Benefit Summary shows the Dependent Limiting Age (the “Student” one is for students, and the “General” one is for non-students). Emergency Dental Care. Dentally Necessary Services to treat Emergency Dental Conditions. Emergency Dental Condition. A dental condition, or exacerbation of an existing dental condition, occurring suddenly and unexpectedly, involving injury, swelling, bleeding, or extreme pain in or around the teeth and gums that would lead a prudent layperson possessing an average knowledge of health and medicine to reasonably expect that immediate dental attention is needed.
Benefit Summary shows the Dependent Limiting Age (the student Dependent Limiting Age is for students, and the general Dependent Limiting Age is for non-students). Emergency Dental Care. Dentally Necessary Services to treat Emergency Dental Conditions. Emergency Dental Condition. A dental condition, or exacerbation of an existing dental condition, occurring suddenly and unexpectedly, involving injury, swelling, bleeding, or extreme pain in or around the teeth and gums that would lead a prudent layperson possessing an average knowledge of health and medicine to reasonably expect that immediate dental attention is needed. Family. A Subscriber and his or her Spouse and/or Dependents.
Benefit Summary shows the Dependent Limiting Age (the student Dependent Limiting Age is for students, and the general Dependent Limiting Age is for non-students). Emergency Dental Care. Dentally Necessary Services to treat Emergency Dental Conditions. Emergency Dental Condition. A dental condition, or exacerbation of an existing dental condition, occurring suddenly and unexpectedly, involving injury, swelling, bleeding, or extreme pain in or around the teeth and gums that would lead a prudent layperson possessing an average knowledge of health and medicine to reasonably expect that immediate dental attention is needed. Family. A Subscriber and their Spouse and/or Dependents. Group. The employer, union trust, or association with which we have an Agreement that includes this EOC. Hospital Services. Medical services or dental Services provided in a hospital or ambulatory surgical center. Xxxxxx Permanente. Kaiser Foundation Hospitals (a California nonprofit corporation), Company, and Permanente Dental Associates, PC. Medically Necessary. Our determination that the Service is all of the following: (i) medically required to prevent, diagnose or treat your condition or clinical symptoms; (ii) in accordance with generally accepted standards of medical practice; (iii) not solely for the convenience of you, your family and/or your provider; and, (iv) the most appropriate level of Service which can safely be provided to you. For purposes of this definition, “generally accepted standards of medical practice” means (a) standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community; (b) physician specialty society recommendations; (c) the view of physicians practicing in the relevant clinical area or areas within Xxxxxx Permanente locally or nationally; and/or (d) any other relevant factors reasonably determined by us. Unless otherwise required by law, we decide if a Service is Medically Necessary. You may appeal our decision as set forth in the “Grievances, Claims, and Appeals” section. The fact that a Participating Provider has prescribed, recommended, or approved a Service does not, in itself, make such Service Medically Necessary and, therefore, a covered Service.
Examples of Benefit Summary in a sentence
Compensation has been set at $17.36/hour (degree rate) with benefits per the Instructional Assistants Benefit Summary.
Compensation has been set at $17.36/hour with benefits per the Instructional Assistants’ Benefit Summary.
Compensation has been set at $17.36/hour with benefits per the Instructional Assistant Benefit Summary.
Compensation has been set at $20.00 per hour with benefits per the Instructional Assistants Benefit Summary.
Compensation has been set at $20.00 per hour, with benefits per the Instructional Assistants’ Benefit Summary.
All expenses will be reimbursed at the level shown in the Benefit Summary.
Compensation has been set at $17.22/hour with benefits per the Custodian Benefit Summary.
Compensation has been set at $17.36/hour (degree rate) with benefits per the Instructional Assistant Benefit Summary.
If accurate allocations as to such matters cannot be made at Closing because current bills are not obtainable, the Parties shall allocate such income or expense at Closing on the best available information, subject to adjustment after Closing upon receipt of the final xxxx or other evidence of the applicable item of income or expense.
For specifics regarding the City’s Dental Plan, refer to the Benefit Summary Plan Description.
More Definitions of Benefit Summary
Benefit Summary means an outline of certain covered services provided by the policy but does not include all covered services or limitations. It includes such things as Copayments, Coinsurance, Deductibles, Benefit limitations and plan maximums.
Benefit Summary means the summary of benefits contained in Section 1.2 above which sets out, among others, the benefit items and maximum benefits covered under the Plan.
Benefit Summary means the benefit document that sets forth specific coverages by Participating Employer. The Benefit Summary is incorporated by reference into the plan.
Benefit Summary shows the Dependent Limiting Age (the “Student” one is for students, and the “General” one is for non-students). Emergency Dental Care. Dentally Necessary Services to treat Emergency Dental Conditions. Emergency Dental Condition. A dental condition, or exacerbation of an existing dental condition, occurring suddenly and unexpectedly, involving injury, swelling, bleeding, or extreme pain in or around the teeth and gums that would lead a prudent layperson possessing an average knowledge of health and medicine to reasonably expect that immediate dental attention is needed. Evidence of Coverage (EOC). This Evidence of Coverage document provided to the Member that specifies and describes benefits and conditions of coverage. This document, on its own, is not designed to meet the requirements of a summary plan description (SPD) under XXXXX. Family. A Subscriber and his or her Spouse and/or Dependents.
Benefit Summary shows the Dependent Limiting Age (the “Student” one is for students, and the “General” one is for non-students). Emergency Dental Care. Dentally Necessary Services to treat Emergency Dental Conditions. Emergency Dental Condition. A dental condition, or exacerbation of an existing dental condition, occurring suddenly and unexpectedly, involving injury, swelling, bleeding, or extreme pain in or around the teeth and gums that would lead a prudent layperson possessing an average knowledge of health and medicine to reasonably expect that immediate dental attention is needed. Family. A Subscriber and his or her Spouse and/or Dependents.