Limitations/Terms of Coverage Sample Clauses

Limitations/Terms of Coverage. 1. When You are receiving inpatient care in a Facility, We will not cover additional charges for medications and supplies You take home from the Facility. 2. We will cover additional charges for special duty nurses and charges for private rooms if Medically Necessary. If You occupy a private room, and the private room is not Medically Necessary, Our coverage will be based on the Facility’s maximum semi-private room charge. You will have to pay the difference between that charge and the private room charge.
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Limitations/Terms of Coverage. Ambulance services are covered only when Medically Necessary, except: o When ordered by an employer, school, fire or public safety official and the Member is not in a position to refuse; or o When a Member is required by Us to move from a Non-Network Provider to a Network Provider. • We do not cover travel or transportation expenses, unless connected to an Emergency Medical Condition or due to a Facility transfer approved by Us, even though prescribed by a Physician. • We do not cover: o Non-ambulance transportation such as ambulette, van or taxi cab; o Trips to a Physician’s office or clinic; or o Trips to a morgue or funeral home. • Ambulance trips must be made to the closest local facility that can give Covered Services appropriate for Your condition. If none of these facilities are in Your local area, You are covered for trips to the closest facility outside Your local area. Ambulance usage is not covered when another type of transportation can be used without endangering the Member’s health. Any ambulance usage for the convenience of the Member, family or Physician is not a Covered Service.

Related to Limitations/Terms of Coverage

  • Terms of Coverage The plan takes effect upon check-in on the booked arrival date to an iTrip unit. All coverage shall terminate upon normal check-out time of the iTrip unit or the departure of the Covered Guest, whichever occurs first.

  • Duration of Coverage Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property, which may arise from or in connection with the performance of the work hereunder by Xxxxxxxxxx, his/her agents, representatives, employees, or subconsultants.

  • Types of Coverage We offer the following types of coverage:

  • Termination of Coverage This Contract may be terminated as follows:

  • Conditions Term of Agreement 93 3.1 Conditions Precedent to the Initial Extension of Credit ............................................. 93 3.2 Conditions Precedent to all Extensions of Credit ........................................................ 93 3.3 Maturity ........................................................................................................................... 93 3.4

  • General Coverages All of Tenant’s Agents shall carry worker’s compensation insurance covering all of their respective employees, and shall also carry public liability insurance, including property damage, all with limits, in form and with companies as are required to be carried by Tenant as set forth in the Lease.

  • Insurance Terms and Conditions Company must maintain the following limits and coverages uninterrupted or amended through the term of this Agreement. In the event Company becomes in default of the following requirements, Authority reserves the right to take whatever actions it deems necessary to protect its interests. Required liability policies other than Workers’ Compensation / Employer’s Liability will provide that Authority, members of Authority’s governing body, and Authority’s officers, volunteers and employees are included as additional insureds.

  • GENERAL TERMS & CONDITIONS 23.1 TRAINING: Service Provider shall train designated Bank officials on the configuration, operation/ functionalities, maintenance, support & administration for software, application architecture and components, installation, troubleshooting processes of the proposed Services as mentioned in this Agreement.

  • General Conditions Applicable to Insurance All policies of insurance required by this section shall comply with the following requirements:

  • Hours of Coverage The TAM Service is offered during local Red Hat Support Standard Business Hours as set forth at xxxxx://xxxxxx.xxxxxx.xxx/support/contact/technicalSupport.html (based on the physical location of the TAM representative).

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