Table of Benefits One Plan Extra
|
|
|
- Alban Harvey
- 5 years ago
- Views:
Transcription
1 Table of enefits One Plan Extra pplicable to new registrations or renewals on/or after 1 st October, This Table of enefits must be read in conjunction with your Hospital Plan Terms and onditions and the directories of approved facilities. Facilities may change from time to time, so log on to Vhi.ie or phone us on (056) if you are planning treatment. ~ enefit Provision Section 1 - Hospital enefit Public 1 & 2 hospitals Day care, side room, semi-private & private accommodation Private hospitals and treatment centres D Private 1, 2 & 3 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care, side room & semi-private accommodation Private accommodation - Private 1 hospitals - Private 2 & 3 hospitals Semi-private rate Radiotherapy (day care & out-patient) Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care & side room Semi-private accommodation 55% Private accommodation 35% Radiotherapy (day care & out-patient) ertain investigations and treatments - herein referred to as Fixed Price Procedures (FPPs), (contact us for details) Private 3 & 4 hospitals Day care cardiac FPPs Level 1 In-patient cardiac FPPs Level 1 90% Day care non-cardiac FPPs Level 1 (other than Radiotherapy and hemotherapy, refer to Section 1) In-patient non-cardiac FPPs Level 1 (other than Radiotherapy and 90% hemotherapy, refer to Section 1) In-patient cardiac FPPs Level 2 0% Specified hip, knee & shoulder joint replacement procedures (herein referred to as Orthopaedic procedures) & specified Ophthalmic procedures - contact us for details of these Private 1, 2 & 3 hospitals Day care, side room & semi-private accommodation 80% Denotes benefit changes to this plan since the last renewal date. If you have moved to or purchased this plan for the first time, benefit differences with your old plan, if applicable, are not highlighted.
2 One Plan Extra Private accommodation 80% Semiprivate rate Private 4 hospitals Day care & side room 80% Semi-private accommodation 55% Private accommodation 35% When carried out as a Fixed Price Procedure (contact us for details) Private 3 & 4 hospitals 80% Section 2 - onsultants' fees/gp procedures In-patient treatment, day-care/side room/out-patient & GP procedures Participating consultant/gp Non-participating consultant/gp Standard benefit Section 3 - Psychiatric cover (read in conjunction with Section 1) In-patient psychiatric cover 180 days Day care psychiatric treatment for approved day care programmes ontact us for further details In-patient treatment for alcoholism, drug or other substance abuse in any 5 year period Section 4 - Maternity 91 days Normal confinement Public hospital benefit (up to 3 days) aesarean delivery (as per hospital benefits listed) Refer Section 1 Home birth benefit 3,500 In-patient maternity consultant fees (per Schedule of enefits for Professional Fees) Vhi Fertility Programme greed Fertility benefit - benefit per member, towards the cost of specified fertility tests and treatments carried out in a Vhi Participating Fertility Treatment entre Initial consultation 100 discount at point of sale MH & Semen nalysis tests 100 discount at point of sale Egg freezing - once per lifetime 1000 Sperm freezing - once per lifetime 125 IUI - up to 2 treatments per lifetime, female members only 450 per treatment* IVF or ISI - up to 2 treatments per lifetime, female members only 1,000 per treatment*
3 One Plan Extra Fertility counselling - 4 sessions per treatment carried out in a Vhi Participating Fertility Treatment entre 40 per session Fertility support services - cupuncturists & Dieticians visits Refer Section 9 * These benefits are co-funded by Vhi and the Vhi Participating Fertility Treatment entre Section 5 - ancer care and other benefits Genetic testing for cancer Initial consultation for genetic testing for cancer * 50% cover Genetic test - for specified genetic mutations to be carried out in an approved clinic * Preventative (Prophylactic) treatment following on from the genetic test overed up to the levels for hospital treatment listed in Section 1 * These benefits are