitting of glasses or hearing aids. If, after benefits have been paid on account of services, treatments and supplies given to the Participant in connection with an illness or injury of such person, it is determined that any such services, treatments or supplies are described above, the Employer will be entitled to a refund from the Employee of the amount paid by it in connection with such illness or injury which is in excess of the benefits which would have been payable based on the actual eligible charges incurred.