Benefit Payment. We will pay 100% of the Allowable Charge for the Covered Services rendered to a Subscriber for Benefits provided under this policy. Our actual payment to a Provider or payment to the Subscriber satisfies Our obligation to provide Benefits under this Benefit Plan. Subscribers that receive Covered Services from Non- Network Providers may be billed the difference between the Allowable Charge We pay and the Provider’s billed charge. If the Non-Network (non-participating) Provider is a Hospital, Our payment of the Allowable Charge will be reduced by thirty percent (30%).
Appears in 4 contracts
Samples: Student Group Health Insurance Benefit Plan, Student Group Health Insurance Benefit Plan, Student Group Health Insurance Benefit Plan
Benefit Payment. We will pay 100% of the Allowable Charge for the Covered Services rendered to a Subscriber for Benefits provided under this policy. Our actual payment to a Provider or payment to the Subscriber satisfies Our obligation to provide Benefits under this Benefit Plan. The Subscribers that receive Covered Services from Non- Non-Network Providers may be billed the difference between the Allowable Charge We pay and the Provider’s billed charge. If the Non-Network (nonNon-participatingParticipating) Provider is a Hospital, Our payment of the Allowable Charge will be reduced by thirty percent (30%).
Appears in 2 contracts
Samples: Student Group Health Insurance Benefit Plan, Student Group Health Insurance Benefit Plan