Value Added Benefits. Any information provided by You shall be kept confidential • For services which are provided through empanelled medical experts/ centres/ service providers, We are only acting as a facilitator, hence We would not be liable for any incremental cost of the services. • All medical services are being provided by empanelled medical experts/ centres/ service providers who are empanelled after full due diligence. Nonetheless, Insured Person may consult their personal doctor before availing the medical services. The decisions to utilise the services will solely be at the Insured Person’s discretion. • We/Company/Us or its group entities, affiliates, officers, employees, agents, are not responsible for or liable for any actions, claims, demands, losses, damages, costs, charges and expenses which an Insured Person/ You may claim to have suffered or sustained or incurred by way of or on account of utilization of any benefits specified herein. • This shall not be deemed to substitute the Insured Person’s visit or consultation to an independent Medical Practitioner. The Insured person is free to choose whether or not to undergo the same and if done whether or not to act on it. • We do not assume any liability towards any loss or damage arising out of or in relation to any opinion, advice, prescription, actual or alleged errors, omissions and representations made by the Medical Practitioner.
Value Added Benefits. The Benefits listed below are Value Added Benefits and shall be available to the Insured Persons specified in the Policy Schedule. Benefits under this Section are subject to the terms, conditions and exclusions of this Policy. The activities may attract additional charges (decided at Our discretion) to be payable by You directly to the vendor. Claims under this Section will not impact the Sum Insured or the eligibility for Cumulative Bonus. Online customer profile Online customer profile Online customer profile Doctor directory Doctor directory Doctor directory Doctor appointment Doctor appointment Doctor appointment Online Pharmacy/ Online Diagnostics tests booking Online Pharmacy/ Online Diagnostics tests booking Online Pharmacy/ Online Diagnostics tests booking Health tips/ articles Health tips/ articles Health tips/ articles Home Health Home Health Home Health E-consultation E-consultation Dietician/ Nutritionist opinion
(a) Online customer profile Based on the HRA taken and health check-ups, if any, undertaken by the Insured Person, We will maintain an online customer profile through our vendor tie-up which can be accessed by the Insured Person to review his Health status.
(b) Doctor directory We will provide with or arrange for an online platform through our vendor tie-up for providing access to information on general physicians, specialists and super specialists.
(c) Doctor appointment We will provide with or arrange for an online platform through vendor tie-ups for fixing up doctor appointments for the Insured Person(s).
(d) Online Pharmacy, Diagnostic tests and other Health/ Wellness Offering We will facilitate the Insured Person for various offerings on health and wellness services like Diagnostic Centers, Pharmacy, Gymnasiums, Yoga, etc. through the Network Providers/ vendor tie- ups.
(e) Health tips/ articles We will provide You information on various health related applications, wellness training, maintaining fitness and good health, information on various diseases, dietary plans, etc. through periodic communications and through online platform.
(f) Home Health We will provide through vendor tie-ups, Home Health services like physiotherapy, nursing care, trained attendants and medical equipments, for the Insured Person.
(g) E-consultations We will provide with or arrange for an online platform through vendor tie-ups for providing with E-consultations to the Insured Person.
(h) Xxxxxxxxx & Nutritionist opinion We will arrange for dieticians/ nu...
Value Added Benefits. Improving may provide additional benefits and services in addition to Vendor Products as part of this Agreement. Improving reserves the right to modify or change the definition, description and scope of these benefits and services at any time. Customer will be notified of any changes through the support services provided within this Agreement as defined under the Improving CSP Support Agreement or by email or regular mail. Benefits and service provided and performed by Improving are non-transferrable.
Value Added Benefits. The Contractor may offer Value-Added Benefits and Services in addition to the capitated benefit package to support the health, wellness, and independence of Dental Health Plan Enrollees and to advance the State’s objectives for the SoonerSelect Dental program. This may include but is not limited to dental services in excess of fee-for-service program limits. Value-Added Benefits and Services, if offered, shall not be included in determining the Contractor’s Capitation Rates. If the Contractor has proposed any Value-Added Benefits or services in its response to the Solicitation, and OHCA has approved the proposed benefits and services, the Contractor must furnish these benefits for the duration of the Contract. However, the Contractor may submit a request for revision of the benefits and services for OHCA’s review and approval prior to the start of a Contract year, to take effect in the upcoming Contract year.
Value Added Benefits. Describe any services or deliverables that are not required by the RFP that the respondent proposes to provide at no additional cost to HHSC. Respondents are not required to propose value-added benefits, but inclusion of such benefits may result in a more favorable evaluation.
