Common use of Request for Non Listed Benefits Clause in Contracts

Request for Non Listed Benefits. Once You have met all of the conditions of the Eligibility For The Payment of Benefits provision, You may request a Request for Non Listed Benefits. The Request for Non Listed Benefits will include a Plan of Care mutually agreed upon by Your Physician (if appropriate and/or You desire), the Care Coordination Provider Agency, and Us. We will pay benefits in accordance with the Request for Non Listed Benefits. The following additional terms apply under this Benefit:

Request for Non Listed Benefits. Once You have met all of the conditions of the Eligibility For The Payment of Benefits provision, You may request a Request for Non Listed Benefits. The Request for Non Listed Benefits will include a Plan of Care mutually agreed upon by Your Physician (if appropriate and/or You desire)If We agree, the Care Coordination Provider Agency, and Us. We will pay benefits in accordance with the Request for Non Listed BenefitsBenefits provision of the policy. The following additional terms apply under this Benefit:

Request for Non Listed Benefits. Once You have met all of the conditions of the Eligibility For The Payment of Benefits provision, You may request a Request for Non Listed Benefits. The Request for Non Listed Benefits will include a Plan of Care mutually agreed upon by Your Physician (if appropriate and/or You desire)If We agree, the Care Coordination Provider Agency, and Us. We will pay benefits in accordance with the Request for Non Listed BenefitsBenefits provision of the Policy. The following additional terms apply under this Benefit:

Request for Non Listed Benefits. Once You have met all of the conditions of the Eligibility For The Payment of Benefits provision, You may request a Request for Non Listed Benefits. The Request for Non Listed Benefits will include a Plan of Care mutually agreed upon by Your Physician (if appropriate and/or if You desire), the Care Coordination Provider Agency, Agency and Us. We will pay benefits in accordance with the Request for Non Listed Benefits. The following additional terms apply under this Benefit: