SERVICE BENEFITS Sample Clauses
The SERVICE BENEFITS clause defines the specific advantages, features, or value-added services that a customer receives as part of a service agreement. It typically outlines what is included in the service package, such as access to support, updates, or exclusive resources, and may detail eligibility requirements or limitations. By clearly specifying these benefits, the clause ensures both parties have a mutual understanding of what is provided, reducing the risk of disputes and setting clear expectations for service delivery.
SERVICE BENEFITS. Benefits provided by this Agreement (but only to the extent they are not hereafter excluded) are for the necessary treatment of any Sickness or Acci- dental Injury as follows:
SERVICE BENEFITS. Benefits provided by this Agreement (but only to the extent they are not hereafter excluded) are for the necessary treatment of any Sickness or Accidental Injury as follows:
SERVICE BENEFITS. Benefits provided by this Agreement ( but only to the extent they are not hereafter excluded) are for the necessary treatment of any Sickness or Accidental Injury as follows:
A. BASIC BENEFITS
1. Blue Shield will pay the following:
a) Coverage of Part A Medicare Eligible Expenses for hospitalization to the extent not covered by Medicare from the 61st day through the 90th day in any Medicare Benefit Period;
b) Coverage of Part A Medicare Eligible Expenses incurred for hospitalization to the extent not covered by Medicare for each Medicare lifetime inpatient reserve day used. Each Medicare beneficiary is given sixty (60) lifetime reserve days which begin from the 91st day and after;
c) Upon exhaustion of the Medicare hospital inpatient coverage including the sixty (60) lifetime reserve days, coverage for the Medicare Part A Eligible Expenses for hospitalization will be paid at the appropriate standard of payment which has been approved by Medicare, subject to a lifetime maximum benefit of an additional 365 days (except that psychiatric care in a psychiatric hospital participating in the Medicare program is limited to 190 days during the Subscriber's lifetime);
d) Room and board charges shall be no more than the charge for a semi-private accommodation in the Hospital of confinement, unless confinement in a subacute skilled nursing facility or private room is certified as medically necessary by an attending Physician.
2. Blue Shield will pay the following:
a) Coverage for Medicare Parts A and B for the reasonable cost of the first three (3) pints of blood (or equivalent quantities of packed red blood cells, as defined under federal regulations) unless replaced in accordance with federal regulations;
b) Blue Shield will provide coverage for the coinsurance amount or, in the case of hospital outpatient Services, the copayment amount of Medicare Eligible Expenses under Part B regardless of hospital confinement, subject to the Medicare Part B Deductible provided the Subscriber is receiving concurrent benefits from Medicare for the same Services.
c) Blue Shield will provide coverage for hospice care which includes cost sharing for all Part A Medicare eligible hospice care and respite care expenses.
3. Benefits for the coverage listed above shall be paid when the Subscriber is not entitled to payment for such Services under Medicare by reason of exhaustion of Medicare Benefits or reductions for coinsurance and Deductibles required under Medicare. Members who reasona...
SERVICE BENEFITS. Length of service is recognized through increasing benefit entitlements for certain benefit programs, discretionary reduction of probationary period for transferred or promoted employees, and in the review and scrutiny given to applications for promotion or transfer.
SERVICE BENEFITS. A. Employees who are eligible for the 403B Plan noted in 17.4, upon retirement, shall also be eligible for the service benefits noted in this §17.6, provided they provide the District with notice of their retirement on or before November 15 of the school year in which they will retire.
