Examples of Benefits Summary in a sentence
Copayment (Copay): A fixed dollar amount of the Allowable charge, payable by the Covered Person for a Covered Service, as indicated in the Master Group Application and/or Schedule of Benefits Summary.
The amount we use to calculate our payment will be the lesser of the dentist’s submitted amount or the 80th percentile amount for covered dental services as identified by the Dental Charges Database.Waiting Period – Class III covered dental services are subject to the waiting period shown in the above Dental Benefits Summary chart.
In the event there is a discrepancy between information provided during open enrollment and the contents of this Benefits Summary, the contents herein shall prevail.
We will only cover emergency services obtained within the time limit indicated in the Benefits Summary.
The amount we use to calculate our payment will be the lesser of the dentist’s submitted amount or an amount equal to the lowest prevailing scheduled fee used for in-network dentists in the geographic area.Waiting Period – Class III covered dental services are subject to the waiting period shown in the above Dental Benefits Summary chart.
Part-time employees receive different benefits than full-time employees as specified in Appendix A –Compensation & Benefits Summary.
The Covered Services and cost-sharing amounts for these categories of dental coverage are described in more detail on your Schedule of Benefits Summary.
Section 1 How The Plan Components WorkYour Deductible and Coinsurance (cost-sharing) are shown on your Schedule of Benefits Summary.
Your Schedule of Benefits Summary will tell you if Coinsurance is applicable to one or more of the different types of dental coverage.
PRESCRIPTION DRUG BENEFITSPrescription Drug Benefits are subject to the applicable Copay, Deductible and/or Coinsurance amounts shown in the Schedule of Benefits Summary.