available immediately for existing Vhi customers with no waiting periods. There is a 26 week new conditions waiting period for new joiners and a two year waiting period for transfers from another insurer Mammograms in an approved mammogram centre in each 24 month period, covered in accordance with our rules (contact us for details) ancer care support - one night's accommodation for each treatment 100 per night D Manual lymph drainage following cancer treatment - 10 visits 50 per visit E F linical psychology counselling for oncology treatment (psycho oncology counselling) - 10 visits dditional cancer support benefits Wig/ hairpiece, post-mastectomy bra, swimsuit, surgical prosthesis following cancer treatment No excess applies, but subject to the benefit maximum for medical and surgical appliances set out below G Other benefits in Section 5 onvalescent care - first 14 nights Vhi Healthcare approved medical and surgical appliances - subject to an excess of 300 per member per year (contact us for details of eligible appliances) Vhi Hospital@Home hild home nursing - 14 days per calendar year Parent accompanying child - 14 days per calendar year, following a stay in excess of 3 days in hospital Refer section 9 51 per night 3,200 per member year 100 per day 40 per day Vhi Visionare Vhi Visionare E-Screen (available through Vhi.ie/myvhi) omprehensive eye exam carried out by a VSP eye-care professional in each 24 month period - subject to Vhi Visionare E-Screen referral
4 One Plan Extra Section 6 - Transport costs Transport costs (covered in accordance with our rules) greed Section 7 - over outside Ireland Emergency treatment abroad 65,000 Elective treatment abroad (subject to prior approval) Surgical procedures available in Ireland (as per level of cover in Ireland) 65,000 Treatment not available in Ireland 65,000 Section 8 In-patient MRI scans (covered in accordance with Section 1) greed Out-patient MRI scans ategory 1 - approved MRI centres ategory 2 - approved MRI centres, agreed MRI & consultant Radiologists fees (subject to an excess of 125 per scan) PET-T scans (covered in accordance with our rules) greed D T Scans (covered in accordance with our rules) Section 9 Out-patient medical expenses (benefits are per visit, per member, unless otherwise indicated) General practitioner 25 onsultant consultation 60 Pathology - consultants fees (per referral) 60 D Radiology - consultants fees for professional services (per procedure) 60 E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient MRI benefits) - 50% of agreed in an approved out-patient centre. ontact us for details of eligible diagnostic tests and reimbursements 500 per year F Pre- and post-natal care (combined visits) 255 G Physiotherapist 25 H cupuncturists, hiropractors, Osteopaths, Physical therapists, Reflexologists* - 12 combined visits I J K hiropodists/podiatrists, Dieticians, Occupational therapists, Speech therapists, linical Psychology* - 12 combined visits Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Lifestage screening programme in a Vhi Healthcare Medical entre 300 per screen Dexa scans in an approved dexa scan centre 50% cover Optical eye tests and glasses/contact lenses in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum) ^
5 One Plan Extra L ccident & emergency cover - 1 visit 75 M N Out-patient mental health therapy - 12 visits in an approved out-patient mental health centre linical psychology counselling for oncology treatment (psycho oncology counselling)* - 10 visits per visit O Strength & onditioning oach 3 visits 25 P Vhi Online Doctor 6 visits (available through the Vhi pp)* Q Vhi Swiftare exclusive benefit to Vhi customers* Initial consultation (charge is 125 you pay 50) 75 Follow-up treatment package after this consultation for x-rays, tests & medical 50% of total aids (maximum you will pay is 100 for this follow-up treatment) costs Vhi Swiftare appointment services* onsultant consultation (orthopaedic, oral maxillofacial & sports medicine) 50% Physiotherapist 7 visits 25 nnual excess - per member, per year 100 nnual maximum - per member, per year 3,200 * These benefits are not subject to the annual excess or annual maximum Section 10 Fitness screening and Personalised Exercise Programme, carried out in the Sports Surgery linic, Santry(1 visit per 3 year period) *subject to an excess of 50 per visit * Vhi Healthcare D trading as Vhi Healthcare is regulated by the entral ank of Ireland. Vhi Healthcare is tied to Vhi Insurance D for health insurance in Ireland which is underwritten by Vhi Insurance D. TOOPE V24 Oct18