B. Employees shall receive payments which are based on the longevity schedule noted below:
SERVICE BENEFITS. 20.01 All Permanent Employees within the Bargaining Unit hired before April 30th 2014 shall receive service pay, in accordance with their term of service, which service pay shall be payable with the last regular pay in November of each year during the term of this Collective Agreement, as follows:
(a) After five (5) years service 1.0% of Salary
(b) After ten (10) years service 1.5% of Salary
(c) After fifteen (15) years service 2.5% of Salary
(d) After twenty (20) years service 3.0% of Salary
SERVICE BENEFITS. Benefits provided by this Agreement (under Part A. Basic Benefits but only to the extent they are not hereafter excluded) are for the necessary treatment of any Sickness or Accidental Injury as follows:
A. BASIC BENEFITS
1. After the Subscriber has satisfied the Medicare Part A Deductible. Blue Shield will pay the following:
SERVICE BENEFITS. Benefits provided by this Agreement (but only to the extent they are not hereafter excluded) are for the medically necessary treatment of any illness or injury, as follows:
A. HOSPITAL AND SKILLED NURSING FACILITY SERVICES 1. HOSPITAL
a. such Services are within the category of benefits provided under Part A of Medicare; and
b. the Subscriber is not entitled to payment for such Services under Medicare by reason of reductions for Medicare coinsurance or deductibles or exhaustion of Medicare Benefits. Inpatient Services shall include semi-private accommodation in the Hospital of confinement, unless confinement in a subacute skilled nursing or private room is certified as medically necessary by a Physician. Blue Shield shall provide this benefit through the 515th day of Hospital confinement in any one Benefit Period. Inpatient Hospital psychiatric care is limited to 190 days during the Subscriber's lifetime. Blue Shield will also pay for the reasonable cost of the first three (3) pints of blood (or equivalent quantities of packed red blood cells, as defined under federal regulations) unless replaced in accordance with federal regulations.
SERVICE BENEFITS. Benefits provided by this Agreement ( but only to the extent they are not hereafter excluded) are for the necessary treatment of any Sickness or Accidental Injury as follows:
A. HOSPITAL SERVICES
1. Coverage of 100 percent of the Medicare Part A hospital coinsurance amount for each day used from the 61st to the 90th day, inclusive, in any Medicare benefit period.
2. Coverage of 100 percent of the Medicare Part A hospital coinsurance amount for each Medicare lifetime inpatient reserve day used from the 91st to the 150th day, inclusive, in any Medicare benefit period.
3. Upon exhaustion of the Medicare hospital inpatient coverage, including the lifetime reserve days, coverage of 100 percent of the Medicare Part A eligible expenses for hospitalization paid at the applicable prospective payment system rate, or other appropriate Medicare standard of payment, subject to a lifetime maximum benefit of an additional 365 days (except that psychiatric care in a psychiatric hospital participating in the Medicare program is limited to 190 days during the Subscriber’s lifetime).
4. Medicare Part A Deductible: Coverage for 50 percent of the Medicare Part A inpatient hospital deductible amount per benefit period until the Calendar year maximum copayment is met.
5. Skilled Nursing Facility Care: Coverage for 50 percent of the coinsurance amount for each day used from the 21st day through the 100th day in a Medicare benefit period for post-hospital skilled nursing facility care eligible under Medicare Part A until the Calendar year maximum copayment is met.
6. Hospice Care: Coverage for 50 percent of the coinsurance for all Part A Medicare eligible expenses and respite care until the Calendar year maximum copayment is met.
7. Coverage for 50 percent under Medicare Part A or B, of the reasonable cost of the first three (3) pints of blood (or equivalent quantities of packed red blood cells, as defined under federal regulations) unless replaced in accordance with federal regulations until the Calendar year maximum copayment is met.
B. MEDICAL SERVICES
1. Coverage of 100 percent of copayment or coinsurance for Medicare Part B preventive services after the Medicare Part B Deductible is met.
2. Coverage for 50 percent of the copayment or coinsurance applicable under Medicare Part B after the Subscriber pays the Medicare Part B Deductible, until the Calendar year maximum copayment is met.
3. Coverage of 100 percent of all copayment or coinsurance under Medicare Parts A and B for t...
SERVICE BENEFITS. It will build upon the current joint equipment service to provide a seamless service across Health and Social Care and will set a benchmark for what can be achieved through integration of resources and finance. • It will provide the potential for a seven day service. • It will have a Joint Management Board to oversee the Operational Services. • It will have a single operational manager who will be accountable on a day to day basis for the running of the Service. • By integrating budgets, costs for ordering, storing, maintenance and delivery can be reduced with further cost savings being achieved by creating a robust recycling facility within the Service. • It will give Service Users a single point of contact and a facility to see for themselves the range of Community Equipment available. • Creating a 'core stock' of Community Equipment will ensure quick access to equipment needed at short notice, thereby facilitating more efficient hospital discharge. • Having a stock of Community Equipment for 'Continuing Care' will ensure quick access to items for those Service Users with more complex health needs. • The Service will have an up-to-date state of the art cleaning and sterilising unit to ensure all Community Equipment issued and re-issued meet current health and safety standards and decontamination requirements.
