PROGRAM MAXIMUMS. A. $5,000,000 for network services, including prescription drugs, per lifetime per member. B. $300,000 for out-of-network services per lifetime per member. C. $1,000,000 for network services, excluding prescription drugs, per contract year per member. D. $50,000 for prescription drugs when purchased at a participating pharmacy provider per contract year. E. Amounts applied to the maximum for out-of-network services are also applied to the maximum for network services.
Appears in 2 contracts
Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement, Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement
PROGRAM MAXIMUMS. A. $5,000,000 for network services, including prescription drugs, per lifetime per member.
B. $300,000 for out-of-network services per lifetime per member.
C. $1,000,000 for network services, excluding prescription drugs, per contract year per member.
D. $50,000 for prescription drugs when purchased at a participating pharmacy provider per contract year.
E. Amounts X. Xxxxxxx applied to the maximum for out-of-network services are also applied to the maximum for network services.. BSMUHDHP1200-O
Appears in 1 contract
Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement
PROGRAM MAXIMUMS. A. $5,000,000 for network services, including prescription drugs, per lifetime per member.
B. $300,000 for out-of-network services per lifetime per member.
C. $1,000,000 for network services, excluding prescription drugs, per contract year per member.
D. $50,000 for prescription drugs when purchased at a participating pharmacy provider per contract year.
E. Amounts applied to the maximum for out-of-network services are also applied to the maximum for network services.. BSMUHDHP3500-O
Appears in 1 contract
Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement
PROGRAM MAXIMUMS. A. $5,000,000 for network services, including prescription drugs, per lifetime per member.
B. $300,000 for out-of-network services per lifetime per member.
C. $1,000,000 for network services, excluding prescription drugs, per contract year per member.
D. $50,000 for prescription drugs when purchased at a participating pharmacy provider per contract year.
E. Amounts applied to the maximum for out-of-network services are also applied to the maximum for network services.. BSMUHDHP2600-O
Appears in 1 contract
Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement
PROGRAM MAXIMUMS. A. $5,000,000 for network services, including prescription drugs, per lifetime per member.
B. $300,000 for out-of-network services per lifetime per member.
C. $1,000,000 for network services, excluding prescription drugs, per contract year per member.
D. $50,000 for prescription drugs when purchased at a participating pharmacy provider per contract year.
E. Amounts X. Xxxxxxx applied to the maximum for out-of-network services are also applied to the maximum for network services.
Appears in 1 contract
Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement
