SUBSTANCE USE DISORDER TREATMENT BENEFITS Sample Clauses

SUBSTANCE USE DISORDER TREATMENT BENEFITS. Your Cost for Inpatient Substance Use Disorder Treatment None — Your Cost for Outpatient Office Visits for Substance Use Disorder Treatment $10 per Visit — Your Cost for Outpatient Specialist Physician Office Visits for Substance Use Disorder Treatment $10 per Visit Refer to the OTHER THINGS YOU SHOULD KNOW section of your Certificate for information regarding Covered Services Expense Limitation — Your Cost for Prescription Drugs and Diabetic Supplies Purchased from a Prescription Drug Provider Participating in the 34 Day Supply Prescrip­ tion Drug Program: — Generic Drugs and Generic Diabetic Supplies, insulin and insulin syringes $10 per Prescription — Formulary Brand‐name Drugs and Formulary Brand‐name Diabetic Supplies $20 per Prescription — Non‐Formulary Brand‐name Drugs and Non‐Formulary Brand‐name Diabetic Supplies $35 per Prescription — Self‐Injectable Drugs other than Insulin and Infertility Drugs $50 per Prescription — Your Cost for Prescription Drugs and Diabetic Supplies Purchased from a Prescription Drug Provider Not Participating in the 34 Day Supply Pre­ scription Drug Program: The appropriate Copayment(s) indicated above for drugs prescribed for emergency conditions. — Your Cost for Prescription Drugs and Diabetic Supplies Purchased from a Prescription Drug Provider Participating in the 90‐Day Supply Prescrip­ tion Drug Program: — Generic Drugs and Generic Diabetic Supplies, insulin and insulin syringes $10 per Prescription — Formulary Brand‐name Drugs and Formulary Brand‐name Diabetic Supplies $20 per Prescription — Non‐Formulary Brand‐name Drugs and Non‐Formulary Brand‐name Diabetic Supplies $35 per Prescription — Self‐Injectable Drugs other than Insulin and Infertility Drugs $50 per Prescription — Individual Out‐of‐Pocket Expense Limit for prescription drugs and diabetic supplies $5,100 per Calendar Year* — Family Out‐of‐Pocket Expense Limit for prescription drugs and diabetic supplies $10,200 per Calendar Year* * Applies towards the Covered Services Expense Limitation (see the OTHER THINGS YOU SHOULD KNOW section of this Certificate.) — Your Cost for Prescription Drugs and Diabetic Supplies Purchased from a Prescription Drug Provider Not Participating in the 90‐Day Supply Pre­ scription Drug Program: — No benefits will be provided for drugs or diabetic supplies purchased from a Participating Prescription Drug Provider not participating in the 90‐day supply program. Changes in state or federal law or regulations or interpretations thereo...
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SUBSTANCE USE DISORDER TREATMENT BENEFITS. Your Cost for Inpatient Substance Use Disorder Treatment None — Your Cost for Outpatient Office Visits for Substance Use Disorder Treatment $20 per Visit — Your Cost for Outpatient Specialist Physician Office Visits for Substance Use Disorder Treatment $20 per Visit Refer to the OTHER THINGS YOU SHOULD KNOW section of your Certificate for information regarding Covered Services Expense Limitation Changes in state or federal law or regulations or interpretations thereof may change the terms and conditions of coverage. Subject to the other terms and conditions of the Group Policy, the benefits de­ scribed in this Certificate will be provided to persons who: — Meet the definition of an Eligible Person as specified in the Group Policy; — Have applied for this coverage; — Have received a Blue Cross and Blue Shield identification card; — Live within the Plan's service area. (Contact your Group or customer ser­ vice at 1‐800‐892‐2803 for information regarding service area.); — Reside, live or work in the geographic network service area served by Blue Cross and Blue Shield for this Certificate of coverage. You may call custom­ er service at the number shown on the back of your identification card to determine if you are in the network service area or log on to the website at xxx.xxxxxx.xxx and; — If Medicare eligible, have both Part A and B coverage. When your Group initially purchases this coverage and such coverage is pur­ chased as replacement of coverage under another carrier's group policy, those persons who are Totally Disabled on the effective date of this coverage and who were covered under the prior group policy will be considered eligible for cover­ age under this Certificate. Your Totally Disabled dependents will be considered eligible dependents under this Certificate provided such dependents meet the description of an eligible fami­ ly member as specified below under the heading Family Coverage. Your dependent children who have reached the limiting age of this Certificate will be considered eligible dependents under this Certificate if they were covered un­ der the prior group policy and, because of a handicapped condition, are incapable of self sustaining employment and are dependent upon you or other care provid­ ers for lifetime care and supervision. If you are Totally Disabled, you will be entitled to all of the benefits of this Certif­ icate. The benefits of this Certificate will be coordinated with benefits under your prior group policy. Your pri...
