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  • Percent
  • This rating combines customer scores for claims, customer service, value for price paid, percent who will renew, and percent who would recommend the company. (insure.com)
  • Combine that with a strong 4.25 stars for both customer service and value for price, an 87 percent recommendation rate and 89 percent renewal rate, and Horizon ended up with a solid score of 88.3 in this years survey. (insure.com)
  • cost
  • HMO Point-of-Service (POS) Plans - An HMO plan that may allow you to get some services out-of-network for a higher cost. (pamedicaresupplement.com)
  • Subject to clause (v), cost-sharing for services described in clause (iv) shall not exceed the cost-sharing required for those services under parts A and B. (ssa.gov)
  • In the case of services described in clause (iv) for which there is no cost-sharing required under parts A and B, cost-sharing may be required for those services in accordance with clause (i). (ssa.gov)
  • A confirmation of treatment & cost, valid for 180 days, will be mailed to you and your dentist qualifying the services covered by your policy and estimate out-of-pocket costs. (deltadentalwa.com)
  • You generally have to pay a deductible before Medicare pays its share, and a portion of the cost for each service you use. (hessco.org)
  • dentist
  • Even when a dentist and patient agree on the appropriate treatment method for the condition, the contract provision of the dental plan may only pay a portion, or pay only for the least expensive alternative treatment (LEAT) as determined by the insurance company. (dentalinsurance.com)
  • Make the request to your dentist, who will then send a proposed treatment plan (including relevant X-rays) to Delta Dental. (deltadentalwa.com)
  • patient
  • May only be claimed once per patient per year and includes ongoing communication as required as well as re-evaluation and revision of the plan within a year. (albertadoctors.org)
  • employers
  • Group health plans for employers with 51 or more employees. (nami.org)
  • Most group health plans for employers with 50 or fewer employees unless they have been "grandfathered,' which means it was created before the federal parity laws went into effect. (nami.org)
  • years
  • The study is planned to last about 25 years. (vindy.com)
  • The company was first formed in 1932 as the Associated Hospitals of Essex County, Inc., and ten years later, the Medical-Surgical Plan of New Jersey was combined. (insure.com)
  • people
  • The study suggests either that many people in fee-for-service plans are being operated on unnecessarily or that many in the HMO are being denied needed surgery, the researchers said. (orlandosentinel.com)
  • restrictions
  • Other access restrictions could block the utilization of necessary related services, such as mental health, social work services, developmental evaluation, occupational and physical therapy, vision screening, hearing screening, and speech and language therapies, as well as school-linked clinics and other public health service clinicians. (aappublications.org)
  • offer
  • When a plan has parity, it means that if you are provided unlimited doctor visits for a chronic condition like diabetes then they must offer unlimited visits for a mental health condition such as depression or schizophrenia. (nami.org)
  • cover
  • If a plan doesn't cover a specific procedure, this does not mean that the treatment isn't appropriate or needed. (dentalinsurance.com)
  • Additionally, some plans do not cover conditions that existed before the employee became hired, such as missing teeth. (dentalinsurance.com)
  • systems
  • Benefit Systems & Services, Inc. (rushcopley.com)
  • During this period of change in the delivery and financing of health care services, new and expanded efforts are needed to strengthen managed care systems that serve newborns, infants, children, adolescents, and young adults (hereinafter referred to as children) and their families. (aappublications.org)
  • balance
  • (ii) the total dollar amount of payment for such items and services as would otherwise be authorized under parts A and B (including any balance billing permitted under such parts). (ssa.gov)
  • Cash balance plans. (bls.gov)