Member Responsibility definition
Examples of Member Responsibility in a sentence
How Providers are Paid by The Plan and Member Responsibility Outside of Montana Please note: For details on what services outside of the Blue Cross and Blue Shield of Montana service area require a service area waiver, please see the ‘Out-of-State Services’ section of this Member contract.
Members who are eligible for the Senior Member Responsibility Incentive will continue to receive the Incentive in addition to the acting rank increase under this clause.
Member Responsibility: Members shall identify an Authorized Official and alternates; provide contact information including 24-hour access, and maintain resource information that may be available from the utility for mutual aid and assistance response.
In order for a member to be entitled for the “Senior Member Responsibility Incentive” the member must be free of discipline conviction under the Police Services Act, within the preceding two (2) years, for which the confirmed penalty was forfeiture in excess of forty (40) hours.
Members who are eligible for the Senior Member Responsibility Incentive will continue to receive the incentive in addition to the 106% Specialty Pay under this clause.
Outpatient Substance Use $0 copayment after deductible Items and Services Participating Provider Member Home Health Services Responsibility for Cost-Sharing Limits Home Health Care $0 copayment after deductible 100 visits Preauthorization may be required ADDITIONAL SERVICES, EQUIPMENT and DEVICES Participating Provider Member Responsibility for Cost-Sharing Limits Diabetic Equipment, Supplies and Self-Management Education Diabetic Equipment Preauthorization may be required.
However, Preauthorization is not required for emergency admissions Participating Provider Member Responsibility for Cost-Sharing Limits $0 copayment after deductible $0 copayment after deductible Outpatient Mental Health Office Visits $0 copayment after deductible First three (3) non-preventive visits are not subject to deductible.
Member Responsibility: Members shall identify an Authorized Official and alternates; provide contact information including 24-hour access.
Members who are eligible for the Senior Member Responsibility Incentive will continue to receive the incentive in addition to the Specialty Pay under this clause.
Outpatient Mental Health Items and Services $0 copayment after deductible Chemical Dependency Services Participating Provider Member Responsibility for Cost-Sharing Limits Inpatient Substance Use Services (for $0 copayment after deductible a continuous confinement when in a Hospital) Preauthorization may be required.