Section 3 - Psychiatric cover (read in conjunction with Section 1)
Table of enefits pplicable to new registrations or renewals on/or after 1 st December, 2018. This Table of enefits must be read in conjunction with your Hospital Plan Terms and onditions and the directories
Table of Benefits HealthPlus Extra
Table of enefits HealthPlus Extra pplicable to new registrations or renewals on/or after 1 st December, 2018. This Table of enefits must be read in conjunction with your Hospital Plan Terms and onditions
Section 3 - Psychiatric cover (read in conjunction with Section 1)
Table of enefits HealthPlus Platinum pplicable to new registrations or renewals on/or after 1 st November, 2018. This Table of enefits must be read in conjunction with your Hospital Plan Terms and Conditions
Table of Benefits HealthPlus Excess
Table of enefits HealthPlus Excess pplicable to new registrations or renewals on/or after 1 st July, 2018. This Table of enefits must be read in conjunction with your Hospital Plan Terms and Conditions
Section 3 - Psychiatric cover (read in conjunction with Section 1)
Table of enefits HealthPlus Choice pplicable to new registrations or renewals on/or after 1 st May, 2018. This Table of enefits must be read in conjunction with your Hospital Plan Terms and Conditions
Participating Provider Non- Participating Provider Limitations & Exceptions. deductible applies. 75% of the Fund's fee schedule; deductible applies
Medical Benefits for eligible Pension Members and their eligible dependents who are not Eligible for Medicare effective 1/1/2019. NOTE $50,000.00 lifetime major medical maximum effective 1/1/2013 Out-of-network
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. Blue Cross
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018
1 Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. BlueCross
TAILOR-MADE ALWAYS A BETTER FIT
Unique and Tailored Benefits Emotional Wellness Support Excellent Infertility Benefits Minimum of 27 Chronic Conditions Covered No General Waiting Period Unlimited Oncology Benefits Peace of Mind TAILOR-MADE
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. Blue Cross
MEDICAL SCHEDULE OF BENEFITS
MEDICAL SCHEDULE OF BENEFITS Plan(s) 011 (F) All health benefits shown on this Schedule of Benefits are subject to the following: Lifetime and annual maximums, Deductibles, Co-pays, Plan Participation
S e l f N E T
2018 SelfNET 2018 What determines your decision to join a medical aid? At Selfmed we cut straight to the Is it the add-on s, you know the free gym membership and movie tickets or, is it the reliable and
GILSBAR GROUP HEALTH PLAN S2202 OPTION 2 NON-GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB The Plan will cover all dependent Dependents children up to age 26 Filing Limit 12 months from date of service Mailing Address
MEDICAL & RX BENEFIT MATRIX. American Environmental Group/HSA Plan EFFECTIVE DATE: MEDICAL & RX BENEFITS
MEDICAL & RX BENEFIT MATRIX American Environmental Group/HSA Plan EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK OUT-OF-NETWORK CATEGORY
Sizwe Medical Fund Benefits and Contribution 2017
Prescribed Minimum Benefits: PMBs are paid at 100% Sizwe negotiated rates except where Sizwe has a DSP arrangement in place. No co-payments apply on PMBs. Subject to pre-authorisation where applicable,
MEDICAL & RX BENEFIT MATRIX. American Environmental Group/PPO Plan HSB Customer Service: EFFECTIVE DATE: MEDICAL & RX BENEFITS
MEDICAL & RX BENEFIT MATRIX American Environmental Group/PPO Plan HSB Customer Service: EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK
Please refer to your Benefit Handbook for further information about how your In-Network and Out-of- Network coverage works.
