Bariatric Surgery Benefits Sample Clauses

Bariatric Surgery Benefits. Benefits are provided for Hospital and professional services in connection with bariatric surgery to treat morbid or clinically severe obesity as described below. All bariatric surgery services must be prior authorized, in writing, from Blue Shield, whether the Member is a resident of a designated or non- designated county. See the Benefits Management Program section for more information.
Sample 1Sample 2Sample 3See All (35)
AutoNDA by SimpleDocs
Bariatric Surgery Benefits. Benefits are available for bariatric surgery services. These Benefits include facility and Physician services for the surgical treatment of morbid obesity. Services for residents of designated California counties Blue Shield has a network of Participating Providers for bariatric surgery services in certain designated counties within California. If you live in a designated county, services are only covered if you receive them from one of these Participating Providers. Bariatric surgery services designated counties Imperial Orange San Xxxxx Xxxx Riverside Santa Xxxxxxx Los Angeles San Xxxxxxxxxx Xxxxxxx Travel expense reimbursement for residents of designated counties You may be eligible for reimbursement of your travel expenses for bariatric surgery services if you meet the following conditions: • Live in a designated county; • Live at least 50 miles away from the nearest bariatric surgery services provider in the network; • Receive prior authorization for travel expense reimbursement; and • Submit receipts and any other documentation of your expenses to Blue Shield. Reimbursable bariatric surgery travel expenses Expense type Maximum reimbursement Limitations & exclusions Transportation to and from the facility $130/roundtrip • Maximum of 3 roundtrips (pre-surgery, surgery, follow- up) • 1 companion is covered for a maximum of 2 roundtrips (surgery & surgery follow-up) Hotel accommodations $100/day • Maximum of 2 trips, 2 days/trip (pre-surgery & post-surgery follow-up) for you and 1 companion • 1 companion alone may be reimbursed for a maximum of 4 days during your surgery admission • Hotel stays are limited to 1 double-occupancy room. Only the room is covered. All other hotel expenses are excluded Related reasonable expenses $25/day/Member • Maximum of 4 days/trip • Expenses for tobacco, alcohol, drugs, phone, television, delivery, and recreation are excluded Services for residents of non-designated counties
Sample 1Sample 2Sample 3See All (14)

Related to Bariatric Surgery Benefits

  • Medical Benefits The Company shall reimburse the Employee for the cost of the Employee's group health, vision and dental plan coverage in effect until the end of the Termination Period. The Employee may use this payment, as well as any other payment made under this Section 6, for such continuation coverage or for any other purpose. To the extent the Employee pays the cost of such coverage, and the cost of such coverage is not deductible as a medical expense by the Employee, the Company shall "gross-up" the amount of such reimbursement for all taxes payable by the Employee on the amount of such reimbursement and the amount of such gross-up.

  • Health Benefits The method for determining the Employer bi-weekly contributions to the cost of employee health insurance programs under the Federal Employees Health Benefits Program (FEHBP) will be as follows:

  • Public Benefits This Agreement provides assurances that the Public Benefits identified below will be achieved and developed in accordance with the Applicable Rules and Project Approvals and with the terms of this Agreement and subject to the City’s Reserved Powers. The Project will provide Public Benefits to the City, including without limitation:

  • Educational Benefits a. A full-time employee may enroll for credit at the University for a maximum of two courses, or six credit hours, whichever is greater, in any one academic term with exemption from the payment of tuition and fees.

  • Survivor Benefits 1. A surviving dependent of a retiree who was eligible to receive a Retiree Medical Grant, as stated above in A through C, and who qualifies for a monthly allowance shall be eligible for fifty (50) percent of the Grant authorized for the retiree.

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

  • Program Benefits The Participating Contractor will be eligible for contractor incentives, its customers will have access to financing offered through the Program, and income-eligible households will be eligible to receive Program incentives.

  • Retiree Medical Benefits If Executive is or would become fifty-five (55) or older and Executive's age and service equal sixty-five (65) and Executive has at least five (5) years of service with the Company within two (2) years of Change in Control, Executive is eligible for retiree medical benefits (as such are determined immediately prior to Change in Control). Executive is eligible to commence receiving such retiree medical benefits based on the terms and conditions of the applicable plans in effect immediately prior to the Change in Control.

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