Principal Benefits and Coverage Sample Clauses

Principal Benefits and Coverage. As a Member, you are entitled to receive the follow- ing benefits from a Plan Optometrist during your Membership Period. You must receive each of the products and services from a Plan Optometrist and pay the required Co-payment. The Provider Directory lists the locations of the Plan offices. COMPREHENSIVE EYE EXAM MEMBERSHIP PREMIUM: $51
Sample 1
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Principal Benefits and Coverage. As a Member, you are entitled to receive the following benefits from a Plan Optometrist during your Membership Period. You must receive each of the products and services from a Plan Optometrist and pay the required Co-payment. The Provider Directory lists the locations of the Plan offices. COMPREHENSIVE EYE EXAM MEMBERSHIP
Sample 1
Principal Benefits and Coverage. Please see Chapter Five to learn how to receive care if you have a medical emergency or other urgent need for care. What Do I Do if I Need Care? All you need to do is call your center as listed on the inside cover of this booklet at any time. Since we serve only older people who need ongoing care, our Plan provides you with ready access to a whole array of professionals and health care services. Upon enrollment you will know who your Primary Care Physician is, as well as the center where you will receive many of the services you need (and where the other members of your Interdisciplinary Team will see you). All benefits are covered by {PACE Program} and will be provided according to your needs as assessed by the clinical experts on your Interdisciplinary Team, in accordance with professionally recognized standards. If you would like more specific information about how we authorize or deny health care services, please request this from your Social Worker. Benefits include: Services in the Center and the Community • Primary care clinic visits (with {PACE Program} Physician, Nurse Practitioner and/or Nurse) • Routine physicals and preventive health evaluations and care (including pap smears, mammograms, immunizations, and all generally accepted cancer screening tests). These services do not require prior authorization. • Sensitive services, which are services related to sexually transmitted diseases and HIV testing. These services do not require prior authorization. • Consultation with medical specialists • Kidney dialysis • Outpatient surgical services • Outpatient mental health • Medical social services/case management • Health education and counseling • Rehabilitation therapy (physical, occupational and speech) • Personal care • Recreational therapy • Social and cultural activities • Nutritional counseling and hot meals • Transportation, including escort • Ambulance service • X-rays • Laboratory procedures • Emergency coverage anywhere in the United States • Durable medical equipment: wheelchair, cane, xxxxxx and commode; hospital bed • Prosthetic and orthotic appliances • Routine podiatry • Prescribed drugs and medicines • Vision care (prescription eyeglasses, corrective lenses after cataract surgery) • Hearing exams and hearing aids • Dental care from the {PACE Program} dentist, with the goal of restoring Participant oral function to a condition which will help maintain optimal nutritional and health status. Dental services include Preventive Care (initi...
Sample 1

Related to Principal Benefits and Coverage

  • Medical Benefits The Company shall reimburse the Employee for the cost of the Employee's group health, vision and dental plan coverage in effect until the end of the Termination Period. The Employee may use this payment, as well as any other payment made under this Section 6, for such continuation coverage or for any other purpose. To the extent the Employee pays the cost of such coverage, and the cost of such coverage is not deductible as a medical expense by the Employee, the Company shall "gross-up" the amount of such reimbursement for all taxes payable by the Employee on the amount of such reimbursement and the amount of such gross-up.

  • Dental Benefits The County offers dental and orthodontic benefits to full and part-time regular employees and their eligible dependent(s). Benefit provisions, co­ payments and deductibles are outlined in the Evidence of Coverage. The employee contribution is $13 per pay period ($28.26 per month). The County shall contribute to part-time eligible employees on a pro-rated basis, in accordance with Section 10.2.6.

  • Retiree Medical Benefits If Executive is or would become fifty-five (55) or older and Executive's age and service equal sixty-five (65) and Executive has at least five (5) years of service with the Company within two (2) years of Change in Control, Executive is eligible for retiree medical benefits (as such are determined immediately prior to Change in Control). Executive is eligible to commence receiving such retiree medical benefits based on the terms and conditions of the applicable plans in effect immediately prior to the Change in Control.

  • General Benefits During the Term of Employment, the Executive shall be entitled to participate in such employee pension and welfare benefit plans and programs of the Company as are made available to the Company's senior-level executives or to its employees generally, as such plans or programs may be in effect from time to time, including, without limitation, health, medical, dental, long-term disability, travel accident and life insurance plans.

  • Workplace Safety Insurance Benefits (WSIB) Top Up Benefits If the employee is in a class of employees that, on August 31, 2012, was entitled to use unused sick leave credits for the purpose of topping up benefits received under the Workplace Safety and Insurance Act, 1997;

  • Group Insurance Benefits To determine if a leave under the provisions of the Family and Medical Leave Act will be paid or unpaid leave of absence contact the school district Employee Benefits Department.

  • Optional Benefits Optional Group Life Insurance This plan is available on an optional, employee-pay-all basis and you may apply to purchase additional group life insurance coverage for you and/or your spouse. Coverage is available from a minimum of $10,000 to a maximum of $300,000 in increments of $10,000.

  • Educational Benefits a. A full-time employee may enroll for credit at the University for a maximum of two courses, or six credit hours, whichever is greater, in any one academic term with exemption from the payment of tuition and fees.

  • Life Insurance Benefits A. During the life of this Agreement, the basic life insurance benefit made available to Faculty members shall be calculated as 3 times base annual earnings, rounded to the next highest $1,000, but not more than $225,000. A separate additional benefit up to the amount of the life insurance will be paid for accidental death and dismemberment, or loss of sight. The amount of Life and Accidental Death and Dismemberment/Loss of Sight benefits will be reduced to 65% at age 65, and further reduced (from the original insurance amount) as follows: to 50% at age 70, and 35% at age 75. Basic life insurance and AD&D benefits will be provided with no employee contributions.

  • Supplemental Benefits The employer shall maintain a “Supplemental Unemployment Benefits Plan” pursuant to the Employment Insurance Act and Regulations. The employer shall make amendments as appropriate to ensure that the Plan provides the maximum permissible benefits in conjunction with Article 17.03.

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