Benefit exclusions definition

Benefit exclusions means the services not offered as stipulated in the Scheme Rules;
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Benefit exclusions means the services not stipulated in Section 4 of Kaelo Prime Cure’s Rules;
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Benefit exclusions means claims for conditions and or services that are not eligible for benefit from the Health Plan cover in terms of this agreement.
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Examples of Benefit exclusions in a sentence

  • Refer to Benefit Exclusions for more information on services not covered by this plan.

  • We also cover: • Screening to determine whether counseling related to the BRCA1 or BRCA2 genetic mutations is indicated and counseling related to the BRCA1 or BRCA2 genetic mutations if indicated; and • Screening and appropriate counseling or interventions for: o Tobacco use; and o Domestic and interpersonal violence Benefit Exclusions‌ The following is a list of Benefit Exclusions.

  • Rocky Hill Board of Education Date By Chairman Rocky Hill Teachers' Association Date By Chairman Memorandum of Understanding Between The Rocky Hill Board of Education and The Rocky Hill Teachers' Association RE: Insurance Benefit Exclusions The parties agree that the Benefit Exclusions, as provided for in the Agreement between the parties dated July 1, 2003 to June 30, 2006 (pgs.

  • Benefit Exclusions (by way of example but not limited to): Your plan provides coverage for medically necessary services.

  • Refer to the Benefit Exclusions section for more information on Services not covered by this Plan.

  • Requires completion of Individual wellness assessment and Health risk screening.] Benefit Exclusions The following is a list of Benefit Exclusions.

  • Medically Necessary care provided by any Provider other than a Member’s Primary Care Physician will be covered, subject to the Section XVII - Medical Benefit Descriptions, Section XIX – Medical Benefit Exclusions, the Summary of Cost Sharing and Benefits, and the Medical Care Preauthorization Schedule only until they can, without medically harmful consequences, be transferred to the care of their Primary Care Physician or a Referred Specialist designated by their Primary Care Physician.

  • Please refer to your Schedule of Benefits and the Benefit Exclusions section for more information.


More Definitions of Benefit exclusions

Benefit exclusions means the services as stipulated in Schedule C of the Medihelp Rules;
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Benefit exclusions means the services as stipulated in Section 4 of Kaelo Prime Cure’s Rules;
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Related to Benefit exclusions

  • Covered Compensation means any Incentive-Based Compensation granted, vested or paid to a person who served as an Executive Officer at any time during the performance period for the Incentive-Based Compensation and that was Received (i) on or after October 2, 2023 (the effective date of the Nasdaq listing standards), (ii) after the person became an Executive Officer, and (iii) at a time that the Company had a class of securities listed on a national securities exchange or a national securities association such as Nasdaq.

  • Maximum Benefit Amount means the maximum amount payable for coverage provided to You as shown in the Schedule of Benefits.

  • extended reduction (qualifying contributory benefits means a reduction under this scheme for which a person is eligible in accordance with paragraph 88 or 95;

  • Deductible Amount means, with respect to any Insuring Agreement, the amount set forth under the heading “Deductible Amount” in Item 3 of the Declarations or in any Rider for such Insuring Agreement, applicable to each Single Loss covered by such Insuring Agreement.

  • Matched Positions means Long and Short Positions of the same Transaction Size opened on the Trading Account for the same Instrument.

  • Final Average Compensation means the aggregate amount of a member's compensation earned within the averaging period in which the aggregate amount of compensation was highest divided by the member's number of years, including any fraction of a year, of credited service during the averaging period. The averaging period shall be 36 consecutive calendar months if the member contributes to the member investment plan except for a member who contributes to the member investment plan and first became a member on or after July 1, 2010; otherwise, the averaging period shall be 60 consecutive calendar months. A member who contributes to the member investment plan and first became a member on or after July 1, 2010 shall also have an averaging period of 60 consecutive calendar months. If the member has less than 1 year of credited service in the averaging period, the number of consecutive calendar months in the averaging period shall be increased to the lowest number of consecutive calendar months that contains 1 year of credited service.

  • Annual Benefit Limit means the maximum amount of benefits paid by the Company to the Policy Holder in a Policy Year irrespective of whether any limits of any benefit items stated in the Benefit Schedule have been reached. The Annual Benefit Limit is counted afresh in a new Policy Year.

  • Average Monthly Compensation means the quotient determined by dividing the sum of the Employee’s then current Base Salary (as defined in Section 4.1 hereof) and the greater of the most recently paid Incentive Compensation (as defined in Section 4.2 hereof) or the average of Incentive Compensation paid over the three most recent years by twelve.

  • Average final compensation means the average annual creditable compensation of a member during