Availability of Covered Services Sample Clauses

Availability of Covered Services. Members are entitled to receive the Covered Services set forth in Section 5 and the Attachment A Benefit Schedule subject to all terms and conditions of this AOC, and payment of required premium. These Covered Services are available only if and to the extent that they are:
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Availability of Covered Services. Insureds are entitled to receive benefits for the expenses incurred in connection with the Covered Services shown in Section 6 and the Attachment A Benefit Schedule subject to all terms and conditions of this Certificate, and payment of required premium. These Covered Services are available only if and to the extent that they are:  Provided or Prescribed by a duly licensed Provider; and  Specifically authorized through SHL’s Managed Care Program as applicable; and  Medically Necessary as defined in this Certificate. To obtain maximum benefits, Prior Authorization must be received from SHL’s Managed Care Program in order for full benefits to be payable for certain Covered Services. Please read the Certificate and the Attachment B, Services Requiring Prior Authorization, carefully to determine which services require Prior Authorization. This section does not apply to Emergency Services or Urgently Need Services as defined in this Certificate.
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Availability of Covered Services. Only licensed personnel with family planning skills, knowledge and competency may provide the full range of family planning medical services covered under Family PACT in accordance with W&I Code, Section 24005(b). Clinical providers electing to participate in the Family PACT Program shall provide the full scope of family planning, education, counseling and medical services specified by Family PACT, either directly or by referral. A client’s selection of contraceptive method(s) shall take into account client preference in conjunction with medical findings. At a minimum, the following contraceptive methods shall be provided onsite or by prescription: contraceptive injection(s); contraceptive implant(s); intrauterine contraceptives; oral contraceptives; contraceptive transdermal patch; contraceptive vaginal ring; spermicides; cervical barrier methods; male and female condoms; and Lactation Amenorrhea Method (XXX). The following contraceptive methods and procedures may be provided onsite or by referral: Fertility Awareness Methods (FAM) and female and male sterilizations. Clinical and Preventive Services Clinicians providing care to Family PACT clients are expected to practice evidence-based medicine using nationally recognized clinical practice guidelines. The complete details of the Family PACT Program Standards are available in the PPBI manual. I have read, and agree to adhere to the Family PACT Program Standards requirements. Family PACT Program Standards are subject to change upon written notification from DHCS. I understand that practitioners who do not provide services consistent with the Program Standards may be permanently disenrolled as a provider from the Family PACT program. I declare under penalty of perjury under the laws of the State of California that the foregoing information is true information is true, accurate, and complete to the best of my knowledge and belief. Name (please print) Title
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Availability of Covered Services. Provider shall ensure that the Covered Services set forth in Attachment A shall be available to Participants on a twenty-four (24) hours per day, seven (7) day per week basis. Provider shall give (PACE Program) no less than sixty (60) days prior written notice of any changes in Provider Staff or Provider Facilities.
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Availability of Covered Services. Insureds are entitled to receive the Covered Services set forth in Section 6 herein and the Attachment A Benefit Schedule subject to all terms and conditions of this Certificate, and payment of required premium. These Covered Services are available only if and to the extent that they are:
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Availability of Covered Services. Insureds are entitled to receive benefit payments for the Covered Services set forth in Attachment A, Benefit Schedule upon payment of the applicable premium, subject to all terms, conditions, and definitions in the Certificate
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Availability of Covered Services. Doctors Health shall, and shall cause all Participating Providers to, make necessary and appropriate arrangements to ensure that Covered Services are available twenty-four (24) hours per day, seven (7) days per week, including, without limitation, arrangements to ensure coverage after hours or when a particular Participating Provider is otherwise absent, consistent with the Policies and Procedures. For Covered Services, Doctors Health shall, and shall cause all Participating Providers to, make suitable arrangements regarding the amount and manner in which Participating Providers will be compensated.
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Availability of Covered Services. 1. All Family PACT-approved contraceptive methods including all FDA-approved contraceptive methods and their applications, fertility awareness methods, and sterilization procedures, as well as limited infertility services consistent with recognized medical practice standards, shall be made available to clients by the practitioner.
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Related to Availability of Covered Services

  • Unavailability of Tenor of Benchmark Notwithstanding anything to the contrary herein or in any other Loan Document, at any time (including in connection with the implementation of a Benchmark Replacement), (A) if the then-current Benchmark is a term rate (including the Term SOFR Reference Rate) and either (1) any tenor for such Benchmark is not displayed on a screen or other information service that publishes such rate from time to time as selected by the Administrative Agent in its reasonable discretion or (2) the regulatory supervisor for the administrator of such Xxxxxxxxx has provided a public statement or publication of information announcing that any tenor for such Benchmark is not or will not be representative, then the Administrative Agent may modify the definition of “Interest Period” (or any similar or analogous definition) for any Benchmark settings at or after such time to remove such unavailable or non-representative tenor and (B) if a tenor that was removed pursuant to clause (A) above either (1) is subsequently displayed on a screen or information service for a Benchmark (including a Benchmark Replacement) or (2) is not, or is no longer, subject to an announcement that it is not or will not be representative for a Benchmark (including a Benchmark Replacement), then the Administrative Agent may modify the definition of “Interest Period” (or any similar or analogous definition) for all Benchmark settings at or after such time to reinstate such previously removed tenor.

  • Availability of Personnel The Subadvisor at its expense will make available to the Directors and Advisor at reasonable times its portfolio managers and other appropriate personnel, either in person, or, at the mutual convenience of the Advisor and the Subadvisor, by telephone, in order to review the Fund's investment policies and to consult with the Directors and Advisor regarding the Fund's investment affairs, including economic, statistical and investment matters relevant to the Subadvisor's duties hereunder, and will provide periodic reports to the Advisor relating to the investment strategies it employs.

  • Availability of Funds Unless Administrative Agent shall have been notified by any Lender prior to the applicable Credit Date that such Lender does not intend to make available to Administrative Agent the amount of such Lender’s Loan requested on such Credit Date, Administrative Agent may assume that such Lender has made such amount available to Administrative Agent on such Credit Date and Administrative Agent may, in its sole discretion, but shall not be obligated to, make available to Borrower a corresponding amount on such Credit Date. If such corresponding amount is not in fact made available to Administrative Agent by such Lender, Administrative Agent shall be entitled to recover such corresponding amount on demand from such Lender together with interest thereon, for each day from such Credit Date until the date such amount is paid to Administrative Agent, at the customary rate set by Administrative Agent for the correction of errors among banks for three Business Days and thereafter at the Base Rate. If such Lender does not pay such corresponding amount forthwith upon Administrative Agent’s demand therefor, Administrative Agent shall promptly notify Borrower and Borrower shall immediately pay such corresponding amount to Administrative Agent together with interest thereon, for each day from such Credit Date until the date such amount is paid to Administrative Agent, at the rate payable hereunder for Base Rate Loans for such Class of Loans. Nothing in this Section 2.5(b) shall be deemed to relieve any Lender from its obligation to fulfill its Term Loan Commitments and Revolving Commitments hereunder or to prejudice any rights that Borrower may have against any Lender as a result of any default by such Lender hereunder.

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