NON-NETWORK Sample Clauses
NON-NETWORK. PROVIDER is a provider that has not entered into a contract with us or any other Blue Cross and Blue Shield plan. For pediatric dental care services, non-network provider is a dentist that has not entered into a contract with us or does not participate in the Dental Coast to Coast Network. For pediatric vision hardware services, a non-network provider is a provider that has not entered into a contract with EyeMed, our vision care service manager.
NON-NETWORK. PHARMACY is any pharmacy that has not entered into a contract to accept our pharmacy allowance for prescription drugs and diabetic equipment or supplies covered under this plan.
NON-NETWORK. PROVIDER is a provider that has not entered into a contract with us or any other Blue Cross and Blue Shield plan.
NON-NETWORK. PROVIDER is a provider that has not entered into a contract to participate in the Network Blue New England network.
NON-NETWORK. Charges above the maximum for services rendered at a non-net- work facility are the member’s responsibility and do not apply to the member’s deductible or out-of-pocket maximum. Travel, lodging, and meals are not covered;
NON-NETWORK. PROVIDER is a provider that has not entered into a contract with us or any other Blue Cross and Blue Shield plan. For pediatric vision hardware services, a non-network provider is a provider that has not entered into a contract with EyeMed, our vision care service manager.
NON-NETWORK. If a member chooses to use a non-network pharmacy for non-special- ty prescriptions, s/he will be required to pay the full cost of the prescription and then file a claim with the PBM. The PBM will xxxx- xxxxx the cost of the drug based on the net- work discounted amount as determined by the PBM, less the applicable network copay- ment.
NON-NETWORK. If a member chooses to use a non-network pharmacy, s/he will be required to pay the full cost of the prescrip- tion and then file a claim with the PBM. The PBM will reimburse the cost of the drug based on the network discounted amount as determined by the PBM, less the applicable deductible or coinsurance.
A. Preferred formulary generic drug: Forty percent (40%) coinsurance after deductible has been met for up to a thirty- one- (31-) day supply for a generic drug on the formulary.
B. Preferred formulary brand drug: Forty percent (40%) coinsurance after deductible has been met for up to a thirty- one- (31-) day supply for a brand drug on the formulary.
C. Non-preferred formulary drug and approved excluded drug: Fifty percent (50%) coinsurance after deductible has been met for up to a thirty-one- (31-) day supply for a drug not on the formulary.
D. Diabetic drug (as designated by the PBM) coinsurance: Fifty percent (50%) of the applicable non-network coinsurance after deductible has been met.
NON-NETWORK. If a member chooses to use a non-network pharmacy, s/he will be required to pay the full cost of the prescrip- tion and then file a claim with the PBM. The PBM will reimburse the cost of the drug based on the network discounted amount as determined by the PBM, less the applicable deductible or coinsurance.