Common use of BENEFICIARY LIABILITY Clause in Contracts

BENEFICIARY LIABILITY. The legal obliga- tion of a beneficiary, his or her estate, or responsible family member to pay for the costs of medical care or treat- ment received. Specifically, for the purposes of services and supplies cov- ered by CHAMPUS, beneficiary liabil- ity includes any annual deductible amount, cost-sharing amounts, or, when a provider does not submit a claim on a participating basis on be- half of the beneficiary, amounts above the CHAMPUS-determined allowable cost or charge. Beneficiary liability also includes any expenses for medical or related services and supplies not covered by CHAMPUS.