Coinsurance Percentage Sample Clauses

Coinsurance Percentage. Members may be required to pay a coinsurance percentage in excess of any applicable deductible amount(s) for a covered service or supply. Coinsurance amounts do not apply toward the deductible but do apply toward meeting the maximum out-of-pocket amount. When the annual maximum out-of-pocket has been met, additional covered service expenses will be 100%.

Coinsurance Percentage. The percentage covered by this dental plan for Diagnostic and Preventive Benefits (100%), Basic Restorative Benefits (80%), Major Restorative Benefits (50%), and Medically Necessary Orthodontia Benefits (50%).

Coinsurance Percentage. 80% of the first $1,000 of paid out benefits each calendar year, including prescription drugs, and 100% of the remainder. Hospital Daily Room and Board: Semi-private. Out-of-hospital Nursing Maximum: $10,000 each calendar year. Paramedical Covered Expenses in any calendar year:  For each practitioner  X-ray maximum  $300  $50 Extra-care Covered Expenses:  Out-of-hospital Psychologists calendar year maximum  Out-of-hospital Speech Therapist calendar year maximum  Lifetime Maximum  $300  $300  Unlimited Dental Care Dental Fee Guide: The dental fee guide in effect in your province of residence on the date treatment is rendered. Calendar Year Deducible  Per family member:  Per family: $25 $50 Co-insurance Percentage  Routing Treatment:  Major/Orthodontic Treatment:  80%  50% Routine/Major Maximum: $1,000 each calendar year (reduced to $500 in the first year if coverage begins after July 1). Orthodontic Maximum (per course of treatment) $1,000 Vision Care Deductible: Nil Co-insurance Percentage 100% Eye Examinations: 1 exam every 24 months. Eyeglasses or Contact Lenses: $120 every 24 months. Note: Any Healthcare and Dental care expenses incurred are combined to satisfy the deductibles. Appendix “B” - Group Insurance Benefits‌ All eligible employees shall participate in the group insurance plan containing the following provisions: