Common use of Benefit Payment Clause in Contracts

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%).

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%).