Limit on Supplemental Charges Sample Clauses

Limit on Supplemental Charges. It is recommended that Members keep receipts as proof of their payments. All payments are credited toward the Accumulation Period in which the medical services were received. "Basic Health Services" include all covered Essential Health Benefits (except pediatric dental) and benefits referred to in sections A through FF of the applicable benefit schedule. Payments toward any applicable Deductible (including prescription drug deductible) also count toward the limit on Supplemental Charges. Payments for dressings and casts referred to in section F-3, medical social services referred to in section O, health education services, classes or support groups referred to in section P, student coverage outside the service area referred to in section R, and kpgroup_servagree_16r.doc GSA-6 01/2016 services described as covered in any applicable dental rider (including pediatric dental care) do not count toward the limit on Supplemental Charges. For the purposes of this provision, payments by or on behalf of the Member for non-covered services, or for benefits excluded under this Service Agreement, are not Supplemental Charges for Basic Health Services and do not count toward the limit on Supplemental Charges.