Coverage Levels. Status quo shall continue for employees desiring coverage under the County medical insurance plans. Employees may elect coverage under one (1) of the following levels:
Coverage Levels. Employees may elect coverage under one (1) of the following levels:
Coverage Levels. 70% of the Probable Yield. Notwithstanding Section 17(3) and 17(10) of the regulations, the insured may elect 80% coverage if three or more years of field data have been provided and accepted by the Corporation.
Coverage Levels. (a) The City shall provide coverage to its employees with premium rates quoted for the following coverage levels:
Coverage Levels. A. NMFS will determine trip coverage levels necessary to meet its program goals
Coverage Levels. Full Service with Parts (FSWP) - Full Service No Parts (FSNP) - Planned Maintenance with Planned Parts (PMWP) - Planned Maintenance No Parts (PMNP) - Electrical Safety No Parts (includes inventory tracking) (ESNP) Coverage Level Matrix (see below):
Coverage Levels. In network - Eligible services are covered in full, less any applicable co-payments, when you use PPO Network providers. Members will not be billed for charges beyond the plan allowance. Out of network - Members may also choose to receive treatment outside the Network and still receive coverage at 80% of our allowance, less any deductibles and/or co-payments as noted below. Outpatient mental health and substance abuse services are covered at 50% of our allowance. Participating Provider Network Within the Network, the member’s health insurance card is recognized at any participating PPO provider nationwide. In most cases, claims are filed by the provider and paid based on the local plan's allowance; members will not be balance billed beyond applicable co-payments. Pre-authorization Authorization is obtained by providers who participate directly with the provider Network. Members are responsible for obtaining pre-authorization when using non-network providers. Benefits subject to pre-authorization are identified by an asterisk (*). Annual Deductibles No deductibles in network. Out of network - $200 annual deductible per person (3 per family). Out-of-pocket maximum Out of network benefit increased to full coverage after maximum annual expense of $3,000 per individual (3 per family). (The out-of-network deductible, mental health/substance abuse co-payments and office visits co-payments are not applicable to the out of pocket maximum.) Lifetime maximums Unlimited.
Coverage Levels. The Sector and the Provider(s) will work to ensure that the required 21 coverage level is met (currently 17% ASM). There will be a quarterly check, done by the 22 Sector Manager, to ensure that this level of coverage is being met. If for some reason the 23 provider is falling short of their target the Sector and Sector Members are not to be held 24 liable if the Provider is found to be at fault. 26 • To the extent possible, the Sector and the Provider(s) will work to manage coverage on 27 the Xxxxxx Xxxxxx xxxxx. 00 Operational Standards 30 ASM programs developed as part of a sector operations plan must meet to following operational 31 standards, in addition to the monitoring provider standards (see § 648.87(b)(6)): To be included 32 by the Approved Monitoring Vendor in the final Contract.
Coverage Levels a) 70% or 80% of the Probable Yield;
