Common Contracts
9 similar null contracts
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL EXCLUSIVE PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY CONNECT BLUE EPO,October 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits. Cost-sharing options are available such as deductible, copayments and/or coinsurance. Except for emergency care services, benefits are only provided for services performed by network providers as defined in this Agreement. If covered services are not available from a network provider, preauthorization from the plan must be obtained to receive services from an out-of-network provider. Benefits for covered services are based on the network level at which the provider rendering such services is participating. Network providers can participate at the standard value, enhanced value or preferred value levels and benefits are increased at each level, respectively. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shield Participating Facility Pro
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY LEHIGH VALLEY FLEX BLUE PPOOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN SUBSCRIPTION AGREEMENT IDENTIFIED AS MY PREMIER BLUE FLEX PPOOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network benefit levels with cost-sharing options such as deductible and coinsurance. Most Services are covered at both network and out-of- network benefit levels. Services received from a network provider are usually provided at a higher benefit level than out-of-network services, and certain services are covered only when they are received from a network provider. This Agreement is designed for individuals who wish to purchase a qualified high deductible health plan for use with a Health Savings Account as defined by the Internal Revenue Service. Network services are limited to the Community Blue Network the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shield Participating Facility Provider Network and/or the Local PPO Network, depending upon where the member receive
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY PREMIER BLUE FLEX PPOOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN SUBSCRIPTION AGREEMENT IDENTIFIED AS HEALTH SAVINGS BLUE PPO EMBEDDEDOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network benefit levels with cost-sharing options such as deductible and coinsurance. Most Services are covered at both network and out-of- network benefit levels. Services received from a network provider are usually provided at a higher benefit level than out-of-network services, and certain services are covered only when they are received from a network provider. This Agreement is designed for individuals who wish to purchase a qualified high deductible health plan for use with a Health Savings Account as defined by the Internal Revenue Service. This high deductible program includes individual and family deductibles and coinsurance amounts. The Member(s) who are enrolled in coverage through this Agreement are eligible for reductions in certain cost-sharing that would otherwise apply under this Agre
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY COMMUNITY BLUE FLEX PPOOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL EXCLUSIVE PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS MY CONNECT BLUE EPO,October 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits. Cost-sharing options are available such as deductible, copayments and/or coinsurance. Except for emergency care services, benefits are only provided for services performed by network providers as defined in this Agreement. If covered services are not available from a network provider, preauthorization from the plan must be obtained to receive services from an out-of-network provider. Benefits for covered services are based on the network level at which the provider rendering such services is participating. Network providers can participate at the standard value, enhanced value or preferred value levels and benefits are increased at each level, respectively. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shield Participating Facility Pro
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN SUBSCRIPTION AGREEMENT IDENTIFIED AS MY COMMUNITY BLUE FLEX PPOOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network benefit levels with cost-sharing options such as deductible and coinsurance. Most Services are covered at both network and out-of-network benefit levels. Services received from a network provider are usually provided at a higher benefit level than out-of-network services, and certain services are covered only when they are received from a network provider. This Agreement is designed for individuals who wish to purchase a qualified high deductible health plan for use with a Health Savings Account as defined by the Internal Revenue Service. This high deductible program includes individual and family deductibles and coinsurance amounts. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shield Participatin
INDIVIDUAL COMPREHENSIVE MAJOR MEDICAL PREFERRED PROVIDER SUBSCRIPTION AGREEMENT IDENTIFIED AS ALLIANCE FLEX BLUE PPOOctober 28th, 2016
DESCRIPTION OF COVERAGE: This Agreement sets forth a comprehensive program of inpatient and outpatient facility, professional and ancillary provider benefits provided at network and out-of-network levels of benefits with cost-sharing options such as deductible, copayments and/or coinsurance. Most services are covered at both network and out-of-network levels of benefits. Services received from a network provider are usually provided at a higher level of benefits than out-of-network services, and certain services are covered only when they are received from a network provider. Additionally, certain network services received from a network provider participating at the enhanced value level of benefits are provided at a higher level of benefits than network services received from a provider participating at the standard value level of benefits. Network services are limited to the Community Blue Network, the PremierBlue Shield Preferred Professional Provider Network, the Highmark Blue Shie
