Common use of Lifetime maximums and non-prescription out-of-pocket maximums Clause in Contracts

Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years of the contract, coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand seven hundred dollars ($1,700) per person or three thousand four hundred dollars ($3,400) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two thousand four hundred dollars ($2,400) per person or four thousand eight hundred dollars ($4,800) per family for members whose primary care clinic is in Cost Level 3; and three thousand six hundred dollars ($3,600) per person or seven thousand two hundred dollars ($7,200) per family for members whose primary care clinic is in Cost Level 4.

Appears in 47 contracts

Samples: Agreement, Agreement, Agreement

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Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years of the contract, coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand seven two hundred dollars ($1,7001,200) per person or three two thousand four hundred dollars ($3,4002,400) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two one thousand four six hundred dollars ($2,4001,600) per person or four three thousand eight two hundred dollars ($4,8003,200) per family for members whose primary care clinic is in Cost Level 3; and three two thousand six hundred dollars ($3,6002,600) per person or seven five thousand two hundred dollars ($7,2005,200) per family for members whose primary care clinic is in Cost Level 4.

Appears in 22 contracts

Samples: Agreement, Agreement, Agreement

Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years year of the contract, coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand seven one hundred dollars ($1,7001,100) per person or three two thousand four two hundred dollars ($3,4002,200) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two one thousand four five hundred dollars ($2,4001,500) per person or four three thousand eight hundred dollars ($4,8003,000) per family for members whose primary care clinic is in Cost Level 3; and three two thousand six five hundred dollars ($3,6002,500) per person or seven five thousand two hundred dollars ($7,2005,000) per family for members whose primary care clinic is in Cost Level 4.

Appears in 11 contracts

Samples: Agreement, Agreement, www.leg.mn.gov

Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years of the contract, coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand seven two hundred dollars ($1,7001,200) per person or three two thousand four hundred dollars ($3,4002,400) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two one thousand four six hundred dollars ($2,4001,600) per person or four three thousand eight dollars two hundred dollars ($4,8003,200) per family for members whose primary care clinic is in Cost Level 3; and three two thousand six hundred dollars ($3,6002,600) per person or seven five thousand two hundred dollars ($7,2005,200) per family for members whose primary care clinic is in Cost Level 4.

Appears in 2 contracts

Samples: www.lrl.mn.gov, www.leg.mn.gov

Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years year of the contractContract, coverage under Advantage is subject to a plan year, non-prescription drug, out-of-pocket maximum of one thousand seven one hundred dollars ($1,7001,100.00) per person or three two thousand four two hundred dollars ($3,4002,200.00) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two one thousand four five hundred dollars ($2,4001,500.00) per person or four three thousand eight hundred dollars ($4,8003,000.00) per family for members whose primary care clinic is in Cost Level 3; and three two thousand six five hundred dollars ($3,6002,500.00) per person or seven five thousand two hundred dollars ($7,2005,000.00) per family for members whose primary care clinic is in Cost Level 4.

Appears in 1 contract

Samples: www.leg.mn.gov

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Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under Advantage is not subject to a per person lifetime maximum. In the first and second years of the contract, coverage under Advantage is subject to a plan year, non-prescription non‐prescription drug, out-of-pocket out‐of‐pocket maximum of one thousand seven hundred dollars ($1,700) per person or three thousand four hundred dollars ($3,400) per family for members whose primary care clinic is in Cost Level 1 or Cost Level 2; two thousand four hundred dollars ($2,400) per person or four thousand eight hundred dollars ($4,800) per family for members whose primary care clinic is in Cost Level 3; and three thousand six hundred dollars ($3,600) per person or seven thousand two hundred dollars ($7,200) per family for members whose primary care clinic is in Cost Level 4.

Appears in 1 contract

Samples: Agreement

Lifetime maximums and non-prescription out-of-pocket maximums. Coverage under 11 Advantage is not subject to a per person lifetime maximum. 13 In the first and second years of the contract, coverage under Advantage is subject to a plan year, 14 non-prescription drug, out-of-pocket maximum of one thousand seven two hundred dollars ($1,7001,200) per 15 person or three two thousand four hundred dollars ($3,4002,400) per family for members whose primary care 16 clinic is in Cost Level 1 or Cost Level 2; two one thousand four six hundred dollars ($2,4001,600) per person or four 17 three thousand eight two hundred dollars ($4,8003,200) per family for members whose primary care clinic is 18 in Cost Level 3; and three two thousand six hundred dollars ($3,6002,600) per person or seven five thousand two 19 hundred dollars ($7,2005,200) per family for members whose primary care clinic is in Cost Level 4.

Appears in 1 contract

Samples: Agreement

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