Family Coverage definition

Family Coverage means coverage for you and your eligible spouse and/or dependents under this Certificate. FREESTANDING FACILITY……means an Outpatient services facility that is not covered under a Hospital's written agreement with Blue Cross and Blue Shield and has its own billing number and written agreement with Blue Cross and Blue Shield to provide services to participants in the benefit program at the time services are rendered. Freestanding Facilities may also be referred to as Outpatient Freestanding Facilities. GROUP POLICY or POLICY.....means the agreement between Blue Cross and Blue Shield and the Group, any addenda, this Certificate, the Group’s application and the Plan, as appropriate, along with any exhibits, appendices, addenda and/or other required information and the individual application(s) of the persons covered under the benefit program. HABILITATIVE SERVICES....means Occupational Therapy, Physical Therapy, Speech Therapy, and other services prescribed by a Physician pursuant to a treatment plan to enhance the ability of a child to function with a Congenital, Genetic, or Early Acquired Disorder. These services may include Physical Therapy and Occupational Therapy, speech language pathology, and other services for a Covered Person with disabilities in a variety of Inpatient and/or Outpatient settings, with coverage as described in the Certificate. HEARING AID.....means any wearable non-disposable, non-experimental instrument or device designed to aid or compensate for impaired human hearing and any parts, attachments, or accessories for the instrument or device, including an ear mold. HEARING CARE PROFESSIONAL. means a person who is a licensed Hearing Aid dispenser, licensed audiologist, or licensed physician operating within the scope of such license. HOME INFUSION THERAPY PROVIDER. means a duly licensed home infusion therapy provider, when operating within the scope of such license. PARTICIPATING HOME INFUSION THERAPY PROVIDER… means a Home Infusion Therapy Provider who has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the benefit program at the time Covered Services are rendered. NON-PARTICIPATING HOME INFUSION THERAPY PROVIDER… means a Home Infusion Therapy Provider who does not have a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the b...

Family Coverage means coverage for a subscriber plus a spouse and/or one or more dependent children.

Family Coverage. The District shall contribute $586.00 per month of the contract toward the cost of the premium for the medical/hospitalization plan for family coverage for all employees who qualify for and are enrolled in the plan.

Examples of Family Coverage in a sentence

• If coverage is lost in another group health plan because a lifetime limit on all benefits is reached under that coverage and you apply for Family Coverage or to add dependents within 31 days after a Claim is denied due to reaching the lifetime limit, your Family Coverage or the coverage for your additional dependents will be effective from the date your Claim was denied.

• Family Coverage: The School District shall contribute the amount indicated below toward the premium for family coverage for each Category 1 and 2 employee who qualifies for and is enrolled in family coverage in the School District’s group health and hospitalization insurance plan.

• Your benefits for maternity services are the same as your benefits for any other condition and are available whether you have Individual Coverage or Family Coverage.

• Whenever we use “you” or “your” in describing your benefits, we mean all eligible family members who are covered under Family Coverage.

• Your benefits for services rendered in connection with pregnancy are the same as your benefits for any other condition and are available whether you have Individual Coverage or Family Coverage.

More Definitions of Family Coverage

Family Coverage under an HDHP is coverage that is not Self-Only Coverage.

Family Coverage has an individual OOPM within the Family OOPM. This means that the OOPM will be met for an individual with Family coverage who meets the individual OOPM prior to the Family meeting the Family OOPM within a Calendar Year.

Family Coverage means the Student/Member and his/her family dependents are covered. Whenever “you” or “your” is used in this Certificate of Coverage, it shall mean all eligible family Members covered under CampusCare.

Family Coverage means coverage for a Student and his/her eligible spouse and/or Dependents under this Policy.

Family Coverage has an individual

Family Coverage. For each unit member employed by the school district who qualifies for and is enrolled in the group dental plan, the district will pay the amount negotiated into the contracts for other groups in the district.

Family Coverage. The District shall contribute $645 per month for the duration of this work agreement toward the cost of the premium for the medical/hospitalization plan for family coverage for all employees who qualify for and are enrolled in the plan.