Questions & answers · Vision insurance
What events does United of Omaha Life Insurance Company's filed vision insurance policy say it pays for?
AI-drafted from filed documents · reviewed: pendingwhether a specific event is coveredUnited of Omaha Life Insurance Company
United of Omaha Life Insurance Company's filed vision insurance policy in South Dakota (SD) states that benefits are payable for each Insured Person under the Policy for Covered Services described in this section, subject to all terms and conditions of the Policy [1]. The policy specifies that In-Network Providers submit claims on behalf of the Insured Person for benefits in excess of the copayment [1]. The policy also states that the insurer may require an Insured Person to be examined by a Provider as directed to assist in determining whether benefits are payable, and the insurer will pay for these examinations [2]. 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] United of Omaha Life Insurance Company · SD · SERFF MUTM-133149869 · form GVIS2018C MN · p. 6 · 17 · BENEFITS
BENEFITS Benefits are payable for each Insured Person under the Policy for Covered Services described in this section, subject to all terms and conditions of the Policy. In-Network Benefits Copayments or any cost above the allowance shown for Covered Services described in this section must be paid in full by the Insured Person to the In-Network Provider at the time a Covered Service is provided. We will pay benefits in excess of the Copayment for Covered Services to the In-Network Provider. The In-Network Provider will submit a claim to us on an Insured Person’s behalf.
[2] United of Omaha Life Insurance Company · SD · SERFF MUTM-133524233 · form GVIS2018C PA · p. 16 · 66 · INDEPENDENT EXAMINATION
INDEPENDENT EXAMINATION We may require an Insured Person to be examined by a Provider as we direct to assist in determining whether benefits are payable. You may not impose any conditions on an examination such as pre-approval of the examiner, attendance of a third party or audio/video recording of the examination. We will pay for these examinations; however, you may be responsible for fees associated with failure to notify the examination office of your appointment cancellation within the required amount of time specified by the examiner. We may recover this fee by reducing benefits that are payable. We will not require more than a reasonable number of such examinations.
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 Qf6008874. Spotted an error? Tell us.