Common use of Your Benefits Clause in Contracts

Your Benefits. This section describes the Benefits your plan covers. They are listed in alphabetical order so they are easy to find. Blue Shield provides coverage for Medically Necessary services and supplies only. Experimental or Investigational services and supplies are not covered. All Benefits are subject to: • Your Cost Share; • Any Benefit maximums; • The provisions of the Medical Management Programs; and • The terms, conditions, limitations, and exclusions of this Evidence of Coverage. You can receive many outpatient Benefits in a variety of settings, including your home, a Physician’s office, an urgent care center, an Ambulatory Surgery Center, or a Hospital. Blue Shield’s Medical Management Programs work with your provider to ensure that your care is provided safely and effectively in a setting that is appropriate to your needs. Your Cost Share for outpatient Benefits may vary depending on where you receive them. See the Exclusions and limitations section for more information about Benefit exclusions and limitations.

Your Benefits. This section describes the Benefits your plan covers. They are listed in alphabetical order so they are easy to find. Blue Shield provides coverage for Medically Necessary services and supplies only. Experimental or Investigational services and supplies are not covered. All Benefits are subject to: •  Your Cost Share; •  Any Benefit maximums; •  The provisions of the Medical Management Programs; and •  The terms, conditions, limitations, and exclusions of this Evidence of Coverage. You can receive many outpatient Benefits in a variety of settings, including your home, a Physician’s office, an urgent care center, an Ambulatory Surgery Center, or a Hospital. Blue Shield’s Medical Management Programs work with your provider to ensure that your care is provided safely and effectively in a setting that is appropriate to your needs. Your Cost Share for outpatient Benefits may vary depending on where you receive them. See the Exclusions and limitations section for more information about Benefit exclusions and limitations.