Common use of For Plans without Deductible Option Clause in Contracts

For Plans without Deductible Option. i) If the provisions of the Contribution Clause apply, (under Section VIII.10), Our liability to make payment under the claim shall be first apportioned accordingly. ii) Where a room accommodation is opted for higher than the eligible room category under the plan, the room rent for the applicable accommodation will be apportioned. Such apportioned amount will apply to all “Associated Medical Expenses”. iii) Any Voluntary or Mandatory Co-payment shall be applicable on the amount payable after applying the Section VII.7 a (i) and (ii)

Appears in 2 contracts

Samples: Insurance Policy, Insurance Policy

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For Plans without Deductible Option. i) If the provisions of the Contribution Clause apply, (under Section VIII.10), Our liability to make payment under the claim shall be first apportioned accordingly. ii) Where a room accommodation is opted for higher than the eligible room category under the plan, the room rent for the applicable accommodation will be apportioned. Such apportioned amount will apply to all “Associated Medical Expenses”. iiiii) Any Voluntary or Mandatory Co-payment shall be applicable on the amount payable after applying the Section VII.7 a (i) iii) If the provisions of the Contribution Clause apply, (under Section VIII.10), Our liability to make payment under the claim shall be apportioned accordingly after applying the Section VII7.a(i) and (ii).

Appears in 2 contracts

Samples: Insurance Policy, Insurance Policy

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