How to Find What You Need to Know in this Agreement Sample Clauses

How to Find What You Need to Know in this Agreement. The Summary of Benefits at the front of this agreement will show you: • what health care services are covered under this agreement; • any benefit limits, copayments and deductibles (if any) you must pay; and • services for which preauthorization or predetermination is recommended or required. The Table of Contents will help you find the order of the sections, as they appear in the agreement:
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How to Find What You Need to Know in this Agreement. The Summary of Medical Benefits will show you:  what health care services are covered under this agreement;  any benefit limits, copayments and deductibles you must pay. The Summary of Pharmacy Benefits will show you:  what prescription drugs and diabetic supplies/equipment purchased at a pharmacy are covered under this agreement;  any benefit limits, copayments and deductibles you must pay. Refer to the Table of Contents to help you find information you need. The page numbers are shown for the Summary of Medical Benefits, sections of the subscriber agreement, Pharmacy Benefits, and any riders.
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How to Find What You Need to Know in this Agreement. The Summary of Benefits at the front of this agreement will show you:  what dental care services are covered under this agreement;  any benefit limits, coinsurance and deductibles you must pay; and  services for which predetermination is recommended or required. The Table of Contents will help you find the order of the sections, as they appear in the agreement:
Sample 1Sample 2Sample 3See All (11)
How to Find What You Need to Know in this Agreement. The Summary of Medical Benefits will show you:  what health care services are covered under this agreement;  any benefit limits, copayments and deductibles you must pay. The Summary of Pharmacy Benefits will show you:  what prescription drugs and diabetic supplies/equipment purchased at a pharmacy are covered under this agreement;  any benefit limits, copayments and deductibles you must pay.  services for which preauthorization is recommended or required. Refer to the Table of Contents to help you find information you need. The page numbers are shown for Dependent Age Limits, the Summary of Medical Benefits, sections of the subscriber agreement, Pharmacy Benefits, and any riders.
Sample 1
How to Find What You Need to Know in this Agreement. The Table of Contents will help you to find the sections in this agreement that will give you details about: • covered services; • information about eligibility; • how we pay for your dental services; • dental services which are not covered under this agreement; and • how to file and appeal a claim when you or your dentist does not agree with a benefit decision we have made.
Sample 1

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