Examples of Plan Members in a sentence
This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare – Medicaid Plan) Members.
Plan Members are responsible for the remaining 40%, the amount billed over any Reasonable Charges, and all charges for non-covered services.
Under the Preferred Provider Plan, Members may receive benefits for a particular service under either the In-Network component or the Out-of-Network component.
Contributions for OMERS Plan Members: When an employee/plan member is on short-term sick leave and receiving less than 100% of regular salary, the Board will continue to deduct and remit OMERS contributions based on 100% of the employee/plan member’s regular pay.
Plan Members are responsible for the remaining 40% and all charges in excess of the Allowable Amount, plus all charges for non-covered services.NOTE: Regardless of the reason (medical or otherwise), referrals by Preferred Providers to Non- Preferred Providers will be reimbursed at the Non-Preferred Provider level.
As a result of this change, the following benefit plans were discontinued: ⚫ BadgerCare Plus Benchmark Plan⚫ BadgerCare Plus Core Plan⚫ BadgerCare Plus Basic Plan Members who are enrolled in the Benchmark Plan or the Core Plan who met new income limits for BadgerCare Plus eligibility were automatically transitioned into the BadgerCare Plus Standard Plan on April 1, 2014.
If the Health Plan Member continues to refuse the recommended treatment or procedure, the State of Florida may terminate the Health Plan Member's coverage under this Plan.
Covered services provided by Non-Preferred Providers who are part of the Preferred Hospital or Outpatient Hospital Setting staff are paid at 80% of the Allowable Amount.* Plan Members are responsible for the remaining 20% and all charges in excess of the Allowable Amount, plus all charges for non-covered services.
This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare - Medicaid Plan) Members.
Plan Members are responsible for the remaining 40% and all charges in excess of the Allowable Amount, plus all charges for non- covered services.*Although benefits are provided at the higher reimbursement level, it is still in your best financial interest to verify that all health care providers treating you are Preferred Providers.