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Member's Coverage

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Stewartsville, NJ 08886, USA


Contacts

State: New Jersey
Address: Stewartsville, NJ 08886, USA
Zip code: 08886
Phone: (908) 454-8200

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Member's Coverage On the Web

Termination of a Member's Coverage Sample Clauses

Termination of a Member's Coverage. 1. The Company may choose to rescind coverage or terminate a Member's coverage if a Member performs an act or practice that constitutes fraud, or makes an intention...

https://www.lawinsider.com/clause/termination-of-a-members-coverage

Termination of Member Coverage Sample Clauses | Law Insider

No Member's coverage shall be terminated by Contractor due to his health status or his dental care needs. No eligible person shall be refused enrollment or reenrollment because of his health status or dental care needs. Coverage under this Policy for a Member will terminate if any of the following occurs:

https://www.lawinsider.com/clause/termination-of-member-coverage

Family Servicemembers' Group Life Insurance Coverage (FSGLI)

Family Servicemembers' Group Life Insurance Coverage (FSGLI) is a component of the Servicemembers' Group Life Insurance (SGLI) program. It provides coverage for spouses and children of Servicemembers insured under SGLI. Non-military spouses are covered automatically for $100,000 or the amount of the member's coverage, whichever is less.

https://www.benefits.gov/benefit/590

Coverage Determinations | CMS

Coverage Determinations. A coverage determination is any decision made by the Part D plan sponsor regarding: Receipt of, or payment for, a prescription drug that an enrollee believes may be covered; A tiering or formulary exception request (for more information about exceptions, click on the link to "Exceptions" located on the left hand side of ...

https://www.cms.gov/Medicare/Appeals-and-Grievances/MedPrescriptDrugApplGriev/CoverageDeterminations-

Health Insurance Definitions: What the Terms Mean

Services or supplies your health plan agrees to cover. Covered benefits and excluded services differ from plan to plan. Catastrophic coverage. An insurance safety net for especially costly health ...

https://health.usnews.com/health-news/health-insurance/articles/2014/11/14/health-insurance-definitions-what-the-terms-mean

mbfhome - New York City

The member's coverage ends as defined above. The member dies (see the "Survivor Benefits" section). A dependent no longer qualifies as an eligible dependent. Where applicable, special provisions for extension of benefits or conversion to private coverage are specified in the individual benefit sections of the Fund Booklet.

https://www.nyc.gov/site/olr/mbf/mbfhome.page

HSAs and Family Members - Newfront Insurance

If a family member covers the employee under a non-HDHP health plan, the employee will not be HSA eligible because the family member's coverage is disqualifying coverage for the employee. For example, an employee covered as a spouse, domestic partner, or child under another employer's non-HDHP health plan is not HSA-eligible.

https://www.newfront.com/blog/hsas-and-family-members

Glossary | Blue Cross Blue Shield

A utilization management technique that requires a healthcare insurance plan member or the physician in charge of the member's care to notify the plan, in advance, of plans for a patient to undergo a course of care such as a hospital admission or complex diagnostic test. Also known as prior authorization.

https://www.bcbs.com/learn/glossary

PDF Change in Membership Status - UHCprovider.com Home

Change in Membership Status while Hospitalized (Acute, LTC and SNF) or Receiving Home Health Page 1 of 3 UnitedHealthcare Medicare Advantage Coverage Summary Approved 10/05/2022

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/change-in-membership-status-while-hospitalized-acute-ltc-snf-home-health.pdf

Newborns' and Mothers' Health Protection Act (NMHPA) | CMS

The Newborns' and Mothers' Health Protection Act of 1996 (NMHPA) is a federal law that affects the length of time a mother and newborn child are covered for a hospital stay in connection with childbirth. In general, group health plans and health insurance issuers that are subject to NMHPA may NOT restrict benefits for a hospital stay in connection with childbirth to less than 48 hours ...

https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/nmhpa_factsheet

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