Sample 1
SUBSTANCE USE DISORDER TREATMENT BENEFITS. Your Cost for Inpatient Substance Use Disorder Treatment None — Your Cost for Outpatient Office Visits for Substance Use Disorder Treatment $25 per Visit — Your Cost for Outpatient Specialist Physician Office Visits for Substance Use Disorder Treatment $25 per Visit Refer to the OTHER THINGS YOU SHOULD KNOW section of your Certificate for information regarding Covered Services Expense Limitation
Sample 1
SUBSTANCE USE DISORDER TREATMENT BENEFITS. Your coverage includes benefits for the treatment of Substance Use Disorder. Covered Services are the same as those provided for any other condition, as spe­ cified in the other benefit sections of this Certificate. In addition, benefits are available for Covered Services provided by a Substance Use Disorder Treat­ ment Facility or a Residential Treatment Center in the BlueAdvantage Substance Use Disorder Network. To obtain benefits for Substance Use Dis­ order Treatment, they must be authorized by your Primary Care Physician or Woman's Principal Health Care Provider. There are no limits on the number of days available to you for care in a Hospital or other eligible facility. When you are admitted as an Inpatient to a Hospital, Substance Use Disorder Treatment Facility or Residential Treatment Center, you are responsible for paying a Copayment of $250 per day up to a maximum of 7 days per calendar year. If you have paid any Inpatient Hospital Benefits Copayments as described in the HOSPITAL BENEFITS section of this Certificate in the same calendar year, those Copayments can be used to satisfy the 7 day maximum. After the Copayment, benefits for Covered Services will be paid at 100% of the Provid­ er's Charge.
Sample 1
SUBSTANCE USE DISORDER TREATMENT BENEFITS. Your coverage includes benefits for the treatment of Substance Use Disorder. Covered Services are the same as those provided for any other condition, as spe­ cified in the other benefit sections of this Certificate. In addition, benefits are available for Covered Services provided by a Substance Use Disorder Treat­ ment Facility or a Residential Treatment Center in the HMO Illinois Substance Use Disorder Network. To obtain benefits for Substance Use Disorder Treat­ ment, they must be authorized by your Primary Care Physician or Woman's Principal Health Care Provider. There are no limits on the number of days available to you for care in a Hospital or other eligible facility. Each time you are admitted as an Inpatient to a Hospital, Substance Use Dis­ order Treatment Facility or Residential Treatment Center you must satisfy a $250 deductible. After you have satisfied the deductible, benefits for Covered Services will be paid at 100% of the Provider's Charge.
Sample 1
SUBSTANCE USE DISORDER TREATMENT BENEFITS. Your coverage includes benefits for the treatment of Substance Use Disorder. Covered Services are the same as those provided for any other condition, as speci­ fied in the other benefit sections of this Certificate. In addition, benefits are available for Covered Services provided by a Substance Use Disorder Treatment Facility or a Residential Treatment Center in the Blue Precision HMO Network. To obtain benefits for Substance Use Disorder Treatment, they must be author­ ized by your Primary Care Physician or Woman's Principal Health Care Provider. There are no limits on the number of days available to you for care in a Hospital or other eligible facility.
Sample 1

Related to SUBSTANCE USE DISORDER TREATMENT BENEFITS

  • Substance Abuse Treatment Information Substance abuse treatment information shall be maintained in compliance with 42 C.F.R. Part 2 if the Party or subcontractor(s) are Part 2 covered programs, or if substance abuse treatment information is received from a Part 2 covered program by the Party or subcontractor(s).

