Common use of Payment for In Clause in Contracts

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $75. The emergency room Co­ payment does not apply to services provided for the treatment of sexual assault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $75100. The emergency room Co­ payment Copayment does not apply to services provided for the treatment of sexual assaultas­ sault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $75150. The emergency room Co­ payment Copayment does not apply to services provided for the treatment of sexual assaultas­ sault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $7510. The emergency room Co­ payment does not apply to services provided for the treatment of sexual assault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $75200. The emergency room Co­ payment Copayment does not apply to services provided for the treatment of sexual assaultas­ sault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $75250. The emergency room Co­ payment Copayment does not apply to services provided for the treatment of sexual assaultas­ sault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.

Payment for In. Area Emergency Treatment Benefits for emergency treatment received in your Participating IPA's/Participat­ ing Medical Group's treatment area will be paid at 100% of the Provider's Charge. However, each time you receive emergency treatment in a Hospital emergency room, you will be responsible for a Copayment of $7550. The emergency room Co­ payment does not apply to services provided for the treatment of sexual assault. Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi­ ficate. If you are admitted to the Hospital as an Inpatient immediately following emergency treatment, the emergency room Copayment will be waived.