Drug Benefits definition

Drug Benefits means those drugs, drug products and/or products discussed, described and/or defined in writing, from time to time, in the Coverage including, without limitation, those which must be Dispensed.
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Drug Benefits. The current prescription drug benefits for each plan administered by Medco will remain in effect for 2006. • Requirements: PG&E can only receive the subsidy for Medicare eligible retirees and dependents who do not enroll in a Medicare Part 0 plan. In addition, PG&E must have the Social Security Number of each retiree and each dependent to receive the Medicare Part 0 SUbsidy for the individual. Therefore, if a retiree or dependent enrolls in a Part 0 plan or PG&E does not have his or her Social Security Number, s/he will be disenrolled from the PG&E retiree medical plans. Retirees who are disenrolled can reenroll the following year by 1) dropping Medicare Part 0 and 2) notifying the PG&E HR Service Center by September 1 of their intent to enroll in PG&E medical in the upcoming Open Enrollment period. • Administration: PG&E will determine and manage the administrative processes associated with Medicare Part D. October 10, 2005 • LTO Members: PG&E will reduce the premium equivalent of Medicare eligible LTOers by the value of the net subsidy. LTOers will pay their agreed-to medical premium contribution based on the reduced premium.
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Drug Benefits. HMO Medicare members will receive the Medicare approved plan option that is closest to the current prescription plan option. • LTO Members: Both LTO-Medicare eligible members as well as Medicare retirees are eligible to participate in a Medicare Part 0 enhanced HMO plan. • Federal Government Changes: Both the Federal Government and the HMOs are still finalizing processes and benefits. If this lack of finalization materially changes the Parties' agreement, the parties will re-open discussions. If you are in accord with the foregoing and agree thereto, please so indicate in the space provided and return one executed copy of this letter to the company. LOCAL UNION NO. 1245, INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS, AFL-CIO BY:~"~' PerryZi an
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Examples of Drug Benefits in a sentence

  • As part of Our administration of Prescription Drug Benefits, We may disclose information about the Member’s Prescription Drug utilization, including the names of Your prescribing Physicians, to any treating Physicians or dispensing pharmacies.

  • These Drugs are excluded from coverage under Outpatient Prescription Drug Benefits and are covered under the Hospice Program Benefits section of this Evidence of Coverage.

  • See the "Definitions" section and the "Outpatient Prescription Drug Benefits" section for more information about what benefits are provided.

  • Find this list in the plan’s Medical and Prescription Drug Benefits Description (see Chapter 4).You are responsible for paying the full cost of services that are not covered by our plan either because they are not plan covered services or they were obtained out-of-network and were not authorized.You have the right to ask if we will cover services you are considering.

  • President It is hereby understood and agreed that the Policy to which this endorsement is attached is amended as follows: UnitedHealthcare Pharmacy (UHCP) Prescription Drug Benefits Benefits for Prescription Drug Products Benefits are available for Prescription Drug Products when dispensed at a UHCP Network Pharmacy as specified in the Policy Schedule of Benefits subject to all terms of the Policy and the provisions, definitions and exclusions specified in this endorsement.

  • Prescription Drugs approved for self-administration (e.g., oral and self-injectable drugs) must be obtained through the Prescription Drug Benefits Article of this Benefit Plan.

  • Most Members that have Prescription Drug coverage will not be required to file Claims to obtain Prescription Drug Benefits as this is done automatically for You.

  • These outpatient prescription Drugs do not have a check mark (✔) next to them in the "CYPD applies” column in the Prescription Drug Benefits chart above.

  • For Prescription Drug Benefits, Coinsurance means the amount payable by the Member calculated by multiplying the percentage listed on the Schedule of Benefits and the negotiated pharmacy price for that item at the time of the sale.

  • The co-payment is due at the time of service or your provider may send you a bill.The co-payment amount is the same every time you visit that provider.⇒ Please see the Summary of Medical Benefits (Section 3) and the Summary of Prescription Drug Benefits (Section 4) of this chapter for details on co-payments for specific services.Your co-payments will go toward the out-of-pocket maximum described in Section 1.3 of this chapter.


