Family Deductible. This plan includes a family deductible. When the total equals the family deductible amount we will consider the individual deductible of every enrolled family member to be met for the year. Only the amounts used to satisfy each enrolled family member’s individual deductible will count toward the family deductible. See Summary of Your Costs for your family deductible amounts. Deductibles are subject to the following: Deductibles accrue during a calendar year and begin each year on January 1 There is no carry over provision. Xxxxxxx credited to your deductible during the current year will not carry forward to the next year’s deductible Xxxxxxx credited to the deductible will not exceed the allowed amount Copayments are not applied to the deductible Xxxxxxx credited toward the deductible do not add to benefits with a dollar maximum Xxxxxxx credited toward the deductible accrue to benefits with visit limits Amounts that don’t accrue toward the deductible are: Amounts that exceed the allowed amount Charges for excluded services
Family Deductible. Once the full Family Deductible is met, by two or more family members or a combination of family members, services for all covered family members are subject to applicable Coinsurance and Copayments until the Out-of-Pocket Limit, described in section 6.C.3, is reached. The full Family Deductible is two times the Individual Deductible as described on your Schedule of Benefits.
Family Deductible a specified dollar amount of liability for Covered Services that must be Incurred by one (1) or more family members, who are covered under this Agreement, before the Plan will assume any liability for all or part of the remaining Covered Services. Once the Family Deductible is met, no further Deductible amounts must be satisfied by any covered family member.
Family Deductible. For Members in a class of coverage with more than one Member, this aggregate amount shown in the Schedule of Benefits, is the maximum Deductible Amount that a family must pay before this Contract starts paying Benefits. Once a family has met its Family Deductible Amount, this Contract starts paying Benefits for all Members of the family, regardless of whether each individual family Member has met his individual Benefit Period Deductible. No family Member may contribute more than his Benefit Period Deductible Amount to satisfy the aggregate Deductible Amount required of a family. Family Deductibles may apply to other types of Deductible described in this Contract. Only Benefit Period Deductible Amounts accrue to the Family Deductible Amount.
Family Deductible. $ 100 Payment Rates (changes effective October 1, 2017): 80% of Covered Expense for all services and supplies, except as specified below. 100% of Covered Expense for Class I preventive dental services (examination and fluoride treatment) not more than twice per year for each insured person. Class I preventative dental x-ray not more than once per year. Not to be applied to benefit limits. Dental Expense Benefit Limits (changes effective October 1, 2017): Calendar year limit for payment of Covered Dental Expense, other than for orthodontics and Periodontics . . . . . . . $1,500 Calendar year for orthodontics . . . . $1,250 Calendar year for periodontics . . . . $1,500 Covered Expense for vision care shall not exceed (changes effective October 1, 2017): - Eye refraction . . . . $55 - Glasses, per pair - Frames $100 with single vision lenses . . $110 with bi-focal lenses . . . $140 with tri-focal lenses . . . $200 with lenticular lenses . . . $330 - Contact lenses, each . . . $150 - Effective October 1, 2021, the benefit period for glasses is one (1) per two (2) calendar years for adults or one (1) per calendar year for dependent children. The benefit period for contact lenses is one (1) per calendar year for adults or dependent children. Contact lenses and glasses may both be covered during the same benefit period. If contact lenses are necessary after cataract surgery or for correcting visual acuity to at least 20/70 in one eye when such correction cannot be achieved in either eye with other lenses, the maximum shall be $275 each.
Family Deductible. Effective July 1, 2007, a dispensing cap of seven dollars and fifty cents ($7.50) will apply per prescription.
Family Deductible. All present nurses enrolled in the Hospitals of Ontario Pension Plan (HOOPP) shall maintain their enrolment in the Plan subject to its terms and conditions. New nurses and nurses employed but not yet eligible for membership in the Plan shall, as a condition of employment, enrol in the Plan when eligible in accordance with its terms and conditions.
Family Deductible. The family Deductible is a cumulative Deductible for all family members. The family deductible can be met by a combination of family members with no single individual within the family contributing more than the individual deductible amount. The Deductible may not apply to certain Covered Benefits. If the Deductible does not apply to a Covered Benefit, the Member’s Copayment for that Covered Benefit will not count toward satisfying the Deductible Amount (Includes the Deductible Amount) The family Maximum Out-of-Pocket Limit is a cumulative Maximum Out-of-Pocket Limit for all family members. The family Maximum Out-of- Pocket Limit can be met by a combination of family members with no single individual within the family contributing more than the individual limit. Member must demonstrate the Copayment amounts that have been paid during the year.
Family Deductible. The plan shall include chiropractic treatment, massage therapy and physiotherapy at three hundred dollars ($300.00) per service per year. Effective the date of ratification, Vision Care Insurance to increase to four hundred and fifty dollars ($450.00).
Family Deductible. The Employer will provide one hundred percent (100%) reimbursement after the deductible.
