120 • Supervising medicine that you can take yourself, • Catheter care, general colostomy or ileostomy care, • Routine services which we decide can be safely done by you or a non-medical person without the help of trained medical and paramedical workers, • Residential care and adult day care, • Protective and supportive care, including education, • Rest and convalescent care. Care can be Custodial even if it is recommended by a professional or performed in a Facility, such as a Hospital or Skilled Nursing Facility, or at home. Deductible The amount you must pay for Covered Services before benefits begin under this Plan. For example, if your Deductible is $1,000, your Plan won’t cover anything until you meet the $1,000 Deductible. The Deductible may not apply to all Covered Services. Please see the “Schedule of Benefits” for details. Dependent A member of the Subscriber’s family who meets the rules listed in the “Eligibility and Enrollment – Adding Members” section and who has enrolled in the Plan. Doctor See the definition of “Physician.” Effective Date The date your coverage begins under this Plan. Emergency (Emergency Medical Condition) Please see the "What’s Covered" section. Emergency Care Please see the "What’s Covered" section. Employee A person who is engaged in active employment with the Employer and is eligible for Plan coverage under the employment rules of the Employer. The Employee is also called the Subscriber. Employer An Employer who has allowed its Employees to participate in the Plan by acting as the Plan Sponsor or adopting the Plan as a participating Employer by executing a formal document that so provides. The Employer or other organization has an Administrative Services Agreement with the Claims Administrator to administer this Plan. Excluded Services (Exclusion) Health care services your Plan doesn’t cover.
Benefit Booklet: Plan 2 Page 120 Page 122