Coinsurance Amount definition

Coinsurance Amount means a Copayment that is a percentage amount paid by you for each Prescription Order filled or refilled through a Participating Pharmacy or non‐ Participating Pharmacy.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Coinsurance Amount means the percentage of covered service expenses that you are required to pay when you receive a covered service. Coinsurance amounts are listed in the Schedule of Benefits. Not all covered services have coinsurance. authorized representative, about an insurer or its providers with whom the insurer has a contract.

Coinsurance Amount. Semi-Private Hospital Component 100%

Examples of Coinsurance Amount in a sentence

• When necessary to permit synchronization, the Plan will prorate the Copayment Amount or Coinsurance Amount, on a daily basis, due for Covered Drugs based on the proportion of days the reduced Prescription covers to the regular day sup­ ply as described below under the BENEFIT PAYMENT FOR PRESCRIPTION DRUGS provision in this Benefit Section.

• Additional Coinsurance Amount and/or Copayment Amount and any deductible may apply.

• When necessary to permit synchronization, the Plan will prorate the Copayment Amount or Coinsurance Amount, on a daily basis, due for Covered Drugs based on the proportion of days the reduced Prescription covers to the regular day supply as described below under the BENEFIT PAYMENT FOR PRESCRIPTION DRUGS provision in this benefit section.

• The Deductible, Coinsurance Amount, and Copayment Amounts, if any, will not be applicable.

• The Coinsurance Amount, as shown on the Schedule of Benefits page, is the percentage of eligible expenses paid by your Plan less the Deductible Amount, if any.

• When necessary to fill a partial Prescription Order to permit synchronization, BCBSTX will prorate the Copayment Amount or Coinsurance Amount due for Covered Drugs based on the proportion of days the reduced Prescription Order covers to the regular day supply outlined in your Schedule of Coverage.

• To the extent that Loss on account of a Claim is covered under Insuring Contract 2 or 3 of this policy and is in excess of the Deductible Amount, the Insured Organisation shall bear uninsured and at its own risk that percentage of such Loss specified as the Co-insurance Amount in Item 5 of the Schedule and the Company's liability shall apply only to the remaining percentage of such Loss.

• This penalty amount cannot be used to satisfy Deductibles or to apply toward the Coinsurance Amount.

• If You receive a partial fill, Your Copayment Amount and/or Coinsurance Amount, after Your Deductible (if applicable), will be adjusted to align with the quantity of medication dispensed.

• No Participant will be allowed to contribute more than the individual Coinsurance Amount to the family Coinsurance Amount.

More Definitions of Coinsurance Amount

Coinsurance Amount means the percentage of covered service expenses that you are required to pay when you receive a service. Coinsurance amounts are listed in the Schedule of Benefits. Not all covered services have coinsurance. Complaint means any expression of dissatisfaction expressed to the insurer by the claimant, or a claimant’s authorized representative, about an insurer or its providers with whom the insurer has a contract.

Coinsurance Amount means the dollar amount (expressed as a percentage) of Eligible Dental Expenses incurred by a Participant during a Calendar Year that exceeds benefits provided under the Plan.

Coinsurance Amount means a Copayment that is a percentage amount paid by you for each Prescription Order filled or refilled through a Participating Pharmacy or non‐Participating Pharmacy.

Coinsurance Amount means the percentage amount paid by you for each Prescription Order filled or refilled through a Participating Phar­ macy or non‐Participating Pharmacy.