Schedule of Benefits The Harvard Pilgrim Health Care of New England USNH-STAFF/FACULTY POS Services listed are covered when Medically Necessary. Please see your Benefit Handbook for details. UI, 10/09
SUMMARY OF P BENEFITS AND SCHEDULE OF COPAYMENTS
SUMMARY OF P-10-15-250 BENEFITS AND SCHEDULE OF COPAYMENTS THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND IS A SUMMARY ONLY. THE EVIDENCE OF COVERAGE AND PLAN CONTRACT SHOULD
Your guide to Bupa Premier Network SECI Operatives Scheme. Effective from 1 September 2008
Effective from 1 September 2008 Your guide to Bupa Premier Network SECI Operatives Scheme This is page 1 of 8 which should be read together in full. These pages are for the summary of your Bupa membership
PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. - FULL RISK
PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) None Individual None Family $3,500 Individual $7,000 Family In-Network expenses include coinsurance/copays and deductibles.
NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF BENEFITS SUPREME BENEFITS
BENEFIT GUIDE NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF SUPREME IN NETWORK FEATURES Primary Care Physician Not Required 2 Physician Referrals Not Required 2 Out of
PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. - FULL RISK
PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) None Individual None Family $2,000 Individual $4,000 Family In-Network expenses include coinsurance/copays and deductibles.
Unlimited except where otherwise indicated. Primary Care Physician Selection
PLAN FEATURES Deductible (per calendar year) None Individual None Family Out-of-Pocket Maximum (per calendar year) $2,000 Individual In-Network expenses include coinsurance/copays and deductibles. $4,000
2018 Anthem Blue Cross Senior Secure HMO - Southern CA - Post 65 (Medicare Eligible)*
General Information Lifetime Maximum Benefit Annual Maximum Benefit Coinsurance Percentage Precertification Requirements Prior authorization is required for select services. Services must be coordinated
Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2017
HOSPITAL INPATIENT SERVICES Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2017 About this chart: This chart is to be used as a guide only and does not contain
2016 Rochester Regional Health PPO Medical Plan Summary
Out of Annual Deductible Annual Deductible includes co-pays, coinsurance. The amounts are combined across all s. None Single Two-Person EE + Children Family $1,800 $3,600 $5,400 $5,400 Annual Out of Pocket
AFFORDABLE BENEFITS GUIDE. #caring4life
AFFORDABLE C A R E 2016 BENEFITS GUIDE #caring4life Our Affordable Care option offers generous comprehensive cover with unlimited hospitalisation in any private hospital. It also covers additional chronic
PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. - FULL RISK
PLAN FEATURES Deductible (per plan year) Out-of-Pocket Maximum (per plan year) None Individual None Family $250 Individual $500 Family In-Network expenses include coinsurance/copays and deductibles. Pharmacy
PLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH OF CALIFORNIA INC. - FULL RISK
PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) PLAN DESIGN & BENEFITS None Individual None Family $1,500 Individual $3,000 Family In-Network expenses include coinsurance/copays
Subject to Routine Physical Exam benefit. Same as applicable participating provider office visit member cost sharing Allergy Testing
PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) None Individual None Family $2,000 Individual $4,000 Family Member cost sharing for certain services may not apply
Possibilities Plan. Access to the care you need.
