Examples of Facility Benefits in a sentence
Skilled Nursing Facility Benefits Benefits are provided for Skilled Nursing services in a Skilled Nursing unit of a Hospital or a free- standing Skilled Nursing Facility, up to the Benefit maximum as shown on the Summary of Benefits.
Services provided by a Skilled Nursing Facility, except as specifically stated in the "Skilled Nursing Facility Benefits" provision of Medical Care That Is Covered.Dental Services or Supplies.
See the Hospital Benefits and Skilled Nursing Facility Benefits sections of your EOC.4. Unless listed as covered under this Outpatient Prescription Drug Benefit, Drugs that are available without a prescription (OTC) including drugs for which there is an OTC drug that has the same active ingredient and dosage as the prescription drug.5. Drugs for which you are not legally obligated to pay, or for which no charge is made.
See the Hospital Benefits and Skilled Nursing Facility Benefits sections of your EOC.4. Unless listed as covered under this Outpatient Prescrip- tion Drug Benefit, drugs that are available without a pre- scription (OTC) including drugs for which there is an OTC drug that has the same active ingredient and dosage as the prescription drug.
The Company reserves the right to charge for a death benefit option change.
HOSPITAL BENEFITS (FACILITY SERVICES)(Other than Mental Health Benefits, Hospice Program Benefits, Skilled Nursing Facility Benefits, Dialysis Cen- ter Benefits, and Bariatric Surgery Benefits for Resi- dents of Designated Counties in California which are described elsewhere under Covered Services) Inpatient Services for Treatment of Illness or Injury1.
If a covered person continues in chronic care or ALC accommodation beyond 120 days, a maximum reimbursement up to the level provided under Long Term Care Facility Benefits will be allowed.
See the Hospital Benefits and Skilled Nursing Facility Benefits sections of your EOC.4. Non-Formulary Drugs, except as prior authorized by Blue Shield, as described in the Prior Authorization Process section of your Evidence of Coverage.5. Unless listed as covered under this Outpatient Prescription Drug Benefit, Drugs that are available without a prescription (OTC) including drugs for which there is an OTC drug that has the same active ingredient and dosage as the prescription drug.
A physician must certify the need of such care.Skilled Nursing Facility Benefits: Such costs are covered following a necessary hospital confinement of three days or longer and begins within 30 days following the hospital confinement.Home Health Care Services Benefits: Skilled care at home is covered if such care is deemed to be medically necessary.
How to Claim Long Term Care Facility Benefits Outside of Ontario Benefits shall be provided upon submission of proof satisfactory to Green Shield that the same requirements are met to receive extended care benefits under the Health Insurance Act of Ontario.