Value Added Benefits. Quick Ship – National Public Seating has one of the nation’s largest quick ship offerings. Most items ship from stock on a 1-2-day lead time. We also offer a 2-week quick ship program for best-selling made-to order items. • Dealer Network - Our nationwide dealer network gives us hundreds of reps on the ground promoting the NPS product line to their customers. Dealers are highly trained in our product and service offerings. • Design Software - As part of our project solutions package, we support the growing design software user base by publishing our catalog in 2020, KITS Collaborator and ProjectMatrix.
Value Added Benefits. Our dedication to the communities we serve—combined with our passion for delivering excellent customer support—sets ENA apart. We encourage you to consider our following key differentiators as you review the enclosed response. Our proposed solution leverages ENA’s experience and service in successfully delivering robust, reliable, secure, and scalable technology solutions. The success of our approach and solution delivery is demonstrated by our extremely high customer satisfaction rates. ENA’s Net Promotor Score (NPS), the gold standard for measuring customer satisfaction, has averaged between 69 (NPS “Excellent”) and 90 (NPS “World Class”) for several years. ENA’s NPS scores far exceed our competition’s and we consistently endeavor to achieve world class status to meet and exceed your expectations. ENA’s superior customer support begins with the Customer Technical Assistance Center (CTAC). Our customer support engineers (CSEs) are a dedicated staff available 24x7x365 for immediate customer assistance on all ENA service issues. While many other organizations staff their front-line team with clerical and/or referral support, ENA’s CTAC is made up of highly trained, certified, U.S.-based engineers with experience addressing the unique needs of our customers. We are committed to delivering exceptional customer care and expedited resolutions: ninety-four percent of reported incidents and requests are resolved by the CTAC on the first contact. Empowered by ENA’s innovative solutions and exemplary support — which save time, money, and administrative headache — TIPS can focus on what matters most: preparing students, strengthening communities, and building leading educational enterprises.
Value Added Benefits. Describe any service or deliverables that are not required by this Solicitation that the Respondent proposes to provide at no additional cost to the System Agency. Respondents are not required to propose value-added benefits, but inclusion of such benefits may result in a more favorable evaluation.
Value Added Benefits. Describe any enhancements or additions to the system that are not required by the RFP that the respondent proposes to provide at no additional cost to HHSC. Respondents are not required to proposed Value-added benefits, but inclusion of such benefits may result in a more favorable evaluation.
Value Added Benefits. 2.5.5.1 As permitted under 42 C.F.R. §438.3(e)(1), the Contractor may offer value-added benefits (VAB) which are not Medicaid covered services or prohibited services. Value- added benefits are provided at the Contractor’s expense, are not included in the capitation rate, and shall be identified as value-added benefits in encounter data in accordance with the MCO Manual.
2.5.5.2 At a minimum, the Contractor shall offer the VAB proposed in its response to the RFP and agreed upon by LDH, consistent with this Section. Additional VAB may be offered, at the Contractor’s option, and shall be reported in accordance with the MCO Manual.
2.5.5.3 At the Contractor’s discretion, it may provide or assist enrollees with transportation to access a VAB. Encounters for transportation related to VAB shall be identified as such.
2.5.5.4 The Contractor may propose to change the VAB proposed in the Contractor’s RFP response on an annual basis as pre-approved in writing by LDH. Additions, deletions or modifications to these VAB shall be submitted to LDH for approval at least six (6) months in advance of the effective date for open enrollment.
2.5.5.5 The VAB proposed in the Contractor’s RFP response, and as amended annually, shall be listed in Attachment C, Value-Added Benefits.
2.5.5.6 Annually, for the VAB proposed in the Contractor’s RFP response, and as amended, the Contractor shall:
2.5.5.6.1 Indicate the PMPM actuarial value of VAB based on enrollment projections for the Contractor’s plan, accompanied by a statement from the preparing/consulting actuary who is a member of the American Academy of Actuaries certifying the accuracy of the information; and
2.5.5.6.2 Include a statement of commitment to provide the VAB for the year.
2.5.5.7 The Contractor shall be directed to revise its proposed PMPM based on any feedback from LDH, following an independent review of any statements of actuarial value provided by the Contractor.
2.5.5.8 The proposed monetary value of value-added benefits shall be considered a binding Contract deliverable. If for any reason, including but not limited to lack of enrollee participation, the aggregated annual PMPM proposed is not expended by the Contractor, LDH reserves the right to require the Contractor to provide an alternate benefit of equal value and/or may conduct a reconciliation for the amount unexpended.
2.5.5.9 Value-added benefits are not subject to appeal and state fair hearing rights. A denial of these benefits shall not be considered a...
