Common use of Deductible Amount Clause in Contracts

Deductible Amount. Your annual deductible amount is listed on the declarations page and applies during each policy period. We subtract that deductible from covered expenses before applying the reimbursement percentage. Reimbursement Percentage After the deductible is met, we will reimburse a percentage of covered expenses identified on the declarations page as reimbursement percentage, subject to any applicable maximum. You are responsible for the remainder of covered expenses in addition to any amounts not covered by the policy. CLAIMS Submit a Claim So we can process your claim as quickly as possible, submit your claim electronically and include the following information with your claim: • Your name, address, contact information, and signature on the claim form. • A description of the condition and treatment you are claiming. • All applicable receipts including an itemized breakdown of the fees incurred for actual costs after any discounts or credits. Failure to provide complete information may result in: • Denial of your claim. • You submitting a new claim with all required details. Claim forms are available online. To make a claim, you or an authorized representative from your veterinarian’s office must fill in the claim form. The claim forms must be submitted along with any itemized invoices for the actual costs incurred. You must submit your claim within 270 days from the date of service.

Appears in 6 contracts

Samples: Insuring Agreement, Insuring Agreement, Insuring Agreement

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Deductible Amount. Your annual deductible amount is listed on the declarations page and applies during each policy period. We subtract that deductible from covered expenses before applying the reimbursement percentage. Reimbursement Percentage After the deductible is met, we will reimburse a percentage of covered expenses identified on the declarations page as reimbursement percentage, subject to any applicable maximum. You are responsible for the remainder of covered expenses in addition to any amounts not covered by the policy. CLAIMS Submit a Claim So we can process your claim as quickly as possible, submit your claim electronically and include the following information with your claim: • Your name, address, contact information, and signature on the claim form. • A description of the condition and treatment you are claiming. • All applicable receipts including an itemized breakdown of the fees incurred for actual costs after any discounts or creditsincurred. Failure to provide complete information may result in: • Denial of your claim. • You submitting Submitting a new claim with all required details. Claim forms are available onlineonline or you may request one. To make a claim, you or an authorized representative from your veterinarian’s 's office must fill in the claim form. The claim forms must be submitted along with any itemized invoices for the actual costs incurred. You must submit your claim within 270 days from the date of service.

Appears in 1 contract

Samples: Insuring Agreement

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