Family Coverage definition

Family Coverage means coverage for you and your eligible spouse and/or dependents under this Certificate. FREESTANDING FACILITY……means an Outpatient services facility that is not covered under a Hospital's written agreement with Blue Cross and Blue Shield and has its own billing number and written agreement with Blue Cross and Blue Shield to provide services to participants in the benefit program at the time services are rendered. Freestanding Facilities may also be referred to as Outpatient Freestanding Facilities. GROUP POLICY or POLICY.....means the agreement between Blue Cross and Blue Shield and the Group, any addenda, this Certificate, the Group’s application and the Plan, as appropriate, along with any exhibits, appendices, addenda and/or other required information and the individual application(s) of the persons covered under the benefit program. HABILITATIVE SERVICES....means Occupational Therapy, Physical Therapy, Speech Therapy, and other services prescribed by a Physician pursuant to a treatment plan to enhance the ability of a child to function with a Congenital, Genetic, or Early Acquired Disorder. These services may include Physical Therapy and Occupational Therapy, speech language pathology, and other services for a Covered Person with disabilities in a variety of Inpatient and/or Outpatient settings, with coverage as described in the Certificate. HEARING AID.....means any wearable non-disposable, non-experimental instrument or device designed to aid or compensate for impaired human hearing and any parts, attachments, or accessories for the instrument or device, including an ear mold. HEARING CARE PROFESSIONAL. means a person who is a licensed Hearing Aid dispenser, licensed audiologist, or licensed physician operating within the scope of such license. HOME INFUSION THERAPY PROVIDER. means a duly licensed home infusion therapy provider, when operating within the scope of such license. PARTICIPATING HOME INFUSION THERAPY PROVIDER… means a Home Infusion Therapy Provider who has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the benefit program at the time Covered Services are rendered. NON-PARTICIPATING HOME INFUSION THERAPY PROVIDER… means a Home Infusion Therapy Provider who does not have a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the b...
Family Coverage. The District shall contribute $586.00 per month toward the cost of the premium for the medical/hospitalization plan for family coverage for all full-status employees who qualify for and are enrolled in the plan. This coverage shall continue for the duration of this contract.
Family Coverage means coverage for a subscriber plus a spouse and/or one or more dependent children.

Examples of Family Coverage in a sentence

  • If an Eligible Person's coverage under this Certificate should terminate because of termination of employment or membership or because of a reduction in hours below the minimum required for eligibility, an Eligible Person will be entitled to continue the Hospital, Physician and Supplemental coverage provided under this Certificate for himself/herself and his/her eligible dependents (if he/she had Family Coverage on the date of termination).

  • If you enrolled in Family Coverage, then members of your family may select a different Participating IPA/Participating Medical Group.

  • Your benefits for maternity services are the same as your benefits for any other condition and are available whether you have Individual Coverage or Family Coverage.

  • If you do not apply for Family Coverage or to add dependents within the allotted time, you will have to wait until your Group's annual open enrollment period to do so.

  • Benefits will not be provided for any treatment of an illness or injury to a newborn child unless you have Family Coverage.


More Definitions of Family Coverage

Family Coverage has an individual OOPM within the Family OOPM. This means that the OOPM will be met for an individual with Family coverage who meets the individual OOPM prior to the Family meeting the Family OOPM within a Calendar Year.
Family Coverage under an HDHP is coverage that is not Self-Only Coverage.
Family Coverage means coverage for a Student and his/her eligible spouse and/or Dependents under this Policy.
Family Coverage means the Student/Member and his/her family dependents are covered. Whenever “you” or “your” is used in this Certificate of Coverage, it shall mean all eligible family Members covered under CampusCare.
Family Coverage. For each unit member employed by the school district who qualifies for and is enrolled in the group dental plan, the district will pay the amount negotiated into the contracts for other groups in the district.
Family Coverage. The district shall contribute a sum equal to the full annual contribution for single coverage toward the annual premium for family coverage for each teacher employed by the district who qualifies for and is enrolled in the district group dental plan. Any additional cost of the premium shall be borne by the employee and paid for by payroll deduction.
Family Coverage means the lowest-cost private health insurance plan that provides coverage for the child(ren) subject to the child support order.