Coverage Policy definition

Coverage Policy means a statement developed by the Company that sets forth the medical criteria for coverage under an Arkansas Blue Cross and Blue Shield Benefit Certificate or insurance policy. Some limitations of benefits related to coverage, of a drug, treatment, service equipment or supply are also outlined in the Coverage Policy. A copy of a Coverage Policy is available from the Company, at no cost, upon request, or a Coverage Policy can be reviewed on the Company’s web site at WWW.ARKANSASBLUECROSS.COM.
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Coverage Policy means a determination by a Third Party Payor to pay or not pay for an item or service under the terms of the Third Party Payor’s health benefits plan. A Coverage Policy may be disseminated through a policy statement, article, notice, or other form of written communication.
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Coverage Policy means the coverage policy of the Borrower and its Subsidiaries with respect to the holding of Hedging Contracts, a current copy of which is attached as Exhibit “4” to this Agreement and as it is periodically modified with the approval of Borrower’s board or committee of the board concerned.
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Examples of Coverage Policy in a sentence

  • Coverage for cardiac and pulmonary rehabilitation therapy is provided in accordance with Coverage Policy.

  • Coverage: Policy for service provider working with pollutants, coverage shall include coverage for 3rd party claims and clean-up.

  • Coverage: Policy for service provider who has access to credit card information, student or employee records, health records, or any other Personally Identifiable Heath Information.

  • Details as to how such payments are calculated are provided to In-Network Physicians through Provider News and Coverage Policy.

  • Coverage: Policy for service provider with access to cash or payments, networks or outsources services such as custodial, building management, dining, etc.

  • Coverage: Policy required for licensed or certified professionals, including, without limitation, accountants, architects, consultants, and engineers.

  • When reviewing a claim in which the determination was based in whole or in part on medical judgment, including determinations with regard to the application of the Primary Coverage Criteria or a Coverage Policy, the Appeals Coordinator shall consult with a health care professional who has appropriate training and experience in the field of medicine involved in the medical judgment.

  • Coverage: Policy for service provider distributing, selling or serving alcoholic beverages.

  • Any published Coverage Policy regarding a genetic test will control whether or not benefits are available for that genetic test as an exception to this exclusion.

  • Selected Prescription Medications, as designated from time to time by the Company, are subject to Prior Approval through criteria established by the Company as detailed in Coverage Policy before coverage is allowed.

Related to Coverage Policy

  • Mortgage Policy has the meaning specified in Section 4.01(a)(iv)(B).

  • Insurance Coverage Contractor shall, at Contractor’s sole expense, procure, maintain and keep in force for the duration of this Contract the following insurance conforming to the minimum requirements specified below. Unless specified herein or otherwise agreed to by the City, the required insurance shall be in effect prior to the commencement of work by Contractor and shall continue in force as appropriate until the latter of:

  • Insurance Policy With respect to any Mortgage Loan included in the Trust Fund, any insurance policy, including all riders and endorsements thereto in effect, including any replacement policy or policies for any Insurance Policies.

  • Title Insurance Policy A title insurance policy maintained with respect to a Mortgage Loan.

  • Coverage or “Covering”) shall mean that the developing, making, using, offering for sale, promoting, selling or importing of a given compound, formulation or product would infringe a Valid Claim of an issued patent in the absence of a license under such Valid Claim. The determination of whether a compound, formulation or product is Covered by a particular Valid Claim shall be made on a country-by-country basis.

  • Mortgage Policies has the meaning specified in Section 6.13(b)(ii).

  • Life Insurance Policy has the meaning given in Section 6.11.

  • Required Insurance Policy With respect to any Mortgage Loan, any insurance policy that is required to be maintained from time to time under this Agreement.

  • Blanket insurance policy means a group policy covering a defined class of

  • Title Insurance Policies means, with respect to each Individual Property, an ALTA mortgagee title insurance policy in a form acceptable to Lender (or, if an Individual Property is in a State which does not permit the issuance of such ALTA policy, such form as shall be permitted in such State and acceptable to Lender) issued with respect to such Individual Property and insuring the lien of the Mortgage encumbering such Individual Property.

  • R&W Insurance Policy has the meaning set forth in Section 6.15.

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Special Primary Insurance Policy Any Primary Insurance Policy covering a Mortgage Loan the premium of which is payable by the Trustee pursuant to Section 4.04(a), if so identified in the Mortgage Loan Schedule. There are no Special Primary Insurance Policies with respect to any of the Mortgage Loans.

  • Primary Insurance Policy Each policy of primary mortgage guaranty insurance or any replacement policy therefor with respect to any Mortgage Loan.

  • Hazard Insurance Policy means, with respect to each Contract, the policy of fire and extended coverage insurance (and federal flood insurance, if the Manufactured Home is secured by an FHA/VA Contract and such Manufactured Home is located in a federally designated special flood area) required to be maintained for the related Manufactured Home, as provided in Section 5.09, and which, as provided in said Section 5.09, may be a blanket mortgage impairment policy maintained by the Servicer in accordance with the terms and conditions of said Section 5.09.

  • Insurance Cover means the aggregate of the maximum sums insured under the insurance taken out by the Contractor pursuant to Article 20, and includes all insurances required to be taken out by the Contractor under Clauses 20.1 and 20.9 but not actually taken, and when used in the context of any act or event, it shall mean the aggregate of the maximum sums insured and payable or deemed to be insured and payable in relation to such act or event;

  • Tail Policy has the meaning set forth in Section 6.18(b).

  • Health insurance policy means a policy that provides specified benefits for hospital and/or general treatment and meets all requirements under section 63-10 of the Private Health Insurance Act 2007.

  • Reimbursement insurance policy means a policy of insurance

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • group insurance means blanket insurance and franchise insurance and any other forms of group insurance.

  • Insurance means (i) all insurance policies covering any or all of the Collateral (regardless of whether the Collateral Agent is the loss payee thereof) and (ii) any key man life insurance policies.

  • Title Policy shall have the meaning set forth in Section 4.2.

  • Policy means Related Party Transaction Policy.

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Continuation Coverage means the temporary continuation of PEBB benefits available to enrollees under the Consolidated Omnibus Budget Reconciliation Act (COBRA), 42 U.S.C. Secs. 300bb-1 through 300bb-8, the Uniformed Services Employment and Reemployment Rights Act (USERRA), 38 U.S.C. Secs. 4301 through 4335, or the public employees benefits board's policies.