Facility Benefits definition
Examples of Facility Benefits in a sentence
Inpatient infusion therapy is provided under the Inpatient Hospital & Skilled Nursing Facility Benefits section of the Covered Benefits section of the Certificate.
After You have been approved for and are receiving benefits for Nursing Facility or Residential Care Facility Benefits, We will pay a benefit for each day (up to 30 days per calendar year) to assure a place will be available for You when You return from a temporary absence for any reason.
See the Covered Benefits section, Inpatient Hospital and Skilled Nursing Facility Benefits, of the EOC.
Each day You are otherwise eligible for the Assisted Living Facility Benefits or the Nursing Facility Benefits will count as one (1) full day towards the satisfaction of Your Elimination Period.
We will not pay Nursing Facility and Residential Care Facility Benefits on the same day.
COMPANY shall have sole, exclusive and perpetual ownership of all AECs Delivered to COMPANY by Seller under this Agreement, including all rights to sell, assign, transfer, apply, or retire any AEC transferred to COMPANY by Seller, provided, however, that Delivery of an AEC shall not transfer eligibility or other rights to Facility Benefits.
In this instance, Covered Services will be paid at the Participating or Non-Participating level as specified under the applicable section, Hospital Benefits (Facility Services) or Skilled Nursing Facility Benefits, of this Summary of Benefits.
If You are confined in a Nursing Facility or a Residential Care Facility and We begin paying benefits while this Policy is in effect and You continue to be confined, without interruption, after this Policy lapses or terminates, We will extend benefits by continuing to pay Nursing Facility and Residential Care Facility Benefits for such confinement while You remain so confined.
See the Covered Benefits sections, Inpatient Hospital and Skilled Nursing Facility Benefits, or Outpatient Surgery Benefits, of the EOC.
The Nursing Facility Benefits Conditions of Eligibility are identical to the Assisted Living Facility Benefits Conditions of Eligibility.