Possibilities Plan If you do not have insurance or have insurance but lack coverage for infertility services and are concerned about the cost of infertility services, The Center for Advanced Reproductive
Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/15 9/30/16)
SISC - SELF-INSURED SCHOOLS OF CALIFORNIA Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/15 9/30/16) The Services described below are covered only if all of the following
MVP PREMIER PLUS SCHEDULE OF BENEFITS Gold 4 MVP Health Plan, Inc. Embedded Deductible Off Exchange
COST-SHARING Deductible Individual Family Prescription Drug Deductible Individual Family Out-of-Pocket Limit Individual Family OFFICE VISITS Primary Care Visits (or Home Visits) Specialist Visits (or Home
RAH s Regional Fertility & Women s Endocrine Clinic FAQs
RAH s Regional Fertility & Women s Endocrine Clinic FAQs What changes are being made to the Regional Fertility & Women s Endocrine Clinic at the Lois Hole Hospital for Women in the Royal Alexandra Hospital
PLAN DESIGN. Customer Name: High Desert & Inland Employee-Employer Trust. Effective Date: Plan: HMO Plan. Location(s): California
PLAN DESIGN Customer Name: High Desert & Inland Employee-Employer Trust Plan: HMO Plan Location(s): California Organization Name: Aetna PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum
FULL BENEFIT BENEFITS GUIDE. #caring4life
FULL BENEFIT C A R E 2016 BENEFITS GUIDE #caring4life Our Full Benefit Care option offers comprehensive cover, generous benefits to cover families and individuals who need access to unlimited hospitalisation
Individual Market Schedule of Benefits
Individual Market Schedule of Benefits Deductible and Out-of-Pocket Maximum Plan Deductible Individual Family $600 per Member $1,200 per Family $7,400 per Member $14,800 per Family Separate Prescription
Global Series Elite Executive Schedule of Medical & Dental Benefits Effective August May
STANDARD HEALTH BENEFITS FOR SERVICES AND SUPPLIES PROVIDED BY KEMH, MID-ATLANTIC WELLNESS INSTITUTE AND GOVERNMENT APPROVED TESTING FACILITIES IN BERMUDA Standard Health Benefits SP ON YOUR INSURANCE
Egg Sharing Price list
Egg Sharing Price list IVF Egg Sharing with anonymous recipient COMPLETE PACKAGE S1 1575 An all-inclusive package for women who meet the egg donor criteria, need IVF or ICSI treatment and choose to share
MetroPlus Health Plan SCHEDULE OF BENEFITS MetroPlus Gold
SECTION XXIV MetroPlus Health Plan SCHEDULE OF BENEFITS MetroPlus Gold COST-SHARING Deductible Individual Family Out-of-Pocket Limit Individual Family $0 $0 $7,150 $14,300 except as required for emergency
Your Guide to Extras Cover
Your Guide to Extras Cover This is an important document. Please read it carefully and retain for future reference. Effective: 1 April 2018 Getting the most from your extras cover Extras cover includes
Global Series Schedule of Medical & Dental Benefits Effective July May
STANDARD HEALTH BENEFITS FOR SERVICES AND SUPPLIES PROVIDED BY KEMH, MID-ATLANTIC WELLNESS INSTITUTE AND GOVERNMENT APPROVED FACILITIES IN BERMUDA Standard Health Benefits PW OR SP OR PRIV ON YOUR INSURANCE
UNIVERSITY OF THE INCARNATE WORD, S2855 PPO PLAN GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 Filing Limit 365 days Mailing Address & PPO Company Remit claims to: CIGNA Physicians & Hospitals
UNIVERSITY OF THE INCARNATE WORD, S2855 SILVER RBP PLAN GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 Filing Limit 365 days Mailing Address & PPO Company Remit claims to: Gilsbar, Inc., P.O. Box
REIMBURSEMENTS OVERVIEW AS OF 01/01/2019
Nationale-Nederlanden Zorgpolis (model number: 6400102) version 1 The reimbursements provided by the medical expenses insurance policy based on the Restitutie health insurance policy are summarised in
UNIVERSITY OF THE INCARNATE WORD, S2855 BRONZE RBP PLAN GRANDFATHERED PLAN BENEFIT SHEET
BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to 26 Filing Limit 365 days Mailing Address Remit claims to: Gilsbar, Inc., P.O. Box 2947, Covington,
Hospital Charge Information List
