Coinsurance. After the deductible is satisfied, seventy percent (70%) coverage up to the plan out-of-pocket maximum designated below.
Coinsurance. Except where stated otherwise, after You have satisfied the Deductible described above, You must pay a percentage of the Allowed Amount for Covered Services. We will pay the remaining percentage of the Allowed Amount as Your benefit as shown in the Schedule of Benefits section of this Contract. You must also pay any charges of a Non-Participating Provider that are in excess of the Allowed Amount.
Coinsurance. Except where stated otherwise, You must pay a percentage of the Allowed Amount for Covered Services. We will pay the remaining percentage of the Allowed Amount as Your in-network or out-of-network benefit as shown in the Schedule of Benefits section of this Contract. You must also pay any charges of a Non-Participating Provider that are in excess of the Allowed Amount.
Coinsurance. A percentage of Charges that you must pay when you receive a covered Service as described in the “What You Pay” section.
Coinsurance. Reinsurer agrees to accept, and it does accept as of the Effective Date, cession of the Reinsured Contracts, and to assume, and it does assume, on a 100% indemnity coinsurance basis, all general account liability as relates to all remaining written contractual liability not assumed in accordance with Section 3.02, except as otherwise provided in Section 4.02.
Coinsurance. The member’s share of the costs of a covered health care service, calcu- lated as a percent (for example, twenty per- cent (20%)) of the allowed amount for the service. The member pays coinsurance plus any deductibles owed. For example, if the health insurance or plan’s allowed amount for an office visit is one hundred dollars ($100) and the member has met his/her deductible, the member’s coinsurance payment of twenty percent (20%) would be twenty dollars ($20). The health insurance or plan pays the rest of the allowed amount.
Coinsurance. Two or more compa- xxxx may underwrite a risk on any bond or policy, the amount of which does not exceed their aggregate under- writing limitations. Each company shall limit its liability upon the face of the bond or policy, to a definite speci- fied amount which shall be within its underwriting limitation.
Coinsurance the percentage of the Plan Allowance for Covered Services that is the responsibility of the Member. The remaining percentage is the responsibility of the Plan, subject to the provisions of the Agreement.
Coinsurance. (a) Subject to the terms and conditions of this Agreement, effective as of the Coinsurance Effective Date, the Ceding Company hereby cedes to the Reinsurer, and the Reinsurer hereby accepts and reinsures on a one hundred percent (100%) coinsurance basis, the Insurance Liabilities. The Ceding Company and the Reinsurer mutually agree that, as between the parties, on and after the Coinsurance Effective Date, the Reinsurer shall be entitled to exercise all contractual rights and privileges of the Ceding Company under the Policies in accordance with the terms, provisions and conditions of such Policies.
Coinsurance. A share of the costs for services that this Plan covers. This amount is calculated as a percentage ⎯ a percentage that We pay and percentage that You pay. (For example, We pay 80% for a service and You pay 20%.) Company – Blue Cross and Blue Shield of Louisiana (incorporated as Louisiana Health Service & Indemnity Company). We may use common words to describe the Benefits provided under this Contract. We, Us, and Our mean Blue Cross and Blue Shield of Louisiana, incorporated as Louisiana Health Service & Indemnity Company. Complaint – An oral expression of dissatisfaction with Us or a Provider service. Complication(s) – A medical condition, arising from an adverse event or consequence, which requires services, treatment or therapy and which is determined by BCBSLA, based on substantial medical literature and experience, to be a direct and consequential result of another medical condition, disease, service or treatment. Solely as an example, a pulmonary embolism after Surgery would be a Complication of the Surgery. Congenital Anomaly – A condition existing at or from birth, which is a deviation from the common form or norm. Only deviations that impact bodily functions are covered. Examples of Congenital Anomalies that do not impact bodily function and are not covered include, but are not limited to: protruding ears, birthmarks, webbed fingers and toes, and asymmetrical breasts. Cleft Lip and Cleft Palate are covered Congenital Anomalies; other conditions relating to teeth or structures supporting the teeth are not covered. We will determine which conditions are covered as Congenital Anomalies. Consultation – Another Physician’s opinion or advice about Your evaluation or treatment which is given after the attending Physician asks for it. Consultations do not include the following: ◼ Those that Hospital rules and regulations require, ◼ Anesthesia Consultations, ◼ Routine Consultations for clearance for Surgery, or ◼ Those between colleagues who share medical opinions as a matter of courtesy and normally without charge.
