Initial Coverage definition

Initial Coverage. Stage: Amount you pay, up to $4,430 in total covered prescription drug expenses. Standard Cost Share: The chart below lists the amount that you pay at a pharmacy that offers standard cost-sharing: Initial Coverage One-Month Supply Extended Supply
View Source
Initial Coverage. Stage: Amount you pay, up to $4,430 in total covered prescription drug expenses. One-Month Supply Extended Supply Initial Coverage Standard retail cost- sharing (in- network) (up to a 30-day Long- term care (LTC) cost- sharing (up to a 31- day supply) Out-of- network cost- sharing* (up to a 30-day supply) Standard retail or standard mail order cost- sharing (up to a 90- day supply) Preferred mail order cost- sharing (up to a 90- day supply) supply)
View Source
Initial Coverage has the meaning given in paragraph 1.3 of Schedule 7;
View Source

Examples of Initial Coverage in a sentence

  • Through implementation of the default enrollment process, AHCCCS shall provide MAO with information necessary to prospectively identify those AHCCCS categorically eligible members who are or will be in their Medicare Initial Coverage Election Period.

  • Notwithstanding the foregoing, the COBRA continuation period that is mandated by Section 4980B of the Code shall be deemed to have run concurrently with the Initial Coverage Period.

  • Effective with respect to the first month following the Direct Payment Period and continuing through the end of the Initial Coverage Period or during the entire Initial Coverage Period if the Delayed Payment Date does not apply, the Company shall cover Executive (and his family members, if applicable) at its sole expense each month, but the Fair Market Value of such coverage shall constitute imputed income to Executive.

  • The fair market value of coverage for each month included in the Initial Coverage Period shall be deemed to consist of the related monthly premium as would be determined for purposes of COBRA under Section 4980B of the Code (the “Fair Market Value”).

  • Face Amount (Base Only) + Initial Term (ART/APB/LSAPB) Amount + ABR Amount = Total Initial Coverage $ $ $ $ ------------------------------------------------------------------------------------------------------------------------------------ Death Benefit 4.

  • ERS shall further use its best efforts to obtain coverage with respect to matters occurring prior to the Effective Time, such coverage to become effective upon the expiration of the Initial Coverage and remain in effect for not less than five years thereafter, and be substantially equivalent to that in effect under the current policies of the directors' and officers' liability insurance maintained by Telepanel, and which is not materially less advantageous, and with no gaps or lapses in coverage.

  • Without limiting the foregoing, Licensor may not use all or any portion of the Initial Advance Payment to (i) fund any operations not related to the provision of the Licensor Data to NT for the Initial Coverage Area, the Second Coverage Area or the Third Coverage Area, (ii) repay any funded indebtedness or (iii) make any dividends to its shareholders.

  • This means that with this discount and the additional coverage, you will pay no more than your copayment or coinsurance for your covered Part D drugs as stated in the Initial Coverage Stage.

  • For all other covered Non-Part D Drugs during the Coverage Gap Stage you continue to pay your copayment or coinsurance as stated in the Initial Coverage Stage.

  • Licensor may only use the Initial Advance Payment to fund operations related to the provision of the Licensor Data for the Initial Coverage Area, the Second Coverage Area and the Third Coverage Area to NT hereunder.