Common use of Summary of Your Costs Clause in Contracts

Summary of Your Costs. If you do not show your Premera ID Card, you will be charged the full retail cost. Then you must send us your claim for reimbursement. Reimbursement is based on the allowed amount. See Sending Us a Claim for instructions. This plan does not cover prescription drugs from out- of-network pharmacies.

Summary of Your Costs. If you do not show your Premera ID Card, you will be charged the full retail cost. Then you must send us your claim for reimbursement. Reimbursement is based on the allowed amount. See Sending Us a Claim for instructions. This plan does not cover prescription drugs from out- out-of-network pharmacies.