Hospice Benefits Sample Clauses

Hospice Benefits. Hospice Care services for a terminally ill Member are covered when pre-authorized by HMO. Services may include home and Hospital visits by nurses and social workers; pain management and symptom control; instruction and supervision of a family Member; inpatient care; counseling and emotional support; and other home health benefits listed in the Home Health Benefits section of this Certificate. Coverage is not provided for bereavement counseling, funeral arrangements, pastoral counseling, and financial or legal counseling. Homemaker or caretaker services, and any service not solely related to the care of the Member, including but not limited to, sitter or companion services for the Member or other Members of the family, transportation, house cleaning, and maintenance of the house are not covered. Coverage is not provided for Respite Care.
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Hospice Benefits. Hospice Care services for a terminally ill Member are covered when pre-authorized by HMO. Services may include home and Hospital visits by nurses and social workers; pain management and symptom control; instruction and supervision of a family Member; inpatient care; counseling including bereavement counseling and emotional support; and other home health benefits listed in the Home Health Benefits section of this EOC. Nursing care services are covered on a continuous basis during periods of crisis as necessary to maintain Member at home. Homemaker or home health aide services may be covered, but the care provided must be predominantly nursing care. A period of crisis is a period in which the Member requires continuous care to achieve palliation or management of acute medical symptoms. Hospitalization will be covered if skilled nursing care is required at a level that cannot be provided in the home. Respite care will be provided only when necessary to relieve the family members or other persons caring for the Member. Coverage of respite care will be limited to an occasional basis and to no more than five consecutive days at a time. Coverage is not provided for funeral arrangements, pastoral counseling, financial or legal counseling. Except as needed to maintain Member at home during periods of crisis, homemaker or caretaker services, and any service not solely related to the care of the Member, including but not limited to, sitter or companion services for the Member or other Members of the family, transportation, house cleaning, and maintenance of the house are not covered.
Sample 1
Hospice Benefits. Hospice Care services for a terminally ill Member are covered when pre-authorized by HMO. Services may include:  home and Hospital visits by nurses and social workers;  Physician;  certified nurses aid;  pastoral counseling;  trained volunteer;  psychosocial services,  bereavement counseling;  pain management and symptom control;  instruction and supervision of a family Member;  inpatient care;  counseling and emotional support; and  other home health benefits listed in the Home Health Benefits section of this Certificate. Coverage is not provided for:  funeral arrangements;  financial or legal counseling;  Homemaker or caretaker services; and  any service not solely related to the care of the Member. This includes but is not limited to: o sitter or companion services for the Member or other Members of the family; o transportation; o house cleaning; and o maintenance of the house. The maximum benefit for bereavement support services for the family of the deceased person during the 12 months following death shall not exceed $1,400.
Sample 1
Hospice Benefits. Hospice Care services for a terminally ill Member are covered when preauthorized by HMO. Services may include home and Hospital visits by nurses and social workers; pain management and symptom control; instruction and supervision of a family Member; inpatient care; counseling and emotional support; Respite Care that is continuous care in the most appropriate setting for a maximum of five (5) days per three (3) month period of Hospice Care, and other Home Health Services listed in the Home Health Benefits section of this Certificate. Coverage is not provided for bereavement counseling, funeral arrangements, pastoral counseling, financial or legal counseling. Homemaker or caretaker services, and any service not solely related to the care of the Member, including but not limited to, sitter or companion services for the Member or other Members of the family, transportation, house cleaning, and maintenance of the house are not covered.
Sample 1

Related to Hospice Benefits

  • Medical Benefits The Company shall reimburse the Employee for the cost of the Employee's group health, vision and dental plan coverage in effect until the end of the Termination Period. The Employee may use this payment, as well as any other payment made under this Section 6, for such continuation coverage or for any other purpose. To the extent the Employee pays the cost of such coverage, and the cost of such coverage is not deductible as a medical expense by the Employee, the Company shall "gross-up" the amount of such reimbursement for all taxes payable by the Employee on the amount of such reimbursement and the amount of such gross-up.

  • Program Benefits Under the Probation Status, the Participating Contractor will be eligible for all contractor incentives, its customers will have access to financing offered through the Program, and income- eligible households will be eligible to receive Program incentives.

  • Leave Benefits Paid leave is available to the Superintendent when the following specific conditions are met: (1) the Superintendent is currently employed by the District and (2) the paid leave day is taken on a day Superintendent would otherwise be expected to be at work.

  • Vision Care Benefits (a) The Employer shall provide each regular, full-time employee (and his eligible dependents*) the Blue Cross/ Blue Shield of Michigan Vision A-80 Revised Plan, subject to such conditions, exclusions, limitations, deductibles and other provisions pertaining to coverage as stated in said plan. The Employer shall pay 95% of the illustrated premium cost of such benefit and the employee shall pay the balance.

  • Sick Benefits 15.01 Eligible employees will receive Short Term Disability Benefits in accordance with the terms and conditions outlined in the STD Plan Text, a copy of which has been supplied to the Union. The STD plan forms part of this Collective Agreement.

  • Educational Benefits a. A full-time employee may enroll for credit at the University for a maximum of two courses, or six credit hours, whichever is greater, in any one academic term with exemption from the payment of tuition and fees.

  • Dental Care Benefits (a) The Employer shall provide such regular, full-time seniority employee (and her eligible dependents*) the 100/75/50 Co-Pay Dental Plan in effect January 1, 2014, subject to such terms, conditions, exclusions, limitations, deductibles, co-payments and other provisions of the plan. The Employer shall pay 95% of the illustrated premium cost of such benefits and the employee shall pay the balance. Coverage shall commence on the day following the employee's ninetieth (90th) day of continuous employment.

  • Dental Benefits The County offers dental and orthodontic benefits to full and part-time regular employees and their eligible dependent(s). Benefit provisions, co­ payments and deductibles are outlined in the Evidence of Coverage. The employee contribution is $13 per pay period ($28.26 per month). The County shall contribute to part-time eligible employees on a pro-rated basis, in accordance with Section 10.2.6.

  • Health Benefits The method for determining the Employer bi-weekly contributions to the cost of employee health insurance programs under the Federal Employees Health Benefits Program (FEHBP) will be as follows:

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

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