Lifetime maximums and non-prescription out-of-pocket maximums Sample Clauses

Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years of the contract, coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand seven hundred dollars ($1,700) per person or three thousand four hundred dollars ($3,400) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two thousand four hundred dollars ($2,400) per person or four thousand eight hundred dollars ($4,800) per family for members whose primary care clinic is in Cost Level 3; and three thousand six hundred dollars ($3,600) per person or seven thousand two hundred dollars ($7,200) per family for members whose primary care clinic is in Cost Level 4.
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Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. Coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand one hundred dollars ($1,100) per person or two thousand two hundred dollars ($2,200) per family.
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Lifetime maximums and non-prescription out-of-pocket maximums. Coverage
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Lifetime maximums and non-prescription out-of-pocket maximums. Coverage 5 under Advantage is not subject to a per person lifetime maximum. 7 In the first and second years of the contract, coverage under Advantage is subject to a 8 plan year, non-prescription drug, out-of-pocket maximum of one thousand one two 9 hundred dollars ($1,1001,200) per person or two thousand two four hundred dollars
Sample 1
Lifetime maximums and non-prescription out-of-pocket maximums. Coverage 2 under Advantage is not subject to a per person lifetime maximum. 4 In the first year of the contract, Ccoverage under Advantage is subject to a plan year, 5 non-prescription drug, out-of-pocket maximum of one thousand one hundred dollars 6 ($1,100) per person or two thousand two hundred dollars ($2,200) per family. 8 In the second year of the contract, coverage under Advantage is subject to a plan year, 9 non-prescription drug, out-of-pocket maximum of one thousand one hundred dollars 10 ($1,100) per person or two thousand two hundred dollars ($2,200) per family for 11 members whose primary care clinic is in Cost Level 1 or Cost Level 2; one thousand 12 five hundred dollars ($1,500) per person or three thousand dollars ($3,000) per family 13 for members whose primary care clinic is in Cost Level 3; and two thousand five 14 hundred dollars ($2,500) per person or five thousand dollars ($5,000) per family for 15 members whose primary care clinic is in Cost Level 4.
Sample 1

Related to Lifetime maximums and non-prescription out-of-pocket maximums

  • Annual maximums State Dental Plan coverage is subject to a one thousand dollar ($1,000) annual maximum benefit payable (excluding orthodontia) per person. "Annual" means per insurance year.

  • Copayments and annual out-of-pocket maximums For the first and second year of the contract: Tier 1 copayment: Fourteen dollar ($14) copayment per prescription or refill for a Tier 1 drug dispensed in a thirty (30) day supply. Tier 2 copayment: Twenty-five dollar ($25) copayment per prescription or refill for a Tier 2 drug dispensed in a thirty (30) day supply. Tier 3 copayment: Fifty dollar ($50) copayment per prescription or refill for a Tier 3 drug dispensed in a thirty (30) day supply. Out of pocket maximum: There is an annual maximum eligible out-of-pocket expense limit for prescription drugs of eight hundred dollars ($800) per person or one thousand six hundred dollars ($1,600) per family.

  • Orthodontia lifetime maximum Orthodontia benefits are subject to a three thousand dollar ($3,000) lifetime maximum benefit.

  • Leave Without Pay for the Care and Nurturing of Pre-School Age Children Subject to operational requirements, an employee shall be granted leave without pay for the personal care and nurturing of the employee's pre-school age children in accordance with the following conditions:

  • Reimbursable Expenses; Maximum Total Payment; Invoicing District will make no payment until this Contract is fully executed by the authorized representatives of both parties.

  • Education Leave Without Pay I. The Employer recognizes the usefulness of education leave. Upon written application by the employee and with the approval of the Employer, an employee may be granted education leave without pay for varying periods of up to one (1) year, which can be renewed by mutual agreement, to attend a recognized institution for studies in some field of education in which preparation is needed to fill the employee’s present role more adequately or to undertake studies in some field in order to provide a service which the Employer requires or is planning to provide.

  • Particular Methods of Procurement of Consultants’ Services 1. Quality- and Cost-based Selection. Except as otherwise provided in paragraph 2 below, consultants’ services shall be procured under contracts awarded on the basis of Quality and Cost-based Selection.

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