Coinsurance definition

Coinsurance means that you pay a percent of the total cost of the drug each time you fill a prescription.

Coinsurance means a percentage of Eligible Expenses the Policy Holder must contribute after paying the Deductible (if any) in a Policy Year. For the avoidance of doubt, Coinsurance does not refer to any amount that the Policy Holder is required to pay if the actual expenses exceed the benefit limits under these Terms and Benefits.

Coinsurance means the amount of Usual and Customary Charges for which the Insured is responsible for a specified coverage.

Examples of Coinsurance in a sentence

• Coinsurance and Deductible requirements do not apply to Preventive Benefits.

• Coinsurance and Deductible provisions do not apply to SupportPlus Coverage.

• HereditaryPlus We will reimburse You, if shown on the Declarations Page, after a thirty (30) day Waiting Period, for the Covered Expenses that occur during the Coverage Period, subject to the Policy limits and exclusions including, but not limited to Coinsurance, Deductible, and the Annual Limit for Congenital and Inherited conditions as well as Elbow Dysplasia, Hip Dysplasia, OCD (Osteochondritis Dissecans) Osteoarthritis, Spondylosis, Luxating Patella and Diabetes.

• We will reimburse You, if shown on the Declarations Page, for the Covered Expenses that occur during the Coverage Period subject to Policy limits and exclusion including, but not limited to, Coinsurance, Deductible and Annual Limit for physical examination; including costs and/or fees for telephone consultation; to diagnose a current covered Illness or Injury.

• PLAN D – Choices, $500/$1,000, $20 OV, Saver Rx PLAN C – ABC 1, 0% Coinsurance, ABC Rx, Health Equity HSA Provider The Board shall pay the State of Michigan allowed hard caps, updated annually on January 1 of each year for the life of the 2024-2027 contract, for the Employee’s medical insurance premiums, taxes, and fees and/or MESSA ABC Plan 1 medical insurance premiums, taxes, and fees plus deductible on a monthly basis (January 1 to December 31).

More Definitions of Coinsurance

Coinsurance means a percentage of costs of a covered health care service that has to be paid. “Copayment” means a fixed amount a member pays for a covered health care service. “Deductible” means the amount paid for covered health care services before the insurance plan will

Coinsurance means the portion of the cost for a Covered Service that a Member must pay once any applicable Deductible has been met, and is expressed as a percentage, established solely by AvMed, of the Allowed Amount for the Covered Service, or the percentage of an amount based on the Maximum Medicare Allowable or Average Wholesale Price for the Covered Service. Members are responsible for the payment of any applicable Coinsurance directly to a Health Care Provider at the time Covered Services are received.

Coinsurance means a percentage of Eligible Expenses the Policy Holder must

Coinsurance means a percentage of Eligible Expenses the Policy Holder must contribute after paying the Deductible (if any) in a Policy Year. For the avoidance of doubt, Coinsurance does not refer to any amount that the Policy Holder is required to pay if the actual expenses exceed the benefit limits under these Terms and Benefits."Company"shall mean AXA China Region Insurance Company (Bermuda) Limited (Incorporated in Bermuda with limited liability)."Confinement" or "Confined"shall mean an admission of the Insured Person to a Hospital that is recommended by a Registered Medical Practitioner for Medical Service and as an Inpatient as a result of a Medically Necessary condition for a period of no less than six (6) consecutive hours. No minimum period is required for Confinement in connection with any Emergency Treatment in a Hospital as a result of an Emergency for the performance of a surgical procedure or other Medical Service in a Hospital. Confinement shall be evidenced by a daily room charge invoiced by the Hospital and the Insured Person must stay in the Hospital continuously for the entire period of Confinement."Congenital Condition(s)"shall mean (a) any medical, physical or mental abnormalities existed at the time of or before birth, whether or not being manifested, diagnosed or known at birth; or (b) any neo-natal abnormalities developed within six (6) months of birth."Day Case Procedure"shall mean a Medically Necessary surgical procedure for investigation or treatment to the Insured Person performed in a medical clinic, or day case procedure centre or Hospital with facilities for recovery as a Day Patient."Day Patient"shall mean an Insured Person receiving Medical Services or treatments given in a medical clinic, day case procedure centre or Hospital where the Insured Person is not in Confinement."Deductible"shall mean a fixed amount of Eligible Expenses that, in a Policy Year, the Policy Holder must pay before the Company shall reimburse the remaining Eligible Expenses."Delivery"shall mean the delivery of these Terms and Benefits and the Policy Schedule or the cooling-off notice as stated in Section 2(a) of Part 2 to the Policy Holder, or to nominated representative of the Policy Holder, by any the following means:(a) by hand;(b) by post (including registered post); or(c) by electronic means.Regardless of the means of delivery is used, it is the responsibility ofthe Company, to have sufficient proof of delivery and the timing of delivery.

Coinsurance means a cost sharing feature of many plans which requires a Participant to pay out-of- pocket a prescribed portion of the cost of Covered Expenses. The defined Coinsurance that a Participant must pay out-of-pocket is based upon his or her health plan design. Coinsurance is established as a predetermined percentage of the Maximum Allowable Charge for covered services and usually applies after a Deductible is met in a Deductible plan.

Coinsurance means the percentage of the MPA, after any applicable Deductible is applied, paid by the Subscriber or Covered Dependent for a specific Benefit each time such Benefit is provided under Your Group’s Contract.

Coinsurance means the percentage of the charges billed or the percentage of eligible Medical Expenses, whichever is less, that an Insured must pay a Provider for Covered Services. Coinsurance amounts are to be paid by the Insured directly to the Provider who bills for the Covered Services. (See Attachment A Benefit Schedule.)