Common use of Alternate Benefits Clause in Contracts

Alternate Benefits. Ameritas’ dental plans include provisions for alternate benefits. If two or more procedures are adequate and appropriate treatment to correct a certain condition, Ameritas’ payment will be based on the charge for the least expensive procedure. Should Dentist perform a different method of treatment, the Dentist may collect from the Covered Person the difference in amounts described in Section V. (A) between the procedure actually reported and the alternate benefit.

Appears in 3 contracts

Samples: Participation Agreement, Participation Agreement, Participation Agreement

AutoNDA by SimpleDocs

Alternate Benefits. Ameritas’ dental plans include provisions for alternate benefits. If two or more procedures are adequate and appropriate treatment to correct a certain condition, Ameritas’ payment will be based on the charge for the least expensive procedure. Should Dentist perform a different method of treatment, the Dentist may collect from the Covered Person the difference in amounts described in Section V. (A) between the procedure actually reported and the alternate benefitbenefit if the Dentist has disclosed and received written acceptance from the Covered Person of the potential difference in reimbursement amounts.

Appears in 1 contract

Samples: Ppo Dentist Participation Agreement

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!