Care Coordinator Benefit. We will pay the Care Coordinator’s charges to prescribe a Plan of Care for You, if You request the Care Coordinator Benefit. We will pay the charges for the Care Coordinator, except if You elect to provide Us with a Plan of Care from a Licensed Health Care Practitioner instead of the Care Coordinator, We will evaluate Your claim and pay benefits in accordance with the Policy’s provisions.
Care Coordinator Benefit. We will pay the services for Care Coordination by a Care Coordinator who is employed by a Care Coordination Provider Agency or is the Qualified Official Designee of a Care Coordination Provider Agency to provide Care Coordination. The California Department of Health Care Services must approve the Care Coordination Provider Agency. Since Care Coordination is included in this Policy We will reduce the Elimination Period that must be satisfied before the Home and Community-Based Care benefits are payable to 30 days of service, even if a longer Elimination Period was selected. The remaining Elimination Period, if any, must be satisfied before benefits other than Home and Community-Based Care are payable. The Elimination Period does not apply to the Care Coordinator Benefit. Any benefits We pay the Care Coordinator do not count against Your Policy Lifetime Maximum Benefit. You must, however, satisfy the applicable Elimination Period before We will pay benefits for any care or services the Care Coordinator coordinates, and the benefits We pay will count against the Policy Lifetime Maximum Benefit as provided in each Benefit.
Care Coordinator Benefit. We will pay the services for Care Coordination by a Care Coordinator who is employed by a Care Coordination Provider Agency or is the Qualified Official Designee of a Care Coordination Provider Agency to provide Care Coordination. The California Department of Health Services must approve the Care Coordination Provider Agency. The Elimination Period does not apply to the Care Coordinator Benefit. Any benefits We pay the Care Coordinator do not count against Your Policy Lifetime Maximum Benefit. You must, however, satisfy the applicable Elimination Period before We will pay benefits for any care or services the Care Coordinator coordinates, and the benefits We pay will count against the Policy Lifetime Maximum Benefit as provided in each Benefit.
