Common use of Empire Plan Enhancements Clause in Contracts

Empire Plan Enhancements. Prosthetic wigs shall be a covered basic medical benefit and shall be reimbursed up to a lifetime maxi- mum of $1,500 not subject to deductible or co-insurance. • The Empire Plan medical carrier shall contract with Diabetes Education Centers accredited by the American Diabetes Education Recognition Program. • The lifetime maximum for travel and lodging expenses for the CRS program is eliminated. • An annual diabetic shoe benefit will be available through the Home Care Advocacy Program under the medical carrier as follows: — Network Coverage—benefits paid at 100 percent with no out-of-pocket cost up to a $500 maximum per year. — Non-network Coverage— or diabetic shoes obtained other than through the HCAP, reimbursement will be made under the basic medical component of the Empire Plan, subject to deductible and the re- mainder paid at 75 percent of the network allowance up to a maximum of $500.

Empire Plan Enhancements. Prosthetic wigs shall be a covered basic medical benefit benefit and shall be reimbursed up to a lifetime maxi- mum of $1,500 not subject to deductible or co-insurance. • The Empire Plan medical carrier shall contract with Diabetes Education Centers accredited by the American Diabetes Education Recognition Program. • The lifetime maximum for travel and lodging expenses for the CRS program is eliminated. • An annual diabetic shoe benefit benefit will be available through the Home Care Advocacy Program under the medical carrier as follows: — Network Coverage—benefits benefits paid at 100 percent with no out-of-pocket cost up to a $500 maximum per year. — Non-network Coverage— or —For diabetic shoes obtained other than through the HCAP, reimbursement will be made under the basic medical component of the Empire Plan, subject to deductible and the re- mainder paid at 75 percent of the network allowance up to a maximum of $500.

Empire Plan Enhancements. Prosthetic wigs shall be a covered basic medical benefit and shall be reimbursed up to a lifetime maxi- mum of $1,500 not subject to deductible or co-insurance. • The Empire Plan medical carrier shall contract with Diabetes Education Centers accredited by the American Diabetes Education Recognition Program. • The lifetime maximum for travel and lodging expenses for the CRS program is eliminated. • An annual diabetic shoe benefit will be available through the Home Care Advocacy Program under the medical carrier as follows: — Network Coverage—benefits paid at 100 percent with no out-of-pocket cost up to a $500 maximum per year. — Non-network Coverage— or —For diabetic shoes obtained other than through the HCAP, reimbursement will be made under the basic medical component of the Empire Plan, subject to deductible and the re- mainder paid at 75 percent of the network allowance up to a maximum of $500.

Empire Plan Enhancements. Prosthetic wigs shall be a covered basic medical benefit benefit and shall be reimbursed up to a lifetime maxi- mum maximum of $1,500 1500 not subject to deductible or co-insurancecoinsurance. • The Empire Plan medical carrier shall contract with Diabetes Education Centers accredited by the American Diabetes Education Recognition Program. • The lifetime maximum for travel and lodging expenses for the CRS program is eliminated. • An annual diabetic shoe benefit benefit will be available through the Home Care Advocacy Program under the medical carrier as follows: — Network Coverage—benefits benefits paid at 100 percent 100% with no out-of-pocket cost up to a $500 maximum per year. — Non-network Coverage— or —For diabetic shoes obtained other than through the HCAPHCAP Program, reimbursement will be made under the basic medical component of the Empire Plan, subject to deductible and the re- mainder remainder paid at 75 percent 75% of the network allowance up to a maximum of $500.a

Empire Plan Enhancements. Prosthetic wigs shall be a covered basic medical benefit benefit and shall be reimbursed up to a lifetime maxi- mum maximum of $1,500 not subject to deductible or co-insurance. • The Empire Plan medical carrier shall contract with Diabetes Education Centers accredited by the American Diabetes Education Recognition Program. • The lifetime maximum for travel and lodging expenses for the CRS program is eliminated. • An annual diabetic shoe benefit benefit will be available through the Home Care Advocacy Program under the medical carrier as follows: — Network Coverage—benefits benefits paid at 100 one hundred (100) percent with no out-of-pocket cost up to a $500 maximum per year. — Non-network Coverage— or —For diabetic shoes obtained other than through the HCAP, reimbursement will be made under the basic medical component of the Empire Plan, subject to deductible and the re- mainder remainder paid at 75 seventy-five (75) percent of the network allowance up to a maximum of $500.

Empire Plan Enhancements. Prosthetic wigs shall be a covered basic medical benefit benefit and shall be reimbursed up to a lifetime maxi- mum life- time maximum of $1,500 1500 not subject to deductible or co-insurancecoinsurance. • The Empire Plan medical carrier shall contract with Diabetes Education Centers accredited by the American Diabetes Education Recognition Program. • The lifetime maximum for travel and lodging expenses for the CRS program is eliminated. • An annual diabetic shoe benefit benefit will be available through the Home Care Advocacy Program under the medical carrier as follows: — Network Coverage—benefits benefits paid at 100 percent 100% with no out-of-pocket cost up to a $500 maximum max- imum per year. — Non-network Coverage— or —For diabetic shoes obtained other than through the HCAPHCAP Program, reimbursement will be made under the basic medical component of the Empire Plan, subject to deductible and the re- mainder remainder paid at 75 percent 75% of the network allowance up to a maximum of $500.