Copayment assistance definition

Copayment assistance means the financial
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Copayment assistance means the financial assistance an enrollee receives from a prescription drug or medical supply manufacturer toward the purchase of a covered health care service or supply.
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Copayment assistance means the fi- nancial assistance a participant, bene- ficiary, or enrollee receives from a pre- scription drug or medical supply manu- facturer towards the purchase of a cov- ered item or service.
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Examples of Copayment assistance in a sentence

  • If you use any third-party Copayment assistance (sometimes also referred to as a “copay card” or “copay coupon”) provided by a drug manufacturer or any other entity to pay any applicable Calendar Year Deductible, Copayment, or Coinsurance amounts for any Specialty Medications, you will not receive credit toward your Calendar Year Out-of-Pocket Maximum or Calendar Year Deductible for any such assistance you use.

  • Any third-party Copayment assistance (sometimes also referred to as a “copay card” or “copay coupon”) provided by a drug manufacturer or any other entity to pay any applicable Calendar Year Deductible, Copayment or Coinsurance amounts for any therapy medications administered by a Health Professional will not be credited toward your Calendar Year Deductible or Calendar Year Out-of-Pocket Maximum.

  • If you use any third-party Copayment assistance (sometimes also referred to as a “copay card” or “copay coupon”) provided by a drug manufacturer or any other entity to pay any applicable Calendar Year Deductible, Copayment, or Coinsurance amounts for any brand Specialty Medications that have an available and medically appropriate generic equivalent, you will not receive credit toward your Calendar Year Out-of-Pocket Maximum or Calendar Year Deductible for any such assistance you use.

  • Where there is no generic equivalent available or medically appropriate, third-party Copayment assistance will be counted toward your annual limitation on cost sharing.

  • Some specialty medications may qualify for third party Copayment assistance programs which could lower your out of pocket costs for those products, subject to prior approval of Oscar.

  • For further information as to third party Copayment assistance programs approved by Oscar for certain specialty medications, please call Us at 1-855-OSCAR-88.

  • Third-party Copayment assistance (sometimes also referred to as a “copay card” or “copay coupon”) provided by a drug manufacturer toward your cost-sharing for any therapy medications administered by a Health Professional will not be credited toward your Calendar Year Deductible or Calendar Year Out-of- Pocket Maximum.

  • Any third-party Copayment assistance (sometimes also referred to as a “copay card” or “copay coupon”) provided by a drug manufacturer or any other entity to pay any applicable Calendar Year Deductible, Copayment or Coinsurance amounts for any therapy medications administered by a Health Professional will not be credited toward your or Calendar Year Deductible or Calendar Year Out-of-Pocket Maximum.

  • For any such specialty medication where third party Copayment assistance is used, the Member shall not receive credit toward their maximum Out-of-Pocket orDeductible for any Copayment or Coinsurance amounts that are applied to a manufacturer coupon or rebate.

  • Some specialty medications may qualify for third party Copayment assistance programs which could lower Your Out-of-Pocket costs for those drugs.


More Definitions of Copayment assistance

Copayment assistance means the financial assistance a participant or beneficiary receives from a prescrip- tion drug or medical supply manufac- turer towards the purchase of a covered item or service.
Sample 1
Copayment assistance means the fi- nancial assistance a participant or ben- eficiary receives from a prescription drug or medical supply manufacturer towards the purchase of a covered item or service.
Sample 1

Related to Copayment assistance

  • Cash assistance means cash benefits provided under the family independence program, the refugee assistance program, or state disability assistance.

  • Medical assistance means medical assistance as established under title XIX of the social security act, 42 USC 1396 to 1396w-5.

  • Copayment means that you pay a fixed amount each time you fill a prescription.

  • Legal assistance means provision of legal advice, counseling and representation by an attorney or other person acting under the supervision of an attorney.

