Common use of Non-Participating Facility Provider Clause in Contracts

Non-Participating Facility Provider. The Plan’s coinsurance liability arises after the member’s deductible obligation is subtracted from the Provider’s Reasonable Charge. At that time, the Plan will pay seventy percent (70%) of the remaining amount and the member’s coinsurance obligation will be thirty percent (30%) of the remaining amount. The member is obligated to pay the coinsurance amount as well as any deductible amounts.

Non-Participating Facility Provider. The Plan’s coinsurance liability arises after the member’s member deductible obligation is subtracted from the Provider’s Reasonable Charge. At that time, the Plan will pay seventy percent (70%) of the remaining amount and the member’s coinsurance obligation will be thirty percent (30%) of the remaining amount. The member is obligated to pay the coinsurance amount as well as any deductible and/or copayment amounts. The member is also responsible for any difference between the non-participating facility provider’s billed charges and the Plan’s payment.

Non-Participating Facility Provider. The Plan’s Plan’s coinsurance liability arises after the member’s member’s deductible obligation is subtracted from the Provider’s Provider’s Reasonable Charge. At that time, the Plan will pay seventy percent (70%) of the remaining amount and the member’s member’s coinsurance obligation will be thirty percent (30%) of the remaining amount. The member is obligated to pay the coinsurance amount as well as any deductible amounts. The member is also responsible for any difference between the non-participating facility provider’s billed charges and the Plan’s payment.