Common use of EXCLUSION FOR DUPLICATE COVERAGE Clause in Contracts

EXCLUSION FOR DUPLICATE COVERAGE. In the event that an individual is both enrolled as a Subscriber under this Agreement and entitled to benefits under any of the conditions described in paragraphs 1. through 4. of this section IV.B, Blue Shield's liability for Services provided to the Sub- xxxxxxx for the treatment of any one (1) Sickness or Accidental Injury shall be reduced by the amount of benefits paid, or the reasonable value or the amount payable to the provider under the Medicare Program, whichever is less, of the Services pro- vided without any liability for the cost thereof, for the treatment of that same Sickness or Accidental Injury as a result of the Subscriber's entitlement to such other benefits. This exclusion is applicable to:

Appears in 12 contracts

Samples: Coverage and Health Service Agreement, Coverage and Health Service Agreement, Coverage and Health Service Agreement

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EXCLUSION FOR DUPLICATE COVERAGE. In the event that an individual is both enrolled as a Subscriber under this Agreement and entitled to benefits under any of the conditions described in paragraphs 1. through 4. of this section IV.B, Blue Shield's liability for Services provided to the Sub- xxxxxxx Subscriber for the treatment of any one (1) Sickness Sick- ness or Accidental Injury shall be reduced by the amount of benefits paid, or the reasonable value or the amount payable to the provider under the Medicare Program, whichever is less, of the Services pro- vided Ser- vices provided without any liability for the cost thereof, for the treatment of that same Sickness or Accidental Injury as a result of the Subscriber's entitlement to such other benefits. This exclusion is applicable to:

Appears in 11 contracts

Samples: Coverage and Health Service Agreement, Coverage and Health Service Agreement, Service Agreement

EXCLUSION FOR DUPLICATE COVERAGE. In the event that an individual is both enrolled as a Subscriber under this Agreement and entitled to benefits under any of the conditions described in paragraphs 1. through 4. of this section IV.B, Blue Shield's liability for Services provided to the Sub- xxxxxxx Subscriber for the treatment of any one (1) Sickness or Accidental Injury shall be reduced by the amount of benefits paid, or the reasonable value or the amount payable to the provider under the Medicare Program, whichever is less, of the Services pro- vided provided without any liability for the cost thereof, for the treatment of that same Sickness Sick- ness or Accidental Injury as a result of the Subscriber's Sub- xxxxxxx'x entitlement to such other benefits. This exclusion is applicable to:

Appears in 1 contract

Samples: Coverage and Health Service Agreement

EXCLUSION FOR DUPLICATE COVERAGE. In the event that an individual is both enrolled as a Subscriber under this Agreement and entitled to benefits under any of the conditions described in paragraphs 1. through 4. of this section IV.B, Blue Shield's liability for Services provided to the Sub- xxxxxxx Subscriber for the treatment of any one (1) Sickness or Accidental Injury shall be reduced by the amount of benefits paid, or or, the reasonable reasona- ble value or the amount payable to the provider under the Medicare Program, whichever is less, of the Services pro- vided provided without any liability for the cost thereof, for the treatment of that same Sickness or Accidental Injury as a result of the Subscriber's entitlement to such other benefits. This exclusion is applicable to:

Appears in 1 contract

Samples: Coverage and Health Service Agreement

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EXCLUSION FOR DUPLICATE COVERAGE. In the event that an individual is both enrolled as a Subscriber under this Agreement and entitled to benefits under any of the conditions described in paragraphs 1. through 4. of this section IV.B, Blue Shield's liability for Services provided to the Sub- xxxxxxx Subscriber for the treatment of any one (1) Sickness or Accidental Injury shall be reduced by the amount of benefits paid, or the reasonable value or the amount payable to the provider under the Medicare Program, whichever is less, of the Services pro- vided provided without any liability for the cost thereof, for the treatment of that same Sickness or Accidental Injury as a result of the Subscriber's entitlement to such other benefits. This exclusion is applicable to:

Appears in 1 contract

Samples: Coverage and Health Service Agreement

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