EXCLUSIONS FROM BENEFITS Sample Clauses

EXCLUSIONS FROM BENEFITS. The Plan will not provide Benefits for: (1) anything that is not Medically Necessary; (2) anything provided before or after the dates coverage is effective (except as required by law); (3) non-Covered Services and any services, items, or charges related to non-Covered Services; (4) services, supplies, and any charges from an excluded Provider; (5) items and services furnished outside the United States; and (6) services and supplies to the extent that you do not have to pay or you have the right to recover expenses through a federal, state, county, or local law (even if you waive or do not assert your rights). The following list of services and supplies specifies not Covered Services and the Plan will not provide Benefits for them. These listed exclusions are not all-inclusive and are in addition to other exclusions listed and not listed in this Agreement. Unless a service is listed as a covered benefit in Section 4, it is likely not covered. If you pay for a non-Covered Service, it will not count toward your Out-of-Pocket Cost limits.
AutoNDA by SimpleDocs
EXCLUSIONS FROM BENEFITS. The Plan will not provide Benefits for: (1) anything that is not Medically Necessary; (2) anything provided before or after the dates coverage is effective (except as required by law); (3 ) non- Covered Services and any services, items, or charges related to non - Covered Services; (4) services, supplies, and any charges from a non - Network or an excluded Provider (unless specified as Covered under section 4.B) ; (5) items and services furnished outside the United States; and (6) services and supplies to the extent that you do not have to pay or you have the right to recover expenses through a federal, state, county, or local law (even if you waive or do not assert your rights). The following l ist of services and supplies specifies not Covered Services and the Plan will not provide Benefits for them. These listed exclusions are not all - inclusive and are in addition to other exclusions listed and not listed in this Agreement. Unless a service i s listed as a covered benefit in Section 4, it is likely not covered. If you pay for a non - Covered Service, it will not count toward your Out - of- Pocket Cost limits.
EXCLUSIONS FROM BENEFITS. The Plan will not provide Benefits for: (1) anything that is not Medically Necessary; (2) anything provided before or after the dates coverage is effective (except as required by law); (3) non‐Covered Services and any services, items, or charges related to non‐ Covered Services; (4) services, supplies, and any charges from a non‐Network or an excluded Provider (unless specified as Covered under section 4.B); (5) items and services furnished outside the United States; and (6) services and supplies to the extent that you do not have to pay or you have the right to recover expenses through a federal, state, county, or local law (even if you waive or do not assert your rights); (7) Newly released medical codes and services will be considered non‐covered up to 180 days after release onto the market pending internal clinical review. The following list of services and supplies specifies not Covered Services, and the Plan will not provide Benefits for them. These listed exclusions are not all‐inclusive and are in addition to other exclusions listed and not listed in this Agreement. Unless a service is listed as a covered benefit in Section 4, it is likely not covered. If you pay for a non‐Covered Service, it will not count toward your Out‐of‐Pocket Cost limits.
EXCLUSIONS FROM BENEFITS. The Plan will not provide Benefits for: (1) anything that is not Medically Necessary; (2) anything provided before or after the dates coverage is effective (except as required by law); (3) non‐Covered Services and any services, items, or charges related to non‐ Covered Services; (4) services, supplies, and any charges from an excluded Provider; (5) items and services furnished outside the United States; and (6) services and supplies to the extent that you do not have to pay or you have the right to recover expenses through a federal, state, county, or local law (even if you waive or do not assert your rights); (7) Newly released medical codes and services will be considered non‐covered up to 180 days after release onto the market pending internal clinical review. The following list of services and supplies specifies not Covered Services and the Plan will not provide Benefits for them. These listed exclusions are not all‐inclusive and are in addition to other exclusions listed and not listed in this Agreement. Unless a service is listed as a covered benefit in Section 4, it is likely not covered. If you pay for a non‐Covered Service, it will not count toward your Out‐of‐Pocket Cost limits.

Related to EXCLUSIONS FROM BENEFITS

  • Public Benefits This Agreement provides assurances that the Public Benefits identified below will be achieved and developed in accordance with the Applicable Rules and Project Approvals and with the terms of this Agreement and subject to the City’s Reserved Powers. The Project will provide Public Benefits to the City, including without limitation:

  • Death Benefits Upon the Executive's death during the Contract Period, his estate shall not be entitled to any further benefits under this Agreement.

  • STAFF BENEFITS 7.1.1 The present staff benefits consisting of the University of Manitoba Pension Plan (1993), Group Term Life Insurance Plan, Group Term Dependent Insurance Plan, Accidental Death and Dismemberment (Basic), Accidental Death and Dismemberment (Voluntary), University of Manitoba Long-Term Disability Income Plan, Group Health Insurance Policy 20778 GH (including the Health Care Spending Account), Group Dental Plan Policy 67000, and the University Employee Assistance Program shall continue to cover eligible Members for the duration of this Agreement.

  • General Benefits During the Term of Employment, the Executive shall be entitled to participate in such employee pension and welfare benefit plans and programs of the Company as are made available to the Company's senior-level executives or to its employees generally, as such plans or programs may be in effect from time to time, including, without limitation, health, medical, dental, long-term disability, travel accident and life insurance plans.

  • Retiree Health Benefits 1. There is currently in effect a retiree health benefit program for retired members of LACERS under LAAC Division 4, Chapter 11. All covered employees who are members of LACERS, regardless of retirement tier, shall contribute to LACERS four percent (4%) of their pre-tax compensation earnable toward vested retiree health benefits as provided by this program. The retiree health benefit available under this program is a vested benefit for all covered employees who make this contribution, including employees enrolled in LACERS Tier 3.

  • Compensation and Fringe Benefits (a) The Company shall, during the Term of Employment, pay to the Executive as compensation for the performance of his duties and obligations a salary of $240,000 per annum. This compensation is subject to annual review and adjustment, as appropriate in the judgment of the Company. The compensation payable pursuant to this Section 5(a) shall be payable in equal semi-monthly installments on the last day of each such pay period.

  • Program Benefits Under the Probation Status, the Participating Contractor will be eligible for all contractor incentives, its customers will have access to financing offered through the Program, and income- eligible households will be eligible to receive Program incentives.

  • ELHT Benefits The Parties agree that since all active eligible employees have now transitioned to the OSSTF ELHT all references to existing life, health and dental benefits plans in the applicable local collective agreement for active eligible employees shall be removed from that local agreement. Post Participation Date, the following shall apply:

  • Retirement Benefits Due to either investment or employment during the marriage, either the Husband or Wife: (check one) ☐ - DO NOT have retirement plans. ☐ - HAVE retirement plans. The Couple has the following retirement plans: (“Retirement Plans”). Upon signing this Agreement, the Retirement Plans shall be owned by: (check one) ☐ - Husband ☐ - Wife ☐ - Both Spouses ☐ - Other. .

  • Retiree Benefits Employees retiring on or after January 1, 2006 will be eligible for retiree benefits as presented to the Union Negotiation Committee during discussions for renewal of the Collective Agreements that expired December 31, 2002.

Time is Money Join Law Insider Premium to draft better contracts faster.