Copayment. A specified dollar amount which [Member] must pay for certain Covered Services or Supplies. NOTE: The Emergency Room Copayment, if applicable, must be paid in addition to any other Copayments, Coinsurance [or Cash Deductible]. COSMETIC SURGERY OR PROCEDURE. Any surgery or procedure which involves physical appearance, but which does not correct or materially improve a physiological function and is not Medically Necessary and Appropriate.
Appears in 17 contracts
Samples: Hmo Health Benefits Contract, Hmo Health Benefits Contract, Hmo Health Benefits Contract
Copayment. A specified dollar amount which [Member] must pay for certain Covered Services or Supplies. NOTE: The Emergency Room Copayment, if applicable, must be paid in addition to any other Copayments, Coinsurance [or Cash Deductible]. COSMETIC SURGERY OR PROCEDURE. Any surgery or procedure which involves physical appearance, but which does not correct or materially improve a physiological function and is not Medically Necessary and Appropriate.
Appears in 11 contracts
Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract