Member’s Responsibility Policy Excess Sample Clauses

Member’s Responsibility Policy Excess. The excess of US$100 (as shown in your Schedule of Cover) will be deducted from all eligible outpatient medical expenses in respect of each new medical condition. Coinsurance: For accident and emergency treatment received in the USA, members will be liable for 20% of any admissible cost up to an annual limit of US$5,000 per insured person per period of cover. The coinsurance is applied after any deduction for excess applicable to the policy. Eligible treatment requiring pre-authorisation which is not pre-authorised or where treatment inside the USA is not undertaken within the preferred provider network will be subject to a coinsurance of 40% and will not be subject to the coinsurance limit. The following items will require pre-authorisation: a) Planned inpatient or day patient treatment (hospitalisation) Alpha