Common use of Scope of benefits Clause in Contracts

Scope of benefits. Company shall provide only the benefits described in this Certificate. Covered Person shall be responsible for payment of: 1.2.1 Services that are not covered under this Certificate; 1.2.2 Otherwise Covered Services that exceed the maximums provided under this Certificate; and 1.2.3 Services received while the individual is not covered under this Certificate. 1.2.4 All benefits are subject to the terms and conditions contained in this Agreement, including all applicable conditions, limitations and exclusions.

Appears in 4 contracts

Samples: Health Insurance Agreement, Health Insurance Agreement, Health Insurance Agreement

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Scope of benefits. Company shall provide only the benefits described in this Certificate. Covered Person shall be responsible for payment of: 1.2.1 Deductibles; 1.2.2 Co-Payments and Co-Insurance; 1.2.3 Any difference between a Non-Participating Provider’s charges and Company’s reimbursement to such Provider; 1.2.4 Services that are not covered under this Certificate; 1.2.2 1.2.5 Otherwise Covered Services that exceed the maximums provided under this Certificate; and 1.2.3 1.2.6 Services received while the individual is not covered under this Certificate. 1.2.4 1.2.7 All benefits are subject to the terms and conditions contained in this Agreement, including all applicable conditions, limitations and exclusions.

Appears in 4 contracts

Samples: Group Health Insurance Agreement, Group Health Insurance Agreement, Group Health Insurance Agreement

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Scope of benefits. Company shall provide only the benefits described in this Certificate. Covered Person shall be responsible for payment of: 1.2.1 Deductibles; 1.2.2 Co-Payments and Co-Insurance; 1.2.3 Any difference between a Non-Participating Provider’s charges and Company’s reimbursement to such Provider; 1.2.4 Services that are not covered under this Certificate; 1.2.2 1.2.5 Otherwise Covered Services that exceed the maximums provided under this Certificate; and; 1.2.3 1.2.6 Services received while the individual is not covered under this Certificate. 1.2.4 1.2.7 All benefits are subject to the terms and conditions contained in this Agreement, including all applicable conditions, limitations and exclusions.

Appears in 3 contracts

Samples: Group Health Insurance Agreement, Group Health Insurance Agreement, Group Health Insurance Agreement

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