Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract for Covered Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this Contract. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract collectively total the family Deductible amount in the Schedule of Benefits section of this Contract in a Plan Year, no further Deductible will be required for any person covered under this Contract for that Plan Year. You have a combined In-Network and Out-of-Network Deductible. Cost-Sharing for out-of-network services applies towards Your In-Network Deductible. Cost-Sharing for in-network services applies toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 28 contracts
Samples: Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract
Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract Policy for Covered in-network and out-of-network Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this ContractPolicy. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract Policy collectively total the family Deductible amount in the Schedule of Benefits section of this Contract Policy in a Plan Year, no further Deductible will be required for any person covered under this Contract Policy for that Plan Year. There are different Deductibles for services provided by Participating Providers and Non- Participating Providers. The Deductibles for Participating Providers apply to Covered in- network services. The Deductible for Non-Participating Providers apply to Covered out-of- network Services. You have a combined separate In-Network and Out-of-Network Deductible. Cost-Sharing for out-of-of- network services applies does not apply towards Your In-Network Deductible. Cost-Sharing for in-in- network services applies does not apply toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 4 contracts
Samples: assets.ctfassets.net, assets.ctfassets.net, assets.ctfassets.net
Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract for Covered Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this Contract. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract collectively total the family Deductible amount in the Schedule of Benefits section of this Contract in a Plan Year, no further Deductible will be required for any person covered under this Contract for that Plan Year. You have a combined In-Network and Out-of-Network Deductible. Cost-Sharing for out-out- of-network services applies towards Your In-Network Deductible. Cost-Sharing for in-in- network services applies toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 2 contracts
Samples: Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract
Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract Policy for Covered in-network and out-of-network Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this ContractPolicy. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract Policy collectively total the family Deductible amount in the Schedule of Benefits section of this Contract Policy in a Plan Year, no further Deductible will be required for any person covered under this Contract Policy for that Plan Year. There are different Deductibles for services provided by Participating Providers and Non- Participating Providers. The Deductibles for Participating Providers apply to Covered in-network services. The Deductible for Non-Participating Providers apply to Covered out-of-network Services. You have a combined separate In-Network and Out-of-Network Deductible. Cost-Sharing for out-of-network services applies does not apply towards Your In-Network Deductible. Cost-Sharing for in-network services applies does not apply toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 2 contracts
Samples: assets.ctfassets.net, assets.ctfassets.net
Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract for Covered in-network and out-of-network Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this Contract. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract collectively total the family Deductible amount in the Schedule of Benefits section of this Contract in a Plan Year, no further Deductible will be required for any person covered under this Contract for that Plan Year. You have a combined separate In-Network and Out-of-Network Deductible. Cost-Sharing Amounts You pay for out-of-of- network services applies towards do not apply toward Your In-Network Deductible. CostCopayments and Coinsurance for In-Sharing for in-network Network services applies do not apply toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards toward the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 1 contract
Samples: Preferred Provider
Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract for Covered in-network and out-of-network Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this Contract. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract collectively total the family Deductible amount in the Schedule of Benefits section of this Contract in a Plan Year, no further Deductible will be required for any person covered under this Contract for that Plan Year. Cost-Sharing amounts incurred with Participating and Non-Participating Providers accumulate to the Deductible. You have a combined In-Network and Out-of-Network Deductible. Cost-Sharing Amounts You pay for out-out- of-network services applies apply towards Your In-Network Deductible. Cost-Sharing Copayments and Coinsurance for in-network services applies apply toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 1 contract
Samples: www1.deltadentalins.com
Deductible. Except where stated otherwise, You must pay the amount in the Schedule of Benefits section of this Contract for Covered in-network and out-of-network Services during each Plan Year before We provide coverage. If You have other than individual coverage, the individual Deductible applies to each person covered under this Contract. Once a person within a family meets the individual Deductible, no further Deductible is required for the person that has met the individual Deductible for that Plan Year. However, after Deductible payments for persons covered under this Contract collectively total the family Deductible amount in the Schedule of Benefits section of this Contract in a Plan Year, no further Deductible will be required for any person covered under this Contract for that Plan Year. You have a combined separate In-Network and Out-of-Network Deductible. Cost-Sharing for out-of-network services applies towards does not apply toward Your In-Network Deductible. Cost-Sharing for in-network services applies does not apply toward Your Out-of-Network Deductible. Any charges of a Non-Participating Provider that are in excess of the Allowed Amount do not apply towards toward the Deductible. The Deductible runs from January 1 to December 31 of each calendar year.
Appears in 1 contract