Coverage Examples Sample Clauses
The "Coverage Examples" clause serves to illustrate the scope and application of an insurance policy or contractual coverage by providing specific scenarios or situations that are included under the agreement. Typically, this clause lists various hypothetical or real-life events—such as property damage from fire, theft, or natural disasters—that would be covered, helping parties understand the practical reach of the policy. By offering concrete examples, the clause clarifies the intent and boundaries of coverage, reducing ambiguity and helping prevent disputes over what is or is not protected under the contract.
Coverage Examples. This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors. Focus on the cost- sharing amounts (deductibles, copayments and coinsurance) and excluded services under the plan. Use this information to compare the portion of costs you might pay under different health plans. Please note these coverage examples are based on self-only coverage. ◼ The plan’s overall deductible $2,000 ◼ Specialist coinsurance 0% ◼ Hospital (facility) coinsurance 0% ◼ Other coinsurance 0% Specialist office visits (prenatal care) Childbirth/Delivery Professional Services Childbirth/Delivery Facility Services Diagnostic tests (ultrasounds and blood work) Specialist visit (anesthesia) ◼ The plan’s overall deductible $2,000 ◼ Specialist coinsurance 0% ◼ Hospital (facility) coinsurance 0% ◼ Other coinsurance 0% Primary care physician office visits (including disease education) Diagnostic tests (blood work) Durable medical equipment (glucose meter) ◼ The plan’s overall deductible $2,000 ◼ Specialist coinsurance 0% ◼ Hospital (facility) coinsurance 0% ◼ Other coinsurance 0% Emergency room care (including medical supplies) Diagnostic test (x-ray) Durable medical equipment (crutches) Rehabilitation services (physical therapy) Cost Sharing Deductibles $2,000 Copayments $0 Coinsurance $0 Limits or exclusions $60 Deductibles $2,000 Copayments $0 Coinsurance $0 Limits or exclusions $20 Deductibles $2,000 Copayments $0 Coinsurance $0 Limits or exclusions $0 The plan would be responsible for the other costs of these EXAMPLE covered services That’s why we follow federal civil rights laws in our health programs and activities. We don’t discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability. For people with disabilities, we offer free aids and services. For people whose primary language isn’t English, we offer free language assistance services through interpreters and other written languages. Interested in these services? Call the Member Services number on your ID card for help (TTY/TDD: 711). If you think we failed to offer these services or discriminated based on race, color, national origin, age, disability, or sex, you can file a complaint, also known as a grievance. You can file a complaint with our Compliance Coordinator in writing to Complianc...
Coverage Examples. This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors. Focus on the cost sharing amounts (deductibles, copayments and coinsurance) and excluded services under the plan. Use this information to compare the portion of costs you might pay under different health plans. Please note these coverage examples are based on self-only coverage.
Coverage Examples. Managing ▇▇▇’s Type 2 Diabetes Peg is Having a Baby Mia’s Simple Fracture
Coverage Examples. Managing ▇▇▇’s Type 2 Diabetes
Coverage Examples. These examples .show how '.this plan might cover medical care in given situations. Use these examples to see, in general, how much financial protection a sample patient might get if they are covered under different plans; m Amount owed to providers: $7,540 iii Plan pays $7,330 III Patient pays $210 Imll Amount c m PlanpaYl II Patient p
Coverage Examples. This is not a cost estimator. Sample care costs: Patient pays: Questions and answers about the Coverage Examples: What are some of the assumptions behind the Coverage Examples? What does a Coverage Example show? Does the Coverage Example predict my own care needs? Does the Coverage Example predict my future expenses? Can I use Coverage Examples to compare plans? Are there other costs I should consider when comparing plans?
Coverage Examples. These examples show how this plan might cover medical care in given situations. Use these examples to
Coverage Examples. These examples show how this plan might cover medical care in given situations. Use these examples to see, in general, how much financial protection a sample patient might get if they are covered under different plans.