Level of Coverage definition
Examples of Level of Coverage in a sentence
Effective January 1, 2017, employees electing Individual Coverage only under any of these plans will pay 10% of total premium cost through payroll deduction; employees electing any other Level of Coverage will pay 20% of total premium cost through payroll deduction.
Continued Summary of Medical Benefits See Important Note from First Page Type of Service Section Level of Coverage Benefit Limit Network Provider Non-Network Provider Physical/ Occupational Therapy Inpatient, Outpatient, or in a doctor’s/ therapist’s office 3.26 After deductible 100% coverage.
Continued Summary of Medical Benefits See Important Note from First Page Type of Service Section Level of Coverage Benefit Limit Network Provider Non-Network Provider Emergency Room Services 3.11 See Section 8.0 – definition of Emergency.
Continued Summary of Medical Benefits See Important Note from First Page Type of Service Section Level of Coverage Benefit Limit Network Provider Non-Network Provider Ambulance 3.1 • Ground 3.1 After deductible 100% coverage.
Carrier will ensure that each of its QHPs complies with the Benefit Design Standards required by the ACA (Section 1302), including the Cost-Sharing limits, actuarial value requirements, and EHBs. Carrier may offer Catastrophic QHPs, which are exempt from the actuarial Level of Coverage requirement, as long as they meet other statutory provisions related to QHP design.
SUMMARY GRP (09-10) Summary of Benefits Continued Summary of Medical Benefits See Important Note from First Page Type of Service Section Benefit Limit Level of Coverage Network Provider Non-Network Provider Deductible The deductible applies to both network and non-network services separately.
See Important Note from First Page Type of Service Section Benefit Limit Level of Coverage Network Pharmacy Non-Network Pharmacy • when purchased at a Mail Order Pharmacy 3.29 Glucometers, Test Strips, Lancet and Lancet Devices, and Miscellaneous Supplies (including calibration fluid).
The 2018 and 2019 monthly health flex allowance amounts are: Level of Coverage 2018 Rates Effective December 2018 for 2019 Rates Employee Only $539 $550 Employee Only "Grandfathered" *with no cash back option $790 $790 Employee Plus One $1,066 $1,088 Family $1,442 $1,472 Employees hired prior to September 1, 2008 that are grandfathered in and elect employee only medical coverage will receive the health flex allowance listed above for employee only “grandfathered” coverage.
Level of Coverage 37 24.6. Free Health Department Services 37 24.7. Retirement 37 24.8. Retirement Contributions 38 24.9. Retirement Conditions 38 Article 25- Miscellaneous Provisions 39 25.0. Assignment Exchange .
Carrier shall ensure that each of its QHPs complies with the Benefit Design Standards, including the Cost-Sharing limits, EHBs, and, except for Catastrophic QHPs, Level of Coverage requirements.