Preferred Allowance definition

Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses.
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Preferred Allowance means the amount a Network Provider will accept as payment in full for Covered Charges.
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Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses. "Out of Network" providers have not agreed to any
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Examples of Preferred Allowance in a sentence

  • In-Network Providers have agreed to accept a Preferred Allowance as payment in full.

  • The Insured Person may be responsible for the difference between the Reasonable Charge and the actual charge from the Provider.For a Provider who has a reimbursement agreement, the Reasonable Charge is equal to the Preferred Allowance under any reimbursement agreement with Us, either directly or indirectly through a third party, as described in the Preferred Provider Benefit provision.

  • Preferred Allowance means the amount a Preferred Provider will accept as payment in full or Covered Medical Expenses.

  • Penalties and amounts above the Preferred Allowance or Usual, Reasonable and Customary Expenses do not count toward the Out-of-Pocket Maximum.

  • Preferred Provider Network United States only:• In-Network Preferred Provider: This tier consists of Preferred Providers and Hospitals who have a contract with the Preferred Provider Organization to provide specific medical care and that have agreed to accept a Preferred Allowance as payment in full for the specific service.

  • However they do not keep any statistics pertaining to stalking, as stalking is not an offence under existing law.

  • Benefits are paid at 100% of the Preferred Allowance when services are provided through a Preferred Provider.

  • No benefits will be paid for any expenses incurred that are in excess of the Preferred Allowance or Usual, Reasonable and Customary Charges.

  • The Program Manager will not ask for proof more often than once a year after the two-year period following the child's attainment of age 19.Eligible Expenses means the Preferred Allowance or Usual, Reasonable and Customary charges for services or supplies which are incurred by the Plan Participant for the Medically Necessary treatment of an Injury.

  • Pre-Existing Condition: A pre-existing condition is a disease or physical condition for which medical advice or treatment has been received within 12 months immediately prior to becoming covered under the Plan Preferred Allowance: Refers to the amount an In-Network Provider will accept as payment in full for covered medical expenses.


More Definitions of Preferred Allowance

Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses. “Out of Network” providers have not agreed to any prearranged fee schedules. You may incur significant out-of-pocket expenses with these providers. Charges in excess of the insurance payment are your responsibility. Regardless of the provider, you are responsible for the payment of your Deductible. You must satisfy your Deductible before benefits are paid. We will pay according to the benefit limits in the Schedule of Medical Expense Benefits.
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Preferred Allowance means the amount a Network Provider will accept as payment in full for Eligible Expenses. Sickness means illness or disease which requires treatment by a Physician while covered by this Plan Document. All related conditions and recurrent symptoms of the same or a similar condition will be considered the same Sickness.
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Preferred Allowance. ; means the amount a Preferred Provider will accept as payment in full for covered medical expenses. “Preferred Provider” means the Doctors, Hospitals and other health
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Preferred Allowance means the amount a Network Provider will accept as payment in full for Eligible Expenses.
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Preferred Allowance means the amount a Preferred Provider and In-Network Provider will accept as payment in full for Covered Medical Expenses.
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Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses. “Out of Network” providers have not agreed to any prearranged fee schedules. Insureds may incur significant out- of-pocket expenses with these providers. Charges in excess of the insurance payment are the Insured's responsibility. Regardless of the provider, each Insured is responsible for the payment of their Deductible. The Deductible must be satisfied before benefits are paid. The Company will pay according to the benefit limits in the Schedule of Benefits.
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Related to Preferred Allowance

  • SO2 Allowance means “allowance” as defined at 42 U.S.C. § 7651a(3): “an authorization, allocated to an affected unit by the Administrator of EPA under Subchapter IV of the Act, to emit, during or after a specified calendar year, one ton of sulfur dioxide.”

  • NOx Allowance means an authorization to emit a specified amount of NOx that is allocated or issued under an emissions trading or marketable permit program of any kind that has been established under the Clean Air Act or a state implementation plan.

  • Retirement allowance means the retirement payments to which a member is entitled.

  • PHARMACY ALLOWANCE means the lower of: • the amount the pharmacy charges for the prescription drug; • the amount we or our PBM have negotiated with a network pharmacy; or • the maximum amount we pay any pharmacy for that prescription drug.

  • training allowance means an allowance (whether by way of periodical grants or otherwise) payable—

  • Class Expenses means expenses incurred by a particular Class in connection with a shareholder services arrangement or a distribution plan that is specific to such Class or any other differing share of expenses or differing fees, in each case pursuant to a plan adopted by the Trust pursuant to Rule 18f-3 under the 1940 Act, as such plan or Rule may be amended from time to time;

  • Basic living expenses means the cost of basic food, shelter, and any other expenses of a Domestic Partner which are paid at least in part by a program or benefit for which the partner qualified because of the Domestic Partnership. The individuals need not contribute equally or jointly to the cost of these expenses as long as they agree that both are responsible for the cost.

  • Utility Allowance means a monthly allowance, as provided by the local public housing authority or as otherwise allowed by HUD rules and the GLO rules, for utilities and services (excluding telephone services) to be paid by the tenant. Contextual Note: Unless the context clearly indicates otherwise, an above definition for a singular term shall also apply (where appropriate) to the plural form of such term and vice versa to the extent necessary for giving the proper meanings to the terms defined in this Article II and/or terms otherwise used in this Agreement.

  • Maximum Applied Water Allowance (MAWA) means the upper limit of annual applied water for the established landscaped area as specified in Section 492.4. It is based upon the area's reference evapotranspiration, the ET Adjustment Factor, and the size of the landscape area. The Estimated Total Water Use shall not exceed the Maximum Applied Water Allowance. Special Landscape Areas, including recreation areas, areas permanently and solely dedicated to edible plants such as orchards and vegetable gardens, and areas irrigated with recycled water are subject to the MAWA with an ETAF not to exceed 1.0. MAWA = (ETo) (0.62) [(ETAF x LA) + ((1-ETAF) x SLA)]

  • Allowance means compensation payable to an employee in addition to his regular remuneration payable for the performance of the duties of his position;

  • Total Fund Operating Expenses with respect to a Fund is defined to include all expenses necessary or appropriate for the operation of the Fund including the Adviser’s investment advisory or management fee under the Advisory Agreement and other expenses described in the Advisory Agreement that the Fund is responsible for and have not been assumed by the Adviser, but excludes front-end or contingent deferred loads, taxes, leverage expenses, interest, brokerage commissions, expenses incurred in connection with any merger or reorganization, unusual or infrequently occurring expenses (such as litigation), acquired fund fees and expenses, and dividend expenses, if any.

  • Cost Share means the member’s financial obligation for a covered Service. Depending on the plan type, Cost Share may include one or more of the following: deductible, Copay, Access Fee, and Coinsurance.

  • disability living allowance means a disability living allowance under section 71 of the SSCBA;

  • Contribution Amount has the meaning given in subsection 444-90(1A) in Schedule 1 of the Australian Taxation Administration Act 1953 (Cth).