Common use of Oral Contraceptives Clause in Contracts

Oral Contraceptives. Methods of preferred generic oral contraceptives, injectable contraceptives, or contraceptive devices. For a complete list of these preferred products, please see the Presbyterian Pharmacy website at xxxxx://xxxxxx.xxxxxxxxxxxxxxxxxx.xxx/Search.aspx?siteCode=0045707827 For more information contact our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. Contraception Coverage You are entitled to receive certain covered contraception services and supplies without cost sharing and without Prior Authorization from us. This means that you do not have to make a copayment, coinsurance, satisfy a deductible or pay out-of-pocket for any part of contraception benefits listed in this summary if you receive them from an In-network Provider. You may be required to pay a copay, coinsurance, and/or a deductible if you receive a contraception service or supply from an Out-of-network Provider if the same service or supply is available In-network.‌‌ You may also owe cost sharing if you receive a brand-name contraceptive when at least one generic or a therapeutic equivalent is available.

Appears in 2 contracts

Samples: Presbyterian Health, Subscriber Agreement

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Oral Contraceptives. Methods of preferred generic genic oral contraceptives, injectable contraceptives, or contraceptive devices. For a complete list of these preferred products, please see the Presbyterian Pharmacy website at xxxxx://xxxxxx.xxxxxxxxxxxxxxxxxx.xxx/Search.aspx?siteCode=0045707827 xxxxx://xxxxxx.xxxxxxxxxxxxxxxxxx.xxx/Search.aspx?siteCode=0045707827. For more information contact our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. Contraception Coverage You are entitled to receive certain covered contraception services and supplies without cost sharing Cost Sharing and without Prior Authorization from us. This means that you do not have to make a copayment, coinsurance, satisfy a deductible or pay out-of-pocket for any part of contraception benefits listed in this summary if you receive them from an In-network Provider. You may be required to pay a copay, coinsurance, and/or a deductible if you receive a contraception service or supply from an Out-of-network Provider if the same service or supply is available In-network.‌‌ network. You may also owe cost sharing Cost Sharing if you receive a brand-name contraceptive when at least one generic or a therapeutic equivalent is available.

Appears in 1 contract

Samples: Subscriber Agreement

Oral Contraceptives. Methods of preferred generic oral contraceptives, injectable contraceptives, or contraceptive devices. For a complete list of these preferred products, please see the Presbyterian Pharmacy website at xxxxx://xxxxxx.xxxxxxxxxxxxxxxxxx.xxx/Search.aspx?siteCode=0045707827 For more information xxxxx://xxxxxx.xxxxxxxxxxxxxxxxxx.xxx/Search.aspx?siteCode=0000000000. You can contact our Presbyterian Customer Service Center from 7 a.m. to 6 p.m. at (000) 000-0000 or 0-000-000-0000, Monday through Friday from 7 a.m. to 6 p.m. Hearing impaired . TTY users may call TTY 711. Contraceptive Coverage Summary Contraception Coverage You are entitled to receive certain covered contraception services and supplies without cost sharing and without Prior Authorization from us. This means that you do not have to make a copayment, coinsurance, satisfy a deductible or pay out-of-pocket for any part of contraception benefits listed in this summary if you receive them from an In-network Provider. You may be required to pay a copay, coinsurance, and/or a deductible if you receive a contraception service or supply from an Out-of-network Provider if the same service or supply is available In-network.‌‌ network. You may also owe cost sharing if you receive a brand-name contraceptive when at least one generic or a therapeutic equivalent is available.

Appears in 1 contract

Samples: Presbyterian Health Plan

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Oral Contraceptives. Methods of preferred generic oral contraceptives, injectable contraceptives, or contraceptive devices. For a complete list of these preferred products, please see the Presbyterian Pharmacy website at xxxxx://xxxxxx.xxxxxxxxxxxxxxxxxx.xxx/Search.aspx?siteCode=0045707827 For more information contact our Presbyterian Customer Service Center at (000) 000-0000 or 0-000-000-0000, Monday through Friday from 7 a.m. to 6 p.m. Hearing impaired users may call TTY 711. Contraception Coverage You are entitled to receive certain covered contraception services and supplies without cost sharing Cost Sharing and without Prior Authorization from us. This means that you do not have to make a copayment, coinsurance, satisfy a deductible or pay out-of-pocket for any part of contraception benefits listed in this summary if you receive them from an In-network Provider. You may be required to pay a copay, coinsurance, and/or a deductible if you receive a contraception service or supply from an Out-of-network Provider if the same service or supply is available In-network.‌‌ network. You may also owe cost sharing Cost Sharing if you receive a brand-name contraceptive when at least one generic or a therapeutic equivalent is available.

Appears in 1 contract

Samples: Subscriber Agreement

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