Deductible definition

Deductible has the meaning set forth in Section 11.1(e).

Deductible has the meaning set forth in Section 7.4(a).

Deductible means 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.

Examples of Deductible in a sentence

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

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

• Coinsurance means Your portion of Covered Expenses after the Deductible is met.

• ExamPlus Coverage 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 Injury.

• SAMPLE AlternativePlus 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 Policy limits and exclusions including, but not limited to, Coinsurance, Deductible and Annual Limit, for Alternative and Complementary Therapies and the diagnosis and Treatment of Behavioral Problems.

More Definitions of Deductible

Deductible means the amount of charges that must be incurred by an Insured before benefits become payable. The amount of the deductible is shown in the Schedule for each benefit to which a deductible applies.

Deductible shall have the meaning set forth in Section 10.5(a).

Deductible means the amount stated in the Schedule which shall be borne by the Insured in respect of each and every Claim made under this Policy. The Company’s liability to make any payment under the Policy is in excess of the Deductible.

Deductible means the amount that you must pay each plan year before we begin to pay for certain covered healthcare services. See the Summary of Medical Benefits for your plan year deductible, benefit limits and to determine which services are subject to the deductible.

Deductible means the dollar amount of Covered Expenses that must be incurred as an out- of-pocket expense by each Covered Person per Covered Accident or Sickness basis before Medical Expense Benefits and/or other Additional Benefits paid on an expense incurred basis are payable under the Policy.

Deductible means the amount that you must pay each plan year before we begin to pay for certain covered healthcare services. See the Summary of Medical Benefits for your plan year deductible, benefit limits and to determine which services are subject to the deductible. DENTAL NECESSITY (DENTALLY NECESSARY) means that the dental services provided by a dentist to identify or treat your dental or oral health condition, upon review by BCBSRI, are: • consistent with the symptoms and appropriate and effective for the diagnosis, treatment, or care of the oral condition, disease, or injury for which it is prescribed or performed; • appropriate with regard to generally accepted standards of dental practice within the dental community or scientific evidence; • not primarily for the convenience of the member, the member’s family or dentist of such member; and • the most appropriate in terms of type, amount, frequency, setting, duration, and level of service that can safely be provided to the member. We will make a determination whether a dental service is dentally necessary based on our dental policies and related guidelines. You have the right to appeal our determination or to take legal action. Please see Appeals in Section 5 for details. We may review dental necessity on a case-by-case basis. We determine dental necessity solely for purposes of claims payment based on our dental policies and related guidelines under this plan.

Deductible means a cost-sharing requirement under a health insurance policy that provides that the insurer will not be liable for a specified amount in case of indemnity policies and for a specified number of days/ hours in case of hospital cash policies which will apply before any benefits are payable by the insurer. A deductible does not reduce the sum insured.