Common use of Affordable Care Act (ACA Clause in Contracts

Affordable Care Act (ACA. We will provide Coverage for preventive medications and products as defined by the Affordable Care Act (ACA) if you receive these services from our In-network Practitioners/Providers, without Cost Sharing regardless of sex assigned at birth, gender identity, or gender of the individual. Preventive medications are used for the management and prevention of complications from conditions such as high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack and stroke. Visit the formulary listing at xxxx://xxxx.xxx.xxx/idc/groups/public/documents/communication/pel_00236101.pdf. Preventive medications will be listed as $0 Copay per PPACA. For preventive medications (including over-the-counter medications) or products to be covered, you’ll need to get a prescription from your doctor and a pharmacy claim will need to be submitted. Present your ID card to the dispensing pharmacy for processing and billing information.

Appears in 2 contracts

Samples: Subscriber Agreement, Presbyterian Health Plan

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Affordable Care Act (ACA. We will provide Coverage for preventive medications and products as defined by the Affordable Care Act (ACA) ), if you receive these services from our In-network Practitioners/Providers, without Cost Sharing regardless of sex assigned at birth, gender identity, or gender of the individual. Preventive medications are used for the management and prevention of complications from conditions such as high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack and stroke. Visit the formulary Formulary listing at xxxx://xxxx.xxx.xxx/idc/groups/public/documents/communication/pel_00236101.pdf. Preventive medications will be listed as $0 Copay per PPACA. For preventive preventative medications (including over-the-counter medications) or products to be coveredCovered, you’ll need to get a prescription from your doctor and a pharmacy claim will need to be submitted. Present your ID card to the dispensing pharmacy for processing and billing information.

Appears in 1 contract

Samples: Subscriber Agreement

Affordable Care Act (ACA. We will provide Coverage for preventive medications and products as defined by the Affordable Care Act (ACA) if you receive these services from our In-network Practitioners/Providers, without Cost Sharing regardless of sex assigned at birth, gender identity, or gender of the individual. Preventive medications are used for the management and prevention of complications from conditions such as high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack and stroke. Visit the formulary Formulary listing at xxxx://xxxx.xxx.xxx/idc/groups/public/documents/communication/pel_00236101.pdf. Preventive medications will be listed as $0 Copay per PPACA. For preventive medications (including over-the-counter medications) or products to be coveredCovered, you’ll need to get a prescription from your doctor and a pharmacy claim will need to be submitted. Present your you ID card to the dispensing pharmacy for processing and billing information.

Appears in 1 contract

Samples: Subscriber Agreement

Affordable Care Act (ACA. We will provide Coverage for preventive medications and products as defined by the Affordable Care Act (ACA) if you receive these services from our In-network Practitioners/Providers, without Cost Sharing regardless of sex assigned at birth, gender identity, or gender of the individual. Preventive medications are used for the management and prevention of complications from conditions such as high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack and stroke. Visit the formulary listing at xxxx://xxxx.xxx.xxx/idc/groups/public/documents/communication/pel_00236101.pdf. Preventive medications will be listed as $0 Copay per PPACA. For preventive medications (including over-the-counter medications) or products to be coveredCovered, you’ll need to get a prescription from your doctor prescribing provider and submit a pharmacy claim will need to be submittedclaim. Present your ID card to the dispensing pharmacy for processing and billing information.

Appears in 1 contract

Samples: Presbyterian Health

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Affordable Care Act (ACA. We will provide Coverage for preventive medications and products as defined by the Affordable Care Act (ACA) ), if you receive these services from our In-network Practitioners/Providers, without Cost Sharing regardless of sex assigned at birth, gender identity, or gender of the individual. Preventive medications are used for the management and prevention of complications from conditions such as high blood pressure, high cholesterol, diabetes, asthma, osteoporosis, heart attack and stroke. Visit the formulary Formulary listing at xxxx://xxxx.xxx.xxx/idc/groups/public/documents/communication/pel_00236101.pdf. Preventive medications will be listed as $0 Copay per PPACA. For preventive medications (including over-the-counter medications) or products to be coveredCovered, you’ll need to get a prescription from your doctor and a pharmacy claim will need to be submitted. Present your ID card to the dispensing pharmacy for processing and billing information.

Appears in 1 contract

Samples: Subscriber Agreement

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