Questions & answers · Vision insurance
What events does Aria Care Insurance, Inc.'s filed vision insurance policy say it pays for?
AI-drafted from filed documents · reviewed: pendingwhether a specific event is coveredAria Care Insurance, Inc.
Under Aria Care Insurance, Inc.'s filed vision insurance policy in Illinois (IL), benefits are payable for the Insured as shown in the Schedule of Benefits [1]. The Vision Service must be provided in the Insured’s Living Facility by a Licensed Professional [1]. An expense is considered incurred: 1) for an appliance or its modification, at the time the vision prescription is made; and 2) for all other expenses, at the time a service is provided, or a supply furnished [1]. The following are not Vision Services and no Benefits will be payable: 1) any material or service not shown on the Policy Schedule of Benefits; 2) any material or service that exceeds the Frequency limits shown on the Schedule of Benefits; 3) any material or service received before your Effective Date; 4) any material or service received after your coverage terminates without prejudice; 5) charges for any material or service provided by someone other than a participating Licensed Professional [1]. This does not appear in these excerpts — check the full policy.
Information only — not legal advice. The insurer decides.
These answers quote forms insurers filed with state regulators. Your own policy, its endorsements and your state’s rules control. A filed form may not be the version sold to you.
Where this comes from (2)
[1] Aria Care Insurance, Inc. · IL · SERFF ACCR-134414028 · form V 01 24 IL · p. 4 · 8 · VISION SERVICES
VISION SERVICES Benefits are payable for the Insured as shown in the Schedule of Benefits. The Vision Service must be provided in the Insured’s Living Facility by a Licensed Professional. An expense is considered incurred: 1) for an appliance or its modification, at the time the vision prescription is made; and 2) for all other expenses, at the time a service is provided, or a supply furnished. EXCLUSIONS The following treatments, procedures, and/or costs are not Vision Services and no Benefits will be payable under this Policy for: 1. any material or service not shown on the Policy Schedule of Benefits; 2. any material or service that exceeds the Frequency limits shown on the Schedule of Benefits; 3. any material or service received before your Effective Date; 4. any material or service received after your coverage terminates without prejudice; 5. charges for any material or service provided by someone other than a participating Licensed Professional.
[2] Aria Care Insurance, Inc. · CT · SERFF ACCR-134939552 · form HA 04 26 CT · p. 5 · 23 · AUDIOLOGY SERVICES
AUDIOLOGY SERVICES Benefits are payable for the Insured as shown in the Schedule of Benefits. An expense is considered incurred: 1) for an appliance or its modification, at the time the audiology prescription is made; and 2) for all other expenses, at the time a service is provided, or a supply furnished. EXCLUSIONS The following treatments, procedures, and/or costs are not Audiology Services and no Benefits will be payable under this Policy for: 1. any material or service not shown on the Policy Schedule of Benefits; 2. any material or service that exceeds the Frequency limits shown on the Schedule of Benefits; 3. any material or service we consider being experimental; 4. any material or service received before your Effective Date; 5. any material or service received after your coverage terminates without prejudice; 6. charges for any material or service provided by someone other than a Licensed Professional.
Drafted by a local AI model from the excerpts above, then checked by rules (citations, no rankings, no “not covered” claims from a partial excerpt). Question id Qc0d62931. Spotted an error? Tell us.