Direct coverage definition

Direct coverage means coverage under which an insurance company or health carrier assumes a direct obligation to an individual, under the policy or evidence of coverage, with respect to health care expenses incurred by the individual or a member of the individual's family.
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Direct coverage means coverage under which an insurance company or health carrier assumes a direct obligation to an individual, under the policy or
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Examples of Direct coverage in a sentence

  • Direct coverage is provided for children with access to cost effective ESI that meets the BBL only during the provisional eligibility period and the time span while the Commonwealth is investigating availability of and enrolling the child in ESI.

  • Direct coverage Family Assistance under the title XXI program is provided through an MCO, ACO, or the PCC plan for children without access to ESI.

  • Direct coverage Family Assistance under the separate title XXI program is provided through an MCO or the PCC plan for children without access to ESI.

  • Direct coverage will be provided through a fee- for- service (FFS) system.

  • Direct coverage refers to the area that is targeted by the project’s site intervention.

  • Direct coverage Family Assistance under the title XXI program is provided through an MCO or the PCC plan for children without access to ESI.

  • Direct coverage is provided by DUA through enrollment in a health plan for an individual who does not have continued ESI available, or if the individual qualifies for a hardship waiver.

  • If the PA received from Medicaid Direct does not include a procedure code, it can be omitted in file transfers back to NC Tracks.4. PHPs are expected to ensure that they do not accept or process any new PAs for the beneficiaries that have transitioned to Medicaid Direct after their Medicaid Direct coverage effective date.

  • PHPs are expected to ensure that they do not accept or process any new PAs for the beneficiaries that have transitioned to Medicaid Direct after their Medicaid Direct coverage effective date.

  • Direct coverage is provided for children only during the presumptive eligibility period and the time span while the Commonwealth is investigating availability of and enrolling the child in ESI.

Related to Direct coverage

  • Lot coverage means the portion or percentage of the area of a lot upon which buildings are erected.

  • Site Coverage means ratio expressed in percentage between the area covered by the ground floor of building and the area of the site;

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • group insurance means insurance, other than creditor’s group insurance and family insurance, whereby the lives of a number of persons are insured severally under a single contract between an insurer and an employer or other person; (“assurance collective”)

  • extended reduction (qualifying contributory benefits means a reduction under this scheme for which a person is eligible in accordance with paragraph 88 or 95;

  • Claims-made coverage means an insurance contract or provision limiting

  • D&O Liability Insurance Policies means all insurance policies (including any “tail policy”) of any of the Debtors for liability of any current or former directors, managers, officers, and members.

  • Creditable coverage means, with respect to an individual, coverage of the individual provided under any of the following:

  • policy of life insurance means any instrument by which the payment of money is assured on death (except death by accident only) or the happening of any contingency dependent on human life, or any instrument evidencing a contract which is subject to payment of premiums for a term dependent on human life;

  • Property Insurance is defined in Section 6.10(a).

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Co-insurance means the percentage of the usual, reasonable, customary, and fair market value expense that a covered person must pay.

  • Fidelity Insurance means insurance coverage with respect to employee errors, omissions, dishonesty, forgery, theft, disappearance and destruction, robbery and safe burglary, property (other than money and securities) and computer fraud in an aggregate amount acceptable to Seller’s regulators.

  • Group long-term care insurance means a long-term care insurance policy which is delivered or issued for delivery in this State and issued to: