Common use of Schedule of Payments Clause in Contracts

Schedule of Payments. You are required to pay any copayments, deductibles and coinsurance amount. Benefits are covered in this contract according to what PIC pays for covered services it determines are medically necessary. Medically necessary is defined in the Definitions section of this contract. Your coinsurance amount is the eligible charge for a covered service less the percentage covered by PIC. PIC payment begins after you have satisfied any applicable copayments, deductibles and coinsurance. Discounts negotiated by or on behalf of PIC with providers may affect your coinsurance amount. PIC may pay higher benefits if you choose participating providers. In addition to any copayments, coinsurance and deductible, you also pay all charges that exceed the PIC non-participating provider reimbursement value, when applicable.

Schedule of Payments. You are required to pay any copayments, deductibles and coinsurance amount. Benefits are covered in this contract according to what PIC pays for covered services it determines are medically necessary. Medically necessary is defined in the Definitions section of this contract. Your coinsurance amount is the eligible charge for a covered service less the percentage covered by PIC. PIC payment begins after you have satisfied any applicable copayments, deductibles and coinsurance. Discounts negotiated by or on behalf of PIC with providers may affect your coinsurance amount. PIC may pay higher benefits if you choose participating providers. In addition to any copayments, coinsurance and deductible, you also pay all charges that exceed the PIC non-participating provider reimbursement value, value when applicableyou use a non-participating provider and receive non-participating provider benefits.