Copayments/Deductibles Sample Clauses

Copayments/Deductibles. PROVIDER shall bill and collect all Copayments and Deductibles from Member(s), which are specifically permitted and/or applicable to Member(s)’ benefit program. PROVIDER shall bill and collect all charges from a Member for those Non-Covered Services provided to a Member. PROVIDER may only bill the Member when XXXXX has denied confirmation of eligibility for the service(s) and when the following conditions are met:
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Copayments/Deductibles. If copayments and/or deductibles are designated by my insurance company or health plan, I agree to pay them to North Country Neurology, PC, at the time of service. Collections: I acknowledge and agree that should my account be referred for collection with Central Service Bureau, I will pay a collection expense of $15.00 for each referral, plus any reasonable attorney’s fees. Any benefits, of any type, under any policy of insurance insuring the patient, or any other party liable for the patient, are hereby assigned to North Country Neurology, PC. However, it is understood that the undersigned and/or the patient are primarily responsible for the payment of my bill.
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Copayments/Deductibles. Enrollee and enrollee's eligible dependent(s) are responsible for the copayment amounts specified in the Benefits Schedule. The copayment amount may be a specific dollar amount or a percentage of the contracted provider's charge, depending on the service provided.
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Copayments/Deductibles.  It is your responsibility to understand any deductible/coinsurance or copay that may apply to you under your insurance policy.  If you have a copay, your insurance company requires it to be paid at the time of each visit. We accept cash, check or money order. If you are unprepared to pay a copayment at the time of your visit, you will not be seen by your provider.  You will be expected to pay ½ of any outstanding balance at the time of your visit.  If your check is returned, a $25.00 returned check fee will be assessed. After two subsequent returned checks, you will be required to pay by cash or certified check only.  If you do not have insurance coverage, you will be expected to pay the out of pocket cost at the time of your visit.  Our billing department will send out billing statements for outstanding balances. If the balance is still unpaid after four statements, your account will automatically be sent to our collection agency. It is the policy of our collection agency to report delinquent accounts to credit bureaus.  Small balances can be collected at your visit, and may not generate a bill.
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Related to Copayments/Deductibles

  • Deductibles The Department shall be exempt from, and in no way liable for, any sums of money representing a deductible in any insurance policy. The payment of such deductible shall be the sole responsibility of the Grantee providing such insurance.

  • Insurance, Loss Deductible The Customer shall be exempt from, and in no way liable for, any sums of money which may represent a deductible in any insurance policy. The payment of such deductible shall be the sole responsibility of the Contractor providing such insurance. Upon request, the Contractor shall furnish the Customer an insurance certificate proving appropriate coverage is in full force and effect.

  • Copayments Effective January 1, 2019, the State Dental Plan will cover allowable charges for the following services subject to the copayments and coverage limits stated. Higher out-of-pocket costs apply to services obtained from dental care providers not in the State Dental Plan network. Services provided through the State Dental Plan are subject to the State Dental Plan's managed care procedures and principles, including standards of dental necessity and appropriate practice. The plan shall cover general cleaning two (2) times per plan year and special cleanings (root or deep cleaning) as prescribed by the dentist. Service In-Network Out-of-Network Diagnostic/Preventive 100% 50% after deductible Fillings 80% after deductible 50% after deductible Endodontics 80% after deductible 50% after deductible Periodontics 80% after deductible 50% after deductible Oral Surgery 80% after deductible 50% after deductible Crowns 80% after deductible 50% after deductible Implants 80% after deductible 50% after deductible Prosthetics 80% after deductible 50% after deductible Prosthetic Repairs 80% after deductible 50% after deductible Orthodontics* 80% after deductible 50% after deductible

  • Deductibles and Self-Insurance Retentions Any deductibles or self-insured retentions must be declared to and approved by the City. The City may require the Consultant to provide proof of ability to pay losses and related investigation, claims administration and defense expenses within the deductible or self-insured retention. The deductible or self-insured retention may be satisfied by either the named insured or the City.

  • Deductible An annual deductible of fifty dollars ($50) per person and one hundred fifty dollars ($150) per family applies to State Dental Plan non-preventive services received from in-network providers. An annual deductible of one hundred twenty-five dollars ($125) per person applies to State Dental Plan services received from out of network providers. The deductible must be satisfied before coverage begins.

  • Self-Insured Retention/Deductibles Certificates of Insurance must indicate the applicable deductibles/self-insured retentions for each listed policy. Deductibles or self-insured retentions above $100,000.00 are subject to approval from OGS. Such approval shall not be unreasonably withheld, conditioned or delayed. The Contractor shall be solely responsible for all claim expenses and loss payments within the deductibles or self-insured retentions. If the Contractor is providing the required insurance through self-insurance, evidence of the financial capacity to support the self-insurance program along with a description of that program, including, but not limited to, information regarding the use of a third-party administrator shall be provided upon request.

  • Deductibles and Self-Insured Retentions Any deductibles or self-insured retentions must be declared to, and approved by CITY's Risk Manager. At the option of CITY, either; the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects CITY, its officer, employees, agents and contractors; or GRANTEE shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses in an amount specified by the CITY's Risk Manager.

  • Policy Deductibles and/or Self-Insured Retentions The policies set forth in these requirements may provide coverage that contains deductibles or self- insured retention amounts. Such deductibles or self-insured retention shall not be applicable with respect to the policy limits provided to the City. Consultant shall be solely responsible for any such deductible or self-insured retention amount.

  • Deductibles and Self-Insured Retention Any deductible or self-insured retention that apply to any insurance required by this Agreement must be declared and approved by COUNTY.

  • Copayment A fixed amount You pay directly to a Provider for a Covered Service when You receive the service. The amount can vary by the type of Covered Service. Cost-Sharing: Amounts You must pay for Covered Services, expressed as Copayments, Deductibles and/or Coinsurance. Cover, Covered or Covered Services: The Medically Necessary services paid for, arranged, or authorized for You by Us under the terms and conditions of this Contract. Deductible: The amount You owe before We begin to pay for Covered Services. The Deductible applies before any Copayments or Coinsurance are applied. The Deductible may not apply to all Covered Services. You may also have a Deductible that applies to a specific Covered Service that You owe before We begin to pay for a particular Covered Service. Dependents: The Subscriber’s Spouse and Children. Emergency Dental Care: Emergency dental treatment required to alleviate pain and suffering caused by dental disease or trauma. Refer to the Pediatric Dental Care and Adult Dental Care sections of this Contract for details.

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