Common use of Benefits Details Clause in Contracts

Benefits Details. Benefits are subject to all provisions of the Agreement. Members are entitled only to receive benefits and services that are Medically Necessary and clinically appropriate for the treatment of a Medical Condition as determined by KFHPWA’s medical director and as described herein. All Covered Services are subject to case management and utilization management. Benefits available will not duplicate benefits provided under any other KFHPWA medical coverage Agreement. “

Benefits Details. Benefits are subject to all provisions of the Agreement. Members are entitled only to receive benefits and services that are Medically Necessary and clinically appropriate for the treatment of a Medical Condition as determined by KFHPWA’s medical director and as described herein. All Covered Services are subject to case management and utilization management. Benefits available will not duplicate benefits provided under any other KFHPWA medical coverage Agreement. “