  • TREATMENT OF FRINGE BENEFITS The fringe benefits are charged using the rate(s) listed in the Fringe Benefits Section of this Agreement. The fringe benefits included in the rate(s) are listed below. Vacation, holiday, sick leave pay and other paid absences are included in salaries and wages and are claimed on grants, contracts and other agreements as part of the normal cost for salaries and wages. Separate claims are not made for the cost of these paid absences.

  • Specific Benefits Without limiting the generality of Section 3.3, the Executive shall be entitled to paid vacation of not less than the greater of (a) 20 business days per year or (b) the number of paid business vacation days provided to other senior executives of the Company (to be taken at reasonable times in accordance with the Company’s policies). Any accrued vacation not taken during any year may be carried forward to subsequent years; provided, that the Executive may not carry forward more than ten business days of unused vacation in any one year.

  • Public Benefits ‌ 5.1 Developer to provide Public Benefits‌ The Developer must, at its cost and risk, provide the Public Benefits to the City in accordance with this document.

  • COMMERCIAL REUSE OF SERVICES The member or user herein agrees not to replicate, duplicate, copy, trade, sell, resell nor exploit for any commercial reason any part, use of, or access to 's sites.

  • Substance Abuse Program The SFMTA General Manager or designee will manage all aspects of the FTA-mandated Substance Abuse Program. He/she shall have appointing and removal authority over all personnel working for the Substance Abuse Program personnel, and shall be responsible for the supervision of the SAP.

  • Substance Abuse The dangers and costs that alcohol and other chemical abuses can create in the electrical contracting industry in terms of safety and productivity are significant. The parties to this Agreement resolve to combat chemical abuse in any form and agree that, to be effective, programs to eliminate substance abuse and impairment should contain a strong rehabilitation component. The local parties recognize that the implementation of a drug and alcohol policy and program must be subject to all applicable federal, state, and local laws and regulations. Such policies and programs must also be administered in accordance with accepted scientific principles, and must incorporate procedural safeguards to ensure fairness in application and protection of legitimate interests of privacy and confidentiality. To provide a drug-free workforce for the Electrical Construction Industry, each IBEW local union and NECA chapter shall implement an area-wide Substance Abuse Testing Policy. The policy shall include minimum standards as required by the IBEW and NECA. Should any of the required minimum standards fail to comply with federal, state, and/or local laws and regulations, they shall be modified by the local union and chapter to meet the requirements of those laws and regulations.

  • LEAST RESTRICTIVE ENVIRONMENT/DUAL ENROLLMENT CONTRACTOR and XXX shall follow all LEA policies and procedures that support Least Restrictive Environment (“LRE”) options and/or dual enrollment options if available and appropriate, for students to have access to the general curriculum and to be educated with their nondisabled peers to the maximum extent appropriate. CONTRACTOR and XXX shall ensure that LRE placement options are addressed at all IEP team meetings regarding students for whom ISAs have been or may be executed. This shall include IEP team consideration of supplementary aids and services, goals and objectives necessary for placement in the LRE and necessary to enable students to transition to less restrictive settings. When an IEP team has determined that a student should be transitioned into the public school setting, CONTRACTOR shall assist the LEA in implementing the IEP team’s recommended activities to support the transition.

  • SUBSTANCE ABUSE POLICY See applicable administrative policy.

  • Substance Abuse Testing The Parties agree that it is in the best interest of all concerned to promote a safe working environment. The Union has no objection to pre-employment substance abuse testing when required by the Employer and further, the Union has no objection to voluntary substance abuse testing to qualify for employment on projects when required by a project owner. The cost and scheduling of such testing shall be paid for and arranged by the Employer. The Union agrees to reimburse the Employer for any failed pre-access Alcohol and Drug test costs.

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