Coinsurance rate definition

Coinsurance rate means the rate set by the Commission at which the Program will reimburse an

Coinsurance rate means the rate, adopted by the department by rule, at which the department will reimburse a reinsurance eligible health benefit plan for claims costs incurred for an insured individual’s covered benefits in a benefit year after the attachment point and before the reinsurance cap.

Coinsurance rate means the rate at which the association will reimburse an eligible health insurer

Examples of Coinsurance rate in a sentence

• For out-of-network emergency services, any cost-sharing requirement expressed as a Copayment amount or Coinsurance rate for the Member cannot exceed those in-network services.

• The paid amounts22 reported in the issuer’s BY 2018 HCRPDE Report, the 2018 Coinsurance rate of 60%, as well as the paid claim amount differences identified from the claim- level audit procedures, were considered for purposes of determining the financial impact of the findings in Anthem BCBS’s BY 2018 HCRP audit.

• The paid amounts22 reported in the issuer’s BY 2018 HCRPDE Report, the 2018 Coinsurance rate of 60%, as well as the paid claim amount differences identified from the claim- level audit procedures, were considered for purposes of determining the financial impact of the findings in Health Net’s BY 2018 HCRP audit.

• Using a reasonable method, the plan projects its payments for the upcoming year as follows: Coinsurance rate ...............0%10%15%20%30%TotalProjected payments ...........$200x$100x$450x$100x$150x$1,000xPercent of total plan costs20%10%45%10%15% Percent subject to coinsur- ance level.N/A12.5% (100x/800x)56.25% (450x/800x)12.5% (100x/800x)18.75% (150x/800x) The plan projects plan costs of $800x to be subject to coinsurance ($100x + $450x + $100x+ $150x = $800x).

• The paid amounts22 reported in the issuer’s BY 2018 HCRPDE Report, the 2018 Coinsurance rate of 60%, as well as the paid claim amount differences identified from the claim- level audit procedures, were considered for purposes of determining the financial impact of the findings in Premera’s BY 2018 HCRP audit.

More Definitions of Coinsurance rate

Coinsurance rate means the rate at which the Executive Director may reimburse a reinsurance eligible health benefit plan for claims costs incurred after the attachment point and before the reinsurance cap for an insured individual’s covered benefits in a benefit year.

Coinsurance rate means the percentage rate at which the

Coinsurance rate means the rate set under s. 601.83 (2) for the healthcare stability plan that is the rate at which the com- missioner will reimburse an eligible health carrier for claims incurred for an enrolled individual’s covered benefits in a benefit year above the attachment point and below the reinsurance cap.

Coinsurance rate means the rate at which claims will be reimbursed by reinsurance payments for

Coinsurance rate means the rate at which the director may reimburse a reinsurance eligible health benefit plan for claims costs incurred after the attachment point and before the reinsurance cap for an insured individual's covered benefits in a benefit year. The coinsurance rate is set by the director at an initial estimated value but is subject to change in accordance with § 2.6(B)(2) of this Part.

Coinsurance rate means the rate as provided in subsection C of § 38.2-3465.

Coinsurance rate means the rate as provided in subsection i. of