  • Medication assistance means assistance rendered by a

  • Resettlement Assistance means the measures to ensure that project affected persons who may require to be physically relocated are provided with assistance such as moving allowances, residential housing or rentals whichever is feasible and as required, for ease of resettlement during relocation.

  • Government assistance means a grant, loan, or tax increment financing that result in a financial benefit from an agency, commission, instrumentality, or other entity of the District government.

  • Dependent care assistance program or "DCAP" means a benefit plan whereby school employees may pay for certain employment related dependent care with pretax dollars as provided in the salary reduction plan under chapter 41.05 RCW pursuant to 26 U.S.C. Sec. 129 or other sections of the Internal Revenue Code.

  • Directory assistance means an ancillary service of providing:

  • Energy assistance means benefits to assist low-income households with their home heating and

  • Medical Assistance Program means the medical assistance provided pursuant to Chapter 319v of the Connecticut General Statutes (CGS) and authorized by Title XIX of the Social Security Act. The program is also referred to as Medicaid.

  • Directory Assistance Lists shall have the meaning set forth in Section 10.6.1.1.

  • General Assistance means a service in which the End User dialing - 0 asks the OS operator for assistance. The operator will respond in accordance with OS methods and practices that are in effect at the time the End User makes an OS call where available and technically feasible.

  • technical assistance means any technical support related to repairs, development, manufacture, assembly, testing, maintenance, or any other technical service, and may take forms such as instruction, advice, training, transmission of working knowledge or skills or consulting services, including verbal forms of assistance;

  • Termination Assistance means the activities to be performed by the Supplier pursuant to the Exit Plan, and any other assistance required by the Customer pursuant to the Termination Assistance Notice;

  • Directory Assistance Service includes, but is not limited to, making available to callers, upon request, information contained in the Directory Assistance Database. Directory Assistance Service includes, where available, the option to complete the call at the caller's direction. "Directory Listings" or "Listings" are any information identifying the listed names of subscribers of a Telecommunications Carrier or Provider, as applicable, and such subscribers' telephone numbers, addresses, or primary advertising classifications (as such classifications are assigned at the time of the establishment of such service), or any combination of such listed names, numbers, addresses or classifications: (1) that the Telecommunications Carrier and/or Provider provides or uses for the purpose of publishing the Listings in any directory format; or (2) that the Telecommunications Carrier and/or Provider provides or uses in Directory Assistance Service, Directory Assistance List Service, or for other lawful purposes.

  • Public assistance means Temporary Assistance for Needy Families (TANF); auxiliary grants to the

  • Personal assistance services means a range of services including, among other things, training in managing, supervising, and directing personal assistance services, provided by one or more persons, that are designed to assist an individual with a disability to perform daily living activities on or off the job that the individual would typically perform without assistance if the individual did not have a disability. The services are also designed to increase the individual's control in life and ability to perform everyday activities on or off the job; necessary to the achievement of an employment outcome; and provided only while the individual is receiving other vocational rehabilitation services.

  • Housing assistance means appropriate referrals by the

  • Termination Assistance Services has the meaning set forth in Section 18.12.

  • Available government assistance means any governmental rental or housing payment benefits available to the individual or any household member.

  • Hands-on assistance means physical assistance (minimal, moderate or maximal) without which the individual would not be able to perform the activity of daily living.

  • Radiologist assistant means an individual who has met the requirements of the Board for licensure

  • Adoption assistance means financial assistance provided to families adopting children with special needs. "Adoption assistance" may be state or federally funded. Federal adoption assistance is authorized by the Adoption Assistance and Child Welfare Act of 1980 (Pub. L. No. 96-272, 94 Stat. 500 (1980)). State adoption assistance is authorized by ORS 418.330 to 418.335.

  • Employee Assistance Program means an established program for employee assessment, counseling, and referral to an alcohol and drug rehabilitation program.

  • Directory Assistance Database shall have the meaning set forth in Section 10.5.2.2. "Directory Assistance Lists" shall have the meaning set forth in Section 10.6.1.1.