Coinsurance definition

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

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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

• This provision does not prohibit collection of any applicable Copayments, Coinsurance and Deductibles.

• Provider may charge Participants applicable Copayments, Coinsurance and Deductibles in accordance with the process set out in the Administrative Guidelines.

• Provider will be paid for Covered Services rendered to Participants in accordance with the fee schedule and reimbursement terms set forth in Exhibit A to this Agreement, subject to the Administrative Guidelines and minus any applicable Copayments, Coinsurance and Deductibles.

• Payments for Covered Services will be the lesser of the billed charge or the applicable fee under Exhibit A and Exhibit A-1, subject to the Administrative Guidelines and minus any applicable Copayments, Coinsurance and Deductibles.

• Provider shall look solely to Payor for payment for Covered Services except for Copayments, Coinsurance and Deductibles.

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.

Coinsurance means the percentage of the Medicare approved amount that a Member pays after meeting the Medicare deductible.

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.