Common use of Network Covered Services Clause in Contracts

Network Covered Services. When a Member incurs $7,150 in Deductible, Copayment and Coinsurance expenses for Network Covered Services furnished to the Member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan Allowance. The dollar amount specified shall not include amounts in excess of the Plan Allowance.

Appears in 2 contracts

Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement

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Network Covered Services. When a Member member incurs $7,150 1,000 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan AllowanceProvider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan AllowanceProvider’s Reasonable Charge.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

Network Covered Services. When a Member member incurs $7,150 1,200 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan AllowanceProvider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan AllowanceProvider’s Reasonable Charge.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

Network Covered Services. When a Member member incurs $7,150 1,500 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan AllowanceProvider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan AllowanceProvider’s Reasonable Charge.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

Network Covered Services. When a Member incurs $7,150 6,850 in Deductible, Copayment and Coinsurance expenses for Network Covered Services furnished to the Member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan Allowance. The dollar amount specified shall not include amounts in excess of the Plan Allowance.

Appears in 1 contract

Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement

Network Covered Services. When a Member member incurs $7,150 1,500 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan AllowanceProvider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan AllowanceProvider’s Reasonable Charge.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

Network Covered Services. When a Member member incurs $7,150 1,000 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan AllowanceProvider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan AllowanceProvider’s Reasonable Charge.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

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Network Covered Services. When a Member member incurs $7,150 1,200 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan AllowanceProvider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan AllowanceProvider’s Reasonable Charge.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

Network Covered Services. When a Member member incurs $7,150 4,000 in Deductible, Copayment and Coinsurance expenses coinsurance expense for Network Covered Services network covered services furnished to the Member member in one (1) Benefit Periodbenefit period, the benefits payable for claims received by the Plan for that Member member during the remainder of the Benefit Period benefit period will increase to one hundred percent (100%) of the Plan Allowanceplan allowance. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Plan Allowanceplan allowance.

Appears in 1 contract

Samples: Comprehensive Major Medical Preferred Provider High Deductible Subscription Agreement

Network Covered Services. When a Member incurs $7,150 6,900 in Deductible, Copayment and Coinsurance expenses for Network Covered Services furnished to the Member in one (1) Benefit Period, the benefits payable for claims received by the Plan for that Member during the remainder of the Benefit Period will increase to one hundred percent (100%) of the Plan Allowance. The dollar amount specified shall not include amounts in excess of the Plan Allowance.

Appears in 1 contract

Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement

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