More Definitions of Drug Benefits

Drug Benefits. Drug Benefits means drugs that have been:
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Drug Benefits means drugs as defined in Section 3.1.
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Related to Drug Benefits

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Medical Benefits means the monthly fair market value of benefits provided to the Employee and the Employee’s dependents under the major medical, dental and vision benefit plans sponsored and maintained by the Company, at the level of coverage in effect for such persons immediately prior to the Employee’s termination of employment date. The “monthly fair market value” of such benefits shall be equal to the monthly cost as if such persons elected COBRA continuation coverage at such time at their own expense.

  • Essential Health Benefits means, under section 1302(b) of the Patient Protection and Affordable Care Act, those health benefits to include at least the following general categories and the items and services covered within the categories: ambulatory patient services; Emergency Services; hospitalization; maternity and newborn care; mental health and substance abuse disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care.

  • Gap medical benefits means the benefits (if any) payable in respect of medical expenses that are less than, greater than or equal to the schedule fee, provided always that the medical expenses relate to a professional service that:

  • Fringe benefits means the amount of:

  • Health and Welfare Benefits means any form of insurance or similar benefit programs, which may include but not be limited to, medical, hospitalization, surgical, prescription drug, dental, optical, psychiatric, life, or long-term disability.

  • Severance Benefits mean the payment of severance compensation as provided in Section 2.3 herein.

  • Health benefits plan means a benefits plan which pays or

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Separation Benefits has the meaning accorded such term in Section 3.04.

  • Employment benefits means all benefits provided or made

  • Covered benefits or “benefits” means those health care services to which a covered person is entitled under the terms of a health benefit plan.

  • Welfare Benefits means the types of benefits described in Section 3(1) of ERISA (whether or not covered by ERISA).

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Social Security Benefits means any social insurance, pension insurance benefits, medical insurance benefits, work-related injury insurance benefits, maternity insurance benefits, unemployment insurance benefits and public housing reserve fund benefits or similar benefits, in each case as required by any applicable Law or contractual arrangements.

  • Compensation and Benefits Programs means all compensation and benefit plans, policies, and programs of the Debtors, and all amendments and modifications thereto, applicable to the Debtors’ employees, former employees, retirees, and non-employee directors and the employees, former employees and retirees of their subsidiaries, including all savings plans, retirement plans, health care plans, disability plans, and incentive plans, deferred compensation plans, and life, accidental death, and dismemberment insurance plans.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Basic Conditions of Employment Act means the Basic Conditions of Employment Act, 1997 (Act No. 75 of 1997);

  • Medical benefit plan means a plan established and maintained by a carrier, a voluntary employees' beneficiary association described in section 501(c)(9) of the internal revenue code of 1986, 26 USC 501, or by 1 or more public employers, that provides for the payment of medical benefits, including, but not limited to, hospital and physician services, prescription drugs, and related benefits, for public employees or elected public officials. Medical benefit plan does not include benefits provided to individuals retired from a public employer or a public employer's contributions to a fund used for the sole purpose of funding health care benefits that are available to a public employee or an elected public official only upon retirement or separation from service.

  • Disability benefits means any cash payments which are payable to a covered individual for all or part of a period of disability pursuant to P.L.1948, c.110 (C.43:21-25 et al.).

  • Severance Benefit means the payment of severance compensation as provided in Article III.

  • superannuation benefits means pensions, gratuities and other allowances payable on resignation, retirement or death;

  • Additional Benefits means those benefits in addition to the rights and remedies available under the Australian Consumer Law.

  • Regular benefits ’ means benefits payable to an individual under this act or under any other state law, including benefits payable to federal civilian employees and to ex-servicemen pursuant to 5 U.S.C. chapter 85, other than extended benefits.

  • Change in Control Benefits means the following benefits: