Calculating Your Home and Community-Based Care Benefit Payment Amount Clause Samples

Calculating Your Home and Community-Based Care Benefit Payment Amount. If You are eligible for Home and Community-Based Care during the entire calendar month, the benefit amount payable will be all the Eligible Charges during that calendar month up to the Home and Community-Based Care Monthly Maximum regardless of the number of days of care or services that were received during that month. If You are eligible for Home and Community-Based Care for only a portion of a calendar month the maximum Home and Community-Based Care benefit amount payable for that calendar month will be calculated as follows:  The number of days in the calendar month that You are eligible for payment of Home and Community-Based Care regardless of the number of days of care or services received; times  One thirtieth of the Home and Community-Based Care Monthly Maximum Benefit.