Certificate The term Certificate means this document, including any riders and attachments hereto, which sets forth Your benefits under the plan.
Provider to disclose information that pertains to Your physical condition or the services or treatment You receive. We agree to maintain Your vision records and information in accordance with state and federal confidentiality requirements.
HCVIS-MISC0
01-24
HCVIS-DFS7
01-24
Coinsurance The term Coinsurance means the percentage of charges for Covered Vision Expenses that a Covered Person is required to pay under the plan.
Definitions Active Service You will be considered in Active Service:
• on any of Your Employer's scheduled work days if You are performing the regular duties of Your work on a Full-Time basis on that day either at Your Employer's place of business or at some location to which You are required to travel for Your Employer's business. • on a day which is not one of Your Employer's scheduled work days if You were in Active Service on the preceding scheduled work day.
HCVIS-DFS9
01-24
Contract The Contract will be made up of the Policy; the Certificate; the application of the Policyholder, a copy of which is attached to the Policy; any riders and amendments to the Policy or Certificate; and any enrollment forms.
HCVIS-DFS1
01-24
HCVIS-DFS10
01-24
Amount Eligible for Coverage by Your Plan The term means, part of the “Amount Your Health Care Professional Charged” or “Your Health Care Professional’s Contracted Amount” (if present) that is eligible for coverage under Your plan. This amount is used to help calculate how much will be paid by Your plan.
Contract Year The term Contract Year means the twelve-month period beginning at 12:01 a.m. on the first day of the initial term or any renewal term and ending at 12:01 a.m. on the next anniversary of that date.
HCVIS-DFS11
01-24
HCVIS-DFS2
01-24
Contract Year Maximum This is the most We will pay for vision care within a Contract Year. Once You reach the maximum amount, You will be responsible for paying any costs for the remainder of the benefit period.
Balance Billing When a Vision Provider bills an enrollee for amounts above the Amount Eligible for Coverage by Your Plan, the Vision Provider may bill You for the difference. Non-Participating Vision Providers are under no obligation to limit the amount of their fees.
HCVIS-DFS6
01-24
HCVIS-DFS4
01-24
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