Early Intervention Services. (EIS) Up to the maximum benefit of $5,000 per child, from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO The amount you pay is the same as network provider. Education Asthma Management 0% NO NO 40% YES YES
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO The amount you pay level of coverage is the same as network provider. Education Asthma Management 0management $40 20% NO NO 40% YES YES- After Deductible
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO The amount you pay level of coverage is the same as network provider. Education Asthma Management 0management $25 20% NO NO 40% YES YESplus $25 - After Deductible Emergency Services Hospital emergency room $150 The level of coverage is the same as network provider.
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO The amount you pay level of coverage is the same as network provider. Education Asthma Management 0% NO NO management $30 40% YES YES- After Deductible
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO 0% The amount you pay level of coverage is the same as a Tier 1 network provider. Education Asthma Management management 0% NO NO 400% YES YES50% - After Deductible Emergency Services Hospital emergency room $200 $200 The level of coverage is the same as a Tier 1 network provider.
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO The amount you pay level of coverage is the same as network provider. Education Asthma Management 0management $40 20% NO NO 40% YES YESplus $40 - After Deductible
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO The amount you pay level of coverage is the same as network providercare coordinated by your primary care physician and permitted self-referrals. Education Asthma Management 0management $50 20% NO NO 40% YES YES- After Deductible Emergency Services Hospital emergency room $200 The level of coverage is the same as care coordinated by your primary care physician and permitted self-referrals.
Appears in 1 contract
Samples: Subscriber Agreement
Early Intervention Services. Early intervention services (EIS) Up to the maximum benefit of $5,000 per child, Coverage provided for members from birth to 36 months, per calendar year. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% NO NO 0% The amount you pay level of coverage is the same as a network provider. Education Asthma Management management 0% NO NO 400% YES YES50% - After Deductible
Appears in 1 contract
Samples: Subscriber Agreement