First Dollar Coverage definition

First Dollar Coverage. To the extent that the Lessee may elect to purchase insurance which provide a deductible or self-insured retention (SIR), the lessee will assume liability to personally indemnify the City to the same level of coverage required of their insurance carrier.

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First Dollar Coverage first 3 office visits for non-Preventive Health Services as described in further detail in footnote 6 below Durable medical equipment: breast pump Family planning benefits: counseling and consulting; diaphragm fitting procedure; implantable contraceptives; injectable contraceptives; insertion and/or removal of IUD device; IUD; and tubal ligation Outpatient prescription drug benefits: contraceptive drugs and devices Pregnancy and maternity care benefits: prenatal and preconception Physician office visits Preventive health services Pediatric Dental Benefits: Diagnostic and Preventative Care Services Pediatric Vision Benefits: Comprehensive Examination Note: All out of network benefits are subject to plan deductible except pediatric vision and dental There is an individual Deductible within the Family Calendar Year Integrated Medical and Pharmacy Deductible. This means:

First Dollar Coverage means that the insurer’s liability commences at the first dollar of the third party claimant’s loss, without allowance for any deductible.

Examples of First Dollar Coverage in a sentence

• Employer acknowledges and agrees that Claim Administrator shall have no fiduciary obligation with respect to the directions to provide First Dollar Coverage.

• Notwithstanding any other provision of this Agreement, Employer shall indemnify and hold harmless (and upon request defend) Claim Administrator against claims brought by any employees of Employer, participants in any benefit plan provided by Employer, or any governmental agency, in connection with or arising out of, directly or indirectly of the First Dollar Coverage.

• This Benefit is known as “First Dollar Coverage.” After the maximum number of visits under the First Dollar Coverage benefit is reached by a Member, subsequent office visits in the same Calendar Year are subject to the Calendar Year Integrated Medical and Pharmacy Deductible.

More Definitions of First Dollar Coverage

First Dollar Coverage first 3 office visits for non-Preventive Health Services as described in further detail in footnote 6 below Durable medical equipment: breast pump Family planning benefits: counseling and consulting; diaphragm fitting procedure; implantable contraceptives; injectable contraceptives; insertion and/or removal of IUD device; IUD; and tubal ligation Outpatient prescription drug benefits: contraceptive drugs and devices Mental Health and Behavioral Health-Non-Routine Outpatient Services Substance Use Disorder-Outpatient Services: Intensive Outpatient Program, Other outpatient services, including office-based opioid treatment, Partial Hospitalization Program, and Post discharge ancillary care Pregnancy and maternity care benefits: prenatal and preconception Physician office visits Preventive health services Pediatric Dental Benefits: Diagnostic and Preventative Care Services Pediatric Vision Benefits: Comprehensive Examination Note: All out of network benefits are subject to plan deductible except pediatric vision and dental There is an individual Deductible within the Family Calendar Year Medical Deductible. This means:

First Dollar Coverage means that these services are NOT subject to deductible and coinsurance when you use the services of a Network Provider.

First Dollar Coverage means an insurance policy which that obligates the company issuing the policy to pay covered claims in their entirety, up to the policy limits, regardless of the presence of a deductible amount to which the company may be entitled as a reimbursement from the insured.