Non-Participating Professional Provider and Non-Contracting Supplier (within or outside Pennsylvania Sample Clauses

Non-Participating Professional Provider and Non-Contracting Supplier (within or outside Pennsylvania. 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. The member, in addition to coinsurance and/or deductible obligations, is also responsible for any difference between the non-participating professional provider’s or non-contracting supplier’s billed charge and the Plan’s payment.
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