Common use of Calendar Year Deductible Clause in Contracts

Calendar Year Deductible. The Calendar Year Deductible is the amount of expenses you must incur in each 12-month period (January 1 through December 31) for Covered Services and supplies before this plan provides certain benefits. Copays do not count toward the Calendar Year Deductible. Covered Services received from In-Network Providers, except Prescription Drug services, that require a Copay do not apply to your Calendar Year Deductible. All Covered Services received from In-Network Providers that do not require a Copay will apply to your Calendar Year Deductible. The amount applied toward your Calendar Year Deductible for any Covered Service or supply will not exceed the Allowed Amount (please see the Definitions section in this Agreement). This plan has different Deductibles for services and supplies received from In-Network Providers, and for services and supplies received from Out-of-Network Providers. The Deductible for services from Out-of-Network Providers is called the Out-of- Network Deductible. Individual Deductible The Individual Deductible is the fixed amount each Member must incur and satisfy before certain benefits of this plan are provided.