Common use of Out-of-Network Covered Services Clause in Contracts

Out-of-Network Covered Services. When a member incurs $2,400 in coinsurance expense for out-of-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 Provider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Reasonable Charge.

Appears in 1 contract

Samples: pahealthcoverage.com

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Out-of-Network Covered Services. When a member incurs $2,400 2,000 in coinsurance expense for out-of-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 Provider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Reasonable Charge.

Appears in 1 contract

Samples: www.pahealthcoverage.com

Out-of-Network Covered Services. When a member incurs $2,400 3,000 in coinsurance expense for out-of-network covered services furnished to the member in one (1) Benefit Periodbenefit period, the benefits payable for claims received by the Plan for that member during the remainder of the Benefit Period benefit period will increase to one hundred percent (100%) of the Provider’s Reasonable Chargeplan allowance. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Reasonable Chargeplan allowance.

Appears in 1 contract

Samples: www.highmarkbcbs.com

Out-of-Network Covered Services. When a member incurs $2,400 in coinsurance expense for out-of-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 Provider’s Provider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Provider’s Reasonable Charge.. BSMUHDHP2600-O

Appears in 1 contract

Samples: www.pahealthcoverage.com

Out-of-Network Covered Services. When a member incurs $2,400 2,000 in coinsurance expense for out-of-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 Provider’s Provider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Provider’s Reasonable Charge.

Appears in 1 contract

Samples: www.pahealthcoverage.com

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Out-of-Network Covered Services. When a member incurs $2,400 3,000 in coinsurance expense for out-of-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 Provider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Reasonable Charge.

Appears in 1 contract

Samples: www.pahealthcoverage.com

Out-of-Network Covered Services. When a member incurs $2,400 3,000 in coinsurance expense for out-of-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 Provider’s Provider’s Reasonable Charge. The dollar amount specified shall not include any amounts paid for deductibles or amounts in excess of the Provider’s Provider’s Reasonable Charge.. BSMUHDHP3500-O

Appears in 1 contract

Samples: pahealthcoverage.com

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