You and Blue Cross & Blue Shield of Rhode Island. We, Blue Cross & Blue Shield of Rhode Island, agree to provide coverage for dentally necessary covered dental care services listed in this agreement. We only cover a service in this agreement if it is dentally necessary. We review dental necessity per our dental policies and related guidelines. The term dentally necessary is defined in Section 8.0 - Glossary. It does not include all dentally appropriate services. This agreement does not apply pre-existing condition exclusions. This agreement provides coverage for dental services that we have reviewed and determined are eligible for coverage based on our dental policies and related guidelines. Dental services which we have not reviewed are not covered under this agreement. Dental services which we have reviewed and determined are not eligible for coverage are not covered under this agreement. If a service or category of service is not listed as covered, it is not covered under this agreement. Section 3.0 lists the dental services covered under this agreement along with their related exclusions. Section 4.0 lists general exclusions. Genetic Information This agreement does not limit your coverage based on genetic information. We will not: • adjust premiums based on genetic information; • request or require an individual or family members of an individual to have a genetic test; or • collect genetic information from an individual or family members of an individual before or in connection with enrollment under this agreement or at any time for underwriting purposes.
Appears in 5 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
You and Blue Cross & Blue Shield of Rhode Island. We, Blue Cross & Blue Shield of Rhode Island, agree to provide coverage for dentally necessary covered dental care services listed in this agreement. We only cover a service in this agreement if it is dentally necessary. We review dental necessity per our dental policies and related guidelines. The term dentally necessary is defined in Section 8.0 - Glossary. It does not include all dentally appropriate services. This agreement does not apply pre-existing condition exclusions. This agreement provides coverage for dental services that we have reviewed and determined are eligible for coverage based on our dental policies and related guidelines. Dental services which we have not reviewed are not covered under this agreement. Dental services which we have reviewed and determined are not eligible for coverage are not covered under this agreement. If a service or category of service is not listed as covered, it is not covered under this agreement. Section 3.0 lists the dental services covered under this agreement along with their related exclusions. Section 4.0 lists general exclusions. Genetic Information This agreement does not limit your coverage based on genetic information. We will not: • adjust premiums based on genetic information; • request or require an individual or family members of an individual to have a genetic test; or • collect genetic information from an individual or family members of an individual before or in connection with enrollment under this agreement or at any time for underwriting purposes.
Appears in 4 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
You and Blue Cross & Blue Shield of Rhode Island. We, Blue Cross & Blue Shield of Rhode Island, agree to provide coverage for dentally necessary covered dental care services listed in this agreement. We only cover a service in this agreement if it is dentally necessary. We review dental necessity per our dental policies and related guidelines. The term dentally necessary is defined in Section 8.0 - Glossary. It does not include all dentally appropriate services. This agreement does not apply pre-existing condition exclusions. This agreement provides coverage for dental services that we have reviewed and determined are eligible for coverage based on our dental policies and related guidelines. Dental services services, which we have not reviewed reviewed, are not covered under this agreement. Dental services services, which we have reviewed and determined are not eligible for coverage coverage, are not covered under this agreement. If a service or category of service is not listed as covered, it is not covered under this agreement. Section 3.0 lists the dental services covered under this agreement along with their related exclusions. Section 4.0 lists general exclusions. Genetic Information This agreement does not limit your coverage based on genetic information. We will not: • adjust premiums based on genetic information; • request or require an individual or family members of an individual to have a genetic test; or • collect genetic information from an individual or family members of an individual before or in connection with enrollment under this agreement or at any time for underwriting purposes.
Appears in 2 contracts
Samples: Subscriber Agreement, Subscriber Agreement