the pages so titled and made part of this handbook that specify the amount of coverage provided and the applicable Copayments, Coinsurance, Deductible, and limitations.
A listing of the services for which a benefit plan will pay.
Legal document that outlines copay, coinsurance and other benefit information for PPO and POS products.
The schedule of behavioral health services which are provided to a member under his/her behavioral health plan. The schedule of benefits is attached to the subscriber agreement.
An outline of the benefits described in the plan document or policy.
A definition of healthcare benefits specifically identified as available to the enrolled member which includes the limit or degree of service that member is entitled to receive based upon his or her contract with a health plan or insurer.
An outline of the benefits described in the plan document. Often supplies the exact values of items referred to in the body of the plan document such as the deductible.
A list of all the benefits provided in an insurance policy.
Specific to the Federal Long Term Care Insurance Program (FLTCIP): The customized listing of your coverage under the FLTCIP. You will receive a copy of your schedule of benefits from Long Term Care Partners if you apply for coverage and they approve your application. This schedule, together with your Benefit Booklet, describes your coverage under the FLTCIP.
(1) Under a group insurance plan, a table that specifies the amount of coverage provided for each class of insureds. (2) For medical expense claim purposes, a listing of medical treatments and the maximum benefit amounts an insurer will pay for each treatment.