Hospital Charge Information List To better inform our patients, Norton Healthcare has prepared the following price list of our charges for some of the more common reasons for a hospital visit. They include
REIMBURSEMENTS OVERVIEW AS OF 01/01/2019
Nationale-Nederlanden Zorgverzekering Restitutie (model number: 6700102) version 1 The reimbursements provided by the Nationale-Nederlanden Zorgverzekering Restitutie are summarised in the Reimbursements
Individual Market Schedule of Benefits
Individual Market Schedule of Benefits Deductible and Out-of-Pocket Maximum Plan Deductible Individual Family $150 per Member $300 per Family $8,000 per Member $16,000 per Family Out-of-Pocket Maximum
Standard Major Medical Schedule of Medical Benefits Effective June May
STANDARD HEALTH BENEFITS FOR SERVICES AND SUPPLIES PROVIDED BY KEMH, MID-ATLANTIC WELLNESS INSTITUTE AND GOVERNMENT APPROVED TESTING FACILITIES IN BERMUDA Standard Health Benefits PW OR SP OR PRIV ON YOUR
Connecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information
Provider access Covered Benefits Deductible General information All providers who accept If covers a charge, then the TRB plan covers that charge The 2019 deductible is $185. The member pays the Part B
Anthem Extras Packages
Anthem Extras Packages Dental, Vision and more California Benefits that complement your Medicare Supplement plan Packaged benefits better together Healthy teeth and eyes help contribute to your overall
Select Health Schedule of Medical & Dental Benefits Effective June May
STANDARD HEALTH BENEFITS FOR SERVICES AND SUPPLIES PROVIDED BY KEMH, MID-ATLANTIC WELLNESS INSTITUTE AND GOVERNMENT APPROVED TESTING FACILITIES IN BERMUDA Standard Health Benefits PW OR SP OR PRIV ON YOUR
2018 Anthem Blue Cross HMO*
General Information Lifetime Maximum Benefit Annual Maximum Benefit Coinsurance Percentage 100.00% Precertification Requirements Pre-certification is required for certain services. However, this is an
Schedule of Fees for Private Treatment
Schedule of Fees for Private Treatment Fertility Treatment is personalized to each individual and couple, based on diagnosis and best treatment options. At Fertility Plus, we are mindful of the costs involved
Silver Extras Set Benefits
Your guide to Silver Extras Set Benefits 1800 640 159 Questions? Need Advice? Our consultants are available to help. Comparethemarket.com.au ACN 117 323 378 Level 2, 80 Jephson Street, Toowong Qld 4066
NEIGHBORHOOD HEALTH PARTNERSHIP HMO SUMMARY OF BENEFITS
. (EV-4) 25/45/1000 w/access Rider NEIGHBORHOOD HEALTH PARTNERSHIP HMO SUMMARY OF BENEFITS A quick glance at this Summary of Benefits will introduce you to the important advantages of the Neighborhood
Emergency & non-emergency ambulance
Prime Living Nil excess Up to 100% Nil excess Up to 100% back for dental, optical and physiotherapy Emergency & non-emergency ambulance Generous pharmacy prescription limits Laser eye surgery cover Health
Insurance Guide For Dental Healthcare Professionals
Insurance Guide For Dental Healthcare Professionals Dental Benefits Basics What is dental insurance? Unlike traditional insurance, dental benefits are not meant to cover all oral healthcare needs. The
Dental Indemnity PPO. Good news about dental benefits for retirees of ARIZONA STATE RETIREMENT SYSTEM
Dental Indemnity PPO Good news about dental benefits for retirees of ARIZONA STATE RETIREMENT SYSTEM Dental Plan Choice Our company understands that today s retirees demand choice. That s why we offer
2016 OPEN ENROLLMENT RETIREE HEALTH PLANS
2016 OPEN ENROLLMENT RETIREE HEALTH PLANS SERVICES Inpatient Hospital (Part A) COMPANIONCARE/Medicare Supplement Plan BENEFIT SUMMARY (Based on Calendar Year) MEDICARE 2016 Benefits Pays all but first
Subject to Routine Physical Exam benefit. Same as applicable participating provider office visit member cost sharing Allergy Testing
PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) None Individual None Family $2,000 Individual $4,000 Family Member cost sharing for certain services may not apply
2016 OPEN ENROLLMENT RETIREE HEALTH PLANS
