Copayment and Cost Shares. That portion of the cost of Covered Services that a Member is obligated to pay under a particular Benefit Program, including a deductible and co-insurance. A Copayment is a fixed dollar amount. A Cost Share is a percentage of the applicable Participating Provider contract rate. FHFS will advise Participating Providers of the amounts or methods by which Copayments and/or Cost Shares may be determined and/or as outlined in the TRICARE Network Provider Manual.
Appears in 4 contracts
Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Dental Services (Prospect Medical Holdings Inc)
Copayment and Cost Shares. That portion of the cost of Covered Services that a Member is obligated to in pay under a particular Benefit Program, including a deductible and co-insurance. A Copayment is a fixed dollar amount. A Cost Share is a percentage of the applicable Participating Provider contract rate. FHFS will advise Participating Providers of the amounts or methods by which Copayments and/or Cost Shares may be determined and/or as outlined in the TRICARE Network Provider Manual.
Appears in 1 contract
Samples: Group Provider Services Agreement (Prospect Medical Holdings Inc)