Covered Dependents definition
Examples of Covered Dependents in a sentence
Coinsurance is the percentage of Covered charges that you and your Covered Dependents must pay directly to the In-network Practitioner/Provider for Covered Services after the Annual Contract Year Deductible has been met.
The effective date for any such retroactive termination will be the last day for which the Premium was received by AvMed, and during which the Subscriber and/or Covered Dependents were eligible for coverage.
References to ‘you’ or ‘your’ throughout refer to you as the Subscriber and to your Covered Dependents, unless expressly stated otherwise or unless, in the context in which the term is used, it is clearly intended otherwise.
Any references which refer solely to you as the Subscriber or solely to your Covered Dependents will be noted as such.
On or before the first day of each month for which coverage is sought, Subscribing Group or its designated agent will remit to AvMed, on behalf of each Subscriber and his Covered Dependents, the monthly Premium based on the Rate Letter (as defined in Part XVII.
This Plan includes an Annual Out-of-pocket Maximum amount to help protect you and your Covered Dependents from high-cost catastrophic healthcare expenses.
The Annual Contract Year Deductible is the amount you and your Covered Dependents must pay for Covered Healthcare Services each Contract Year before we begin to pay Covered Benefits for that Member.
If your Plan includes a Family Calendar Year Out-of-Pocket Maximum, once your family has reached the Family Calendar Year Out-of-Pocket Maximum amount shown in your Schedule of Benefits, we will pay for Covered Services received by you and your Covered Dependents during the remainder of that Calendar Year at 100% of the Allowed Amount or Maximum Allowable Payment.
Upon the loss of a Subscriber’s eligibility for coverage due to a qualifying event other than termination of employment, coverage for the Subscriber and the Subscriber’s Covered Dependents will terminate on the date of the qualifying event, or the last day of the month for which the monthly Premium was paid and during which the Subscriber was eligible for coverage, as set forth in the Group Master Application.
Upon the loss of a Subscriber’s eligibility for coverage due to termination of employment, coverage for the Subscriber and the Subscriber’s Covered Dependents will terminate on the last day of the Subscriber’s employment, or the last day of the month for which the monthly Premium was paid and during which the Subscriber was eligible for coverage, as set forth in the Group Master Application.