2016 OPEN ENROLLMENT RETIREE HEALTH PLANS SERVICES Inpatient Hospital (Part A) COMPANIONCARE/Medicare Supplement Plan BENEFIT SUMMARY (Based on Calendar Year) MEDICARE 2016 Benefits Pays all but first
CORPORATE HEALTH COVER BETTER HEALTH MADE SIMPLE. BETTER HEALTH MADE SIMPLE 1
CORPORATE HEALTH COVER BETTER HEALTH MADE SIMPLE. BETTER HEALTH MADE SIMPLE 1 Mediank is Australia s largest provider of health insurance. But we re more than that. We stand for etter health so we ve designed
Financial Information for Patients Valid from 1 September Fertility Assessment and Consultations
Financial Information for Patients Valid from 1 September 2017 This fee schedule is designed to give you information regarding the costs involved for fertility treatment at Cambridge IVF. If any aspect
Group Dental Insurance
Group Dental Insurance For Your Employees and Their Families Marketed By: www.siho.org Underwriting By: Ameritas Life Insurance Corp. 5900 O Street Lincoln NE 68510 S12020 Rev. 1116 Insurance Overview
Freedom to Choose any Dentist, Including Specialists PPO Options Available 1 Fast and Accurate Claims Service No Referrals Required
Voluntary Dental PPO Good news about dental benefits for employees of Richardson Independent School District Your Dental Plan As a valued employee of Richardson Independent School District, you have the
Voluntary Dental PPO (Indemnity Plan)
Voluntary Dental PPO (Indemnity Plan) Good news about your dental benefits Your Dental Plan As a valued employee of Cypress-Fairbanks ISD, you have the opportunity to enroll in a payroll-deduction dental
20 HOSPITAL S 17 TANDARD
2017 This hospital plan offers extensive hospital benefits with some value-added benefits. Unlimited cover up to 100% in hospital 27 PMB chronic conditions covered Network specialists paid in full in hospital
Denplan Care. Take the path to improved dental health and a confident smile
Denplan Care Take the path to improved dental health and a confident smile Spread the cost of your dental care with a comprehensive care plan Denplan is the UK s leading dental payment plan specialist
This brochure has been created for employers. It isn t intended for use by policy members.
This brochure has been created for employers. It isn t intended for use by policy members. A clear choice for cancer cover As part of our private medical insurance for large corporate schemes with 250+
Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (7/1/18 6/30/19)
Benefit Summary 35876D 35876 SCHOOLS INSURANCE GROUP #35876 Principal Benefits for Kaiser Permanente Senior Advantage (HMO) with Part D (7/1/18 6/30/19) Plan Out-of-Pocket Maximum For Services subject
Principal benefits for Kaiser Permanente Traditional HMO Plan (10/1/18 9/30/19)
Disclosure Form SISC - Self Insured Schools Of California Home Region: California Principal benefits for Kaiser Permanente Traditional HMO Plan (10/1/18 9/30/19) Accumulation Period The Accumulation Period
Solutions for a healthy company. A guide to your benefits
Solutions for a healthy company A guide to your benefits Welcome to Solutions Solutions at a glance Private medical insurance created for you. Solutions is our private medical insurance that s flexible
Principal Benefits for Kaiser Permanente Traditional Plan (10/1/16 9/30/17)
Benefit Summary SISC-SELF INSURED SCHOOLS OF CALIFORNIA Principal Benefits for Kaiser Permanente Traditional Plan (10/1/16 9/30/17) The Services described below are covered only if all of the following
Principal benefits for Kaiser Permanente Traditional Plan (10/1/15 9/30/16)
Disclosure Form SISC-SELF INSURED SCHOOLS OF CALIFORNIA Principal benefits for Kaiser Permanente Traditional Plan (10/1/15 9/30/16) The Services described below are covered only if all of the following
Summary of Benefits Chart for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/17 9/30/18)
SISC - KPSA $0 Summary of Benefits Chart for Kaiser Permanente Senior Advantage (HMO) with Part D (10/1/17 9/30/18) Plan Out-of-Pocket Maximum For Services subject to the maximum, you will not pay any
Allergen specific, each allergen is covered up to 50 units per patient annually; additional units would require medically necessary review.
