Xxxxxx Children Sample Clauses

Xxxxxx Children. The effective date of coverage for a child placed in your home for xxxxxx care, and properly enrolled, will be the date of placement in your home.

Xxxxxx Children. Xxxxxx children are children whose natural parental rights have been terminated by the state and who have been placed in an alternative living situation by the state. A child does not become a xxxxxx child when the parents voluntarily relinquish parental power to a third party. In order for a xxxxxx child to have coverage, a Member must provide confirmation of a valid xxxxxx parent relationship to Alliant. Such confirmation must be furnished at the Member’s expense. Xxxxxx children for whom a Member assumes legal responsibility are not covered automatically. If you purchased through the Health Insurance Marketplace, You must notify the Health Insurance Marketplace. If you purchased outside the Health Insurance Marketplace, you must notify Alliant in- writing by submitting an enrollment application If additional Premium is required to continue coverage beyond the 31-day period, the Member will be required to submit any additional Premium within the 31day period or the xxxxxx child will be treated as a Late Enrollee. When any of the following events occur:  Divorce;  Death of an enrolled family member (a different type of coverage may be necessary);  Dependent child reaches age 26 (see “When Your Coverage Terminates”);  Enrolled Dependent child becomes totally or permanently disabled. If you purchased through the Health Insurance Marketplace, You must notify the Health Insurance Marketplace. If you purchased outside the Health Insurance Marketplace: notify Customer Service at 1-800-811- 4793 and ask for the appropriate forms to complete. All Covered Services must be Medically Necessary, and coverage or certification of services that are not Medically Necessary may be denied. A Member has direct access to primary and specialty care directly from any In-Network Physician. Physicians and Hospitals participating in our Networks are compensated using a variety of payment arrangements, including capitation, fee for service, per diem, discounted fees, and global reimbursement. You also may receive care from a Physician Assistant (PA) or Nurse Practitioner (see “Definitions” section). For a list of In-Network providers and facilities, please visit XxxxxxxXxxxx.xxx or call Customer Service at 1-800-811-4793. Your health insurance plan is a comprehensive benefit plan called a “Preferred Provider Plan.” This means that you have a choice when you go to a Physician, Hospital or other health care provider. The Contract is divided into two sets of benefits: In-Network ...

Xxxxxx Children. For members who are in xxxxxx care, assignment will be based on where the xxxxxx child’s DCBS case is located (which is usually the region where the child’s family of origin resides). It is the responsibility of the DCBS to notify the Contractor of a xxxxxx child’s change in placement.

Xxxxxx Children. If your status as a xxxxxx parent is terminated, coverage will end for any Xxxxxx Child. As the Contractholder, you are solely responsible for notifying us and the Marketplace in writing that the Xxxxxx Child is no longer in your care. Upon receipt of notification from the Marketplace, we will terminate the coverage of the child on the first billing date following receipt of the written notice. Other Dependents -– If other Eligible Dependents were not named on the application for this Contract (such as a new spouse or a new court order to provide coverage for a minor child), you may still apply for coverage for such dependents during a Special Enrollment Period. An Eligible Dependent can become covered when you submit the required Enrollment Forms to the Marketplace and pay the required Premiums. The Effective Date of coverage for such dependents will be determined by the Marketplace.

Xxxxxx Children. Children whose care and placement is the responsibility of the State or have been placed by a court with a caretaker are eligible for free meal benefits without completing an IEF. You must provide appropriate documentation for verification. If you currently receive benefits from SNAP or TANF please indicate the appropriate case number in the spaces provided and sign and date the form. You do not need to complete Part 3.

Xxxxxx Children. For members who are in xxxxxx care, assignment will be based on where the xxxxxx child’s DCBS case is located (which is usually the region where the child’s family of origin resides). When a xxxxxx child is placed outside the Contractor’s Region but DCBS continues to maintain the child’s case within the Contractor’s Region, the Contractor’s Region shall remain as the child’s official residence and Contractor shall be responsible for arranging medical care for the Member. It is the responsibility of the DCBS to notify the Contractor of a xxxxxx child’s change in placement. Within ten (10) Days of notification, the Contractor must assign a PCP based on the DCBS selection.

Xxxxxx Children. Xxxxxx care placement agreement between the employee and the Texas Department of Family & Protective Services or its subcontractor. Coverage is available up to age 18. Coverage ends on the last day of the month in which the dependent turns 18. The Base plan has set copayments for some in-network services, but require coinsurance for ambulance services, durable medical equipment, hearing aids, complex imaging, home health care, hospice, inpatient hospitalization, outpatient surgery, physician hospital services, private-duty nursing, and skilled nursing facility. The Base plan has a $600 per individual in-network deductible with an individual maximum out-of-pocket limit of $7,350 per calendar year. The deductible and coinsurance only apply where services are not indicated as set copayments. Copayments do not apply to the annual deductible. The Plus plan has a $0 in-network deductible, set copayments for most in-network services, and an individual maximum out-of-pocket limit of $6,350 per calendar year. However, this plan has a higher monthly premium contribution. To help curb excessive out-of-network facility/provider costs, the County has established a Limited Out-of-Network reimbursement that limits the Plan’s exposure to unreasonable costs for non-emergency services and procedures. If you use an out-of-network facility or provider, you will be responsible for paying the difference between the covered amount and the amount the facility charges. Non-covered expenses will not apply to your out-of-pocket maximum. You can help keep costs down by using in-network providers.