Common use of Copayment and Cost Shares Clause in Contracts

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)

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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)

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