ALAMEDA ALLIANCE FOR HEALTH REFERRAL AND PRIOR AUTHORIZATION () GRID FOR MEDICAL BENEFITS FOR DIRECTLY CONTRACTED PROVIDERS ONLY Effective 01/01/2019 Before services are provided, please check: Member
Standard Extras Cover Summary
Standard Extras Cover Summary Extras cover for 19 common services like Optical, General Dental and Major Dental Features Unlimited urgent ambulance by road 1 Get a fully covered flu vac and health check
20 STANDARD 17 SELECT
2017 This traditional option uses a quality provider network to offer rich day-to-day benefits and hospital cover. Unlimited cover up to 100% at hospitals on the Standard Select network Rich day-to-day
Patient Price Information List
Patient Price Information List In compliance with state law, Wayne HealthCare is providing this price list containing our charges for room and board, emergency department, operating room, delivery, physical
Oncology Programme 2015
Oncology Programme 2015 Overview This document explains the University of KwaZulu-Natal Medical Scheme Oncology Programme for 2015 It gives you details about: What you need to do when you are diagnosed
Benefit Name In Network Out of Network Limits and Additional Information. Benefit Name In Network Out of Network Limits and Additional Information
BluePoint 3 Benefit Time Period: 06/01/2015-05/31/2016 Broome County - Red HMO Plan General Information Cost Sharing Expenses Deductible - Single $0 Deductible - Two Person $0 Deductible - Family $0 Services
STANDARD. Adult dependant. Main member. Child dependant R2 998 R2 600 R 880
2017 This traditional option offers rich day-to-day benefits and comprehensive hospital cover. Unlimited cover up to 100% in hospital Network specialists paid in full in hospital Additional benefit for
Patient Price List. t: e: w:
Patient Price List t: 0333 015 9774 e: enquires@ivi.uk w: www.ivi.uk fertility treatments Pre Treatment Medical Consultation 250 Nurse Planning 200 Baseline ultrasound scan of uterus and ovaries included
for benefit recipients of the Ohio Public Employees Retirement System
2018 Vision and Dental Plan Guide for benefit recipients of the Ohio Public Employees Retirement System Eligibility and Enrollment Retirees receiving a monthly age and service or disability benefit may
Pro Active Physical Therapy & Sports Medicine
Pro Active Physical Therapy & Sports Medicine Consent and Statement of Financial Responsibility 1. CONSENT FOR TREATMENT: I consent to and authorize my physical therapist, occupational therapist and other
Oncology Programme 2017
Oncology Programme 2017 Who we are Remedi Medical Aid Scheme (referred to as 'the Scheme"), registration number 1430, is a non-profit organisation, registered with the Council for Medical Schemes. Discovery
New York Essential Plan cost-sharing matrix
New York Plan cost-sharing matrix On January 1, 2016, Empire BlueCross BlueShield HealthPlus (Empire) is offering a new comprehensive and affordable health insurance program. The Plan is a health benefit
Eligibility and Enrollment
Eligibility and Enrollment Retirees receiving a monthly age and service or disability benefit may only enroll Legal spouse Must have a valid marriage certificate. Child(ren) This must be a participant
Physiotherapy Tender Questions and Answers
Physiotherapy Tender Questions and Answers Background 1. Q. Why has Bupa conducted a review of physiotherapy? A. Over the last year, we have been reviewing orthopaedic care to see whether there are opportunities
FEE SCHEDULE (Effective 1 September 2018)
Fee Schedule for In Vitro Fertilisation and Intracytoplasmic Sperm Injection (IVF / ICSI Treatment): Please note that charges for abandoned cycles apply see page 10 Fee Paying HFEA Fees 80 IVF (In Vitro
2019 Patient Price Information List
2019 Patient Price Information List In compliance with state law, Genesis Healthcare System is providing this price list containing our charges for room and board, emergency department, operating room,