Common use of OUT-OF-POCKET MAXIMUM Clause in Contracts

OUT-OF-POCKET MAXIMUM. a specified dollar amount of Deductible, Coinsurance and Copayment expenses, if any, Incurred by a Member for Covered Services in a Benefit Period, after which the level of benefits payable by the Plan is increased to one hundred percent (100%) of the Plan Allowance such that the Member will not be liable for any additional Deductible, Coinsurance or Copayment expenses in that Benefit Period.

Appears in 5 contracts

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

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OUT-OF-POCKET MAXIMUM. a specified dollar amount of Deductible, Deductible and Coinsurance and Copayment expenses, if any, expenses Incurred by a Member for Covered Services in a Benefit Period, after which the level of benefits payable by the Plan is increased to one hundred percent (100%) of the Plan Allowance such that the Member will not be liable for any additional Deductible, Deductible or Coinsurance or Copayment expenses in that Benefit Period.

Appears in 3 contracts

Samples: Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement

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