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Ve network of health care providers. BlueCross BlueShield of Texas, Inc. (BCBS) and TSCRA offer members excellent health care coverage from physicians, hospitals, and other heath care providers you know and trust. With BCBS, members receive the following NETWORK advantages tailored especially for TSCRA members and eligible dependents who qualify: $25 office visit co-pay when you choose a BCBS Doctor on our Premium Plan and $30 co-pay, consultation only, on Our Select Plan. $1.
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Medical Definition exclusion. noun. ex·clu·sion iks-ˈklü-zhən. : surgical separation of part of an organ from the rest without excision.
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An exclusion is an event (peril, accident, incident, or accusation) that an insurance policy will not cover. A standard insurance policy will typically include some exclusions. While insurance policies help small businesses mitigate risk, they don't cover everything.
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The time period during which an individual policy won't pay for care relating to a pre-existing condition. Under an individual policy, conditions may be excluded permanently (known as an "exclusionary rider"). Rules on pre-existing condition exclusion periods in individual policies vary widely by state.
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A Pre-Existing Condition is excluded from coverage for period of [6-24] months following the Covered Person's Rider Effective Date. If the Covered Person is Diagnosed with a condition listed in this rider that is determined to be a Pre-Existing Condition, no benefit amount is payable for that listed condition.
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Pre-existing Condition Exclusion. A limitation or exclusion of benefits for a condition based on the fact that you had the condition before your enrollment date in the group health plan.
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As you may already know, exclusions are the services that your health plan will not pay for. Hence, it pays to ascertain beforehand what will not be covered by reading the terms and conditions in your policy before making any purchasing decision.
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The best way to avoid your pet insurance claim submission being denied due to pre-existing conditions is to insure your pet while it is young. Insuring your pet before it has any medical issues can help ensure any condition your pet develops over time is covered.
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A benefits payable exclusion is a clause in insurance policy contracts that removes the insurer's responsibility for paying claims related to employee benefits.
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Learn more -
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