COVERAGE/BENEFITS. (a) The hospice program agrees to provide the care and services set forth in 32 CFR 199.4(e)(19)(i).
(b) The hospice program further agrees to provide for such care and services in individuals’ homes, on an outpatient basis, and on a short-term inpatient basis, directly or under arrangements made by the hospice program, except that the agency must:
(1) Routinely supply a substantial amount of core-services (i.e., nursing services; physician services; medical social services; and counseling) services for the TRICARE beneficiary and his or her family (32 CFR 199.4(e)(19)(ii)).
(2) Maintain professional management responsibility of non-core services (i.e., home health aide services, medical appliances and supplies, physical therapy, occupational therapy, speech-language pathology and short-term inpatient care) which are not directly furnished to the patient, regardless of the location or facility in which the services are rendered (32 CFR 199.4(e)(19)(iii)).
(3) Make nursing services, physician services, and drugs and biologicals routinely available on a 24-hour basis. All other covered services must be available on a 24-hour basis to the extent necessary to meet the needs of individuals for care that is reasonable and necessary for palliation and management of the terminal illness and related condition (32 CFR 199.4(e)(19)(iv)).
(4) Provide assurances that the aggregate number of days of inpatient care provided in any 12-month period does not exceed 20% of the aggregate number of days of hospice care during the same period.
(5) Have an interdisciplinary group (i.e., one physician; one registered nurse; one social worker; and one pastoral or other counselor) who provides those services set forth in 32 CFR 199.4(e)(19)(i) and establishes the policies governing the provision of such services/care.
(6) Maintain central clinical records on all patients.
COVERAGE/BENEFITS. Flight Delay Insurance benefits are payable in the event of a delay of more than four (4) hours in the arrival or departure of your regularly scheduled flight on a commercial airline. You will be reimbursed up to a maximum of $500 per trip for all insured persons combined, for reasonable, additional accommodation and travelling expenses. Expenses must be incurred by you as a result of the delay. Prepaid expenses are not covered.
COVERAGE/BENEFITS. This insurance covers against theft of, or damage to, covered items anywhere in the world. If such item is stolen or damaged, it will be repaired, replaced or you will be reimbursed the purchase price, at the Operations Centre’s discretion. The overall lifetime maximum of applicable insurance for Purchase Security and Extended Warranty combined is $60,000 per account.
COVERAGE/BENEFITS. 1.7 Dental 1.9 Extended Health 1.11 Group Life Coverage 3.37
COVERAGE/BENEFITS. Car Rental Accidental Death and Dismemberment Insurance covers an Insured Person who suffers a “loss”, as defined as follows, arising as a result of an Accidental Bodily Injury to the Insured Person while Occupying an eligible Rental Car.
COVERAGE/BENEFITS. This Personal Effects insurance covers theft or damage to Personal Effects belonging to an Insured Person while such Personal Effects are in a Rental Car during a Trip for the duration of an eligible rental period. Coverage during such rental period will be the Actual Cash Value of Your Personal Effects up to a maximum of $1,000 for each Insured Person, per occurrence. Total benefits during each rental period are limited to $2,000 per Account. Please see section 4.1.4 for applicable exclusions and limitations.
COVERAGE/BENEFITS. Emergency Cash Transfer – When You are travelling away from home, the Operations Centre will help You to obtain an emergency cash transfer which will be charged to Your Account (subject to credit availability to a maximum of $5,000) or payment for such costs will be arranged, if reasonably possible, through family or friends if it cannot be charged to Your Account.
COVERAGE/BENEFITS. If while travelling You require legal assistance, You can call the Operations Centre for referral to a local legal advisor and/or for assistance with arrangements for the posting of bail and the payment of legal fees, to a maximum of $5,000, which will be charged to Your Account (subject to credit availability).
COVERAGE/BENEFITS. This Baggage and Personal Effects insurance covers the Actual Cash Value of Baggage and Personal Effects up to $750 per Insured Person up to a maximum of $2,000 per Account per Trip for: • Loss or damage of Baggage and/or Personal Effects worn or used by You when accompanying You during the Trip. Coverage is limited to $500 per item. • Theft, burglary, fire or transportation hazards to Baggage and/or Personal Effects worn or used by You during the Trip. Coverage is limited to $500 per item. • Loss or damage to camera equipment during the Trip. Camera equipment is collectively considered one item. Coverage is limited to $500 per item. • Loss or damage to jewelry during the Trip. Jewelry is collectively considered one item. Coverage is limited to $500 per item. • Up to $200 will be reimbursed for the purchase of Essential Items as a result of Your checked Baggage being delayed by the Common Carrier for twelve hours or more, during the Trip en route to Your destination and before returning to Your original point of departure. Proof of delay of checked Baggage from the Common Carrier along with receipts of purchases must accompany Your claim. Purchases must be made within thirty-six hours of Your arrival at Your destination. The costs of items purchased under this benefit will reduce the maximum amount payable under the Baggage and Personal Effects benefit, if it is later determined that Your personal Baggage has been lost, stolen or damaged. Additional Conditions specific to Baggage and Personal Effects Insurance • In the event of loss of an article which is part of a pair or set, the measure of loss shall be at a reasonable and fair proportion of the total value of the pair or set, giving consideration to the importance of such article and with the understanding that such loss shall not be construed to mean total loss of the pair or set. • We shall not be liable beyond the Actual Cash Value of the property at the time any loss occurs. We reserve the right to repair or replace any damaged or lost property with other of like quality and value, and to require submission of property for appraisal of damage.
COVERAGE/BENEFITS. The full Benefit Amount is payable for accidental loss of life, two or more members, sight of both eyes, speech and hearing or any combination thereof. One half of the Benefit Amount is payable for accidental loss of: one member, sight of one eye, speech or hearing. “
