Plan Payment. The Plan’s payment is determined by first subtracting any Deductible and/or Copayment liability from the Plan Allowance. The Coinsurance percentage of the Plan Allowance set forth in SECTION SB - SCHEDULE OF BENEFITS of this Agreement is then applied to that amount. This amount represents the Plan’s payment. Any remaining Coinsurance amount is the Member’s responsibility.
Appears in 4 contracts
Sources: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement
Plan Payment. The Plan’s payment is determined by first subtracting any Deductible and/or Copayment liability from the Plan Allowance. The Coinsurance percentage of the Plan Allowance set forth in SECTION SB - SCHEDULE OF BENEFITS of this Agreement is then applied to that amount. This amount represents the Plan’s payment. Any remaining Coinsurance amount is the Member’s responsibility.
Appears in 3 contracts
Sources: Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement
Plan Payment. The Plan’s payment is determined by first subtracting any Deductible and/or or Copayment liability from the Plan Allowance. The Coinsurance percentage of the Plan Allowance set forth in SECTION SB - SCHEDULE OF BENEFITS of this Agreement is then applied to that amount. This amount represents the Plan’s payment. Any remaining Coinsurance amount is the Member’s responsibility.
Appears in 2 contracts
Sources: Individual Comprehensive Major Medical Exclusive Provider Subscription Agreement, Individual Comprehensive Major Medical Exclusive Provider Subscription Agreement