Copayment and Coinsurance Requirements. Covered Services rendered by certain Health Care Providers will be subject to a Copayment or Coinsurance requirement. This is the fixed dollar amount (Copayment) or percentage (Coinsurance) of the Allowed Amount or Maximum Allowable Payment you have to pay when you receive these services. Please refer to your Schedule of Benefits for particular Covered Services that are subject to a Copayment or Coinsurance. All applicable Calendar Year Deductible, Copayment or Coinsurance amounts must be satisfied before we will pay any portion of the cost for Covered Services.
Appears in 26 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract
Copayment and Coinsurance Requirements. Covered Services rendered by certain Health Care Providers will be subject to a Copayment or Coinsurance requirement. This is the fixed dollar amount (Copayment) or percentage (Coinsurance) of the Allowed Amount or Maximum Allowable Payment you have to pay when you receive these services. Please refer to your Schedule of Benefits for particular Covered Services that are subject to a Copayment or Coinsurance. All applicable Calendar Year Deductible, Copayment or Coinsurance amounts must be satisfied before we will pay any portion of the cost for of Covered Services.
Appears in 10 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Copayment and Coinsurance Requirements. Covered Services rendered by certain Health Care Providers at certain locations or settings will be subject to a Copayment or Coinsurance requirement. This is the fixed dollar amount (Copayment) or percentage (Coinsurance) of the Allowed Amount or Maximum Allowable Payment (Coinsurance) you have to pay when you receive these services. Please refer to your Schedule of Benefits for particular Covered Services that which are subject to a Copayment or Coinsurance. All applicable Calendar Year Deductible, Copayment or Coinsurance amounts must be satisfied before we will pay any portion of the cost Allowed Amount or Maximum Allowable Payment for Covered Services.
Appears in 5 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Large Group Choice Plan Medical and Hospital Service Contract
Copayment and Coinsurance Requirements. Covered Services rendered by certain Health Care Providers at certain locations or settings will be subject to a Copayment or Coinsurance requirement. This is the fixed dollar amount (Copayment) or percentage (Coinsurance) of the Allowed Amount or Maximum Allowable Payment (Coinsurance) you have to pay when you receive these services. Please refer to your Schedule of Benefits for particular Covered Services that which are subject to a Copayment or Coinsurance. All applicable Calendar Year Deductible, Copayment or Coinsurance amounts must be satisfied before we will pay any portion of the cost Allowed Amount for Covered Services.
Appears in 4 contracts
Samples: Medical and Hospital Service Contract, Large Group Hmo Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract
Copayment and Coinsurance Requirements. Covered Services rendered by certain Health Care Providers will be subject to a Copayment or Coinsurance requirement. This is the fixed dollar amount (Copayment) or percentage (Coinsurance) of the Allowed Amount or Maximum Allowable Payment you have to pay when you receive these services. Please refer to your Schedule of Benefits for particular Covered Services that are subject to a Copayment or Coinsurance. All applicable Calendar Year Deductible, Copayment or Coinsurance amounts must be satisfied before we will pay any portion of the cost for Covered Services.
Appears in 2 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract
