IN NETWORK. United Health Care participating providers accept fees as payment in full and agree not to xxxx members for any remaining balances. Members are responsible only for stated co- payments. No claim forms are required to be completed by plan members. Out of Network: Benefits are paid using Reasonable and Customary (R&C) guidelines. R&C refers to charges or fees of a physician which are frequently determined by set services offered over a period of time within a specific geographic area. Fees charged by non- participating providers in excess of R&C limits will be the employee's responsibility and do not help satisfy out-of-pocket limits or deductibles. Any claim form required to be filed will be the plan participant's responsibility. This Benefit Summary is intended to be a brief description of health care benefits available for employees and eligible dependents. More detail is provided in your plan booklet.
Appears in 2 contracts
Samples: Negotiated Agreement, Negotiated Agreement
IN NETWORK. United Health Care participating providers accept fees as payment in full and agree not to xxxx bill members for any remaining balances. Members are responsible only for stated co- payments. No claim forms are required to be completed by plan members. Out of Network: Benefits are paid using Reasonable and Customary (R&C) guidelines. R&C refers to charges or fees of a physician which are frequently determined by set services offered over a period of time within a specific geographic area. Fees charged by non- participating providers in excess of R&C limits will be the employee's responsibility and do not help satisfy out-of-pocket limits or deductibles. Any claim form required to be filed will be the plan participant's responsibility. This Benefit Summary is intended to be a brief description of health care benefits available for employees and eligible dependents. More detail is provided in your plan booklet.
Appears in 2 contracts
Samples: Negotiated Agreement, Negotiated Agreement
IN NETWORK. United Health Care participating providers accept fees as payment in full and agree not to xxxx bill unit members for any remaining balances. Members Unit members are responsible only for stated co- co-payments. No claim forms are required to be completed by plan unit members. Out of Network: Benefits are paid using Reasonable and Customary (R&C) guidelines. R&C refers to charges or fees of a physician which are frequently determined by set services offered over a period of time within a specific geographic area. Fees charged by non- participating providers in excess of R&C limits will be the employee's responsibility and do not help satisfy out-of-pocket limits or deductibles. Any claim form required to be filed will be the plan participant's responsibility. This Benefit Summary is intended to be a brief description of health care benefits available for employees and eligible dependents. More detail is provided in your plan booklet.
Appears in 1 contract
Samples: Egotiated Agreement