APPLICABLE COPAYMENT Sample Clauses
The Applicable Copayment clause defines the specific portion of costs that a covered individual is required to pay out-of-pocket for certain services or benefits under an insurance or healthcare plan. Typically, this clause outlines the exact dollar amount or percentage that applies to different types of medical services, such as doctor visits, prescriptions, or hospital stays. By clearly stating the copayment obligations, the clause ensures transparency for plan participants and helps manage cost-sharing between the insurer and the insured.
APPLICABLE COPAYMENT. To the extent they are legally required, VA’s requirement for copayments for certain Veterans cannot be waived under this agreement; however, VA and IHS have discussed the possibility of IHS and Tribal facilities covering any applicable VA copayment required of the Veteran, and VA will work with IHS and Tribal Organizations to develop a process.