PREMIUMS, COPAYMENTS, COINSURANCE, DEDUCTIBLES AND OTHER EXPENSES Sample Clauses
This clause defines the financial responsibilities of the insured party, specifying the types and amounts of payments they must make in connection with their insurance coverage. It outlines how premiums are paid to maintain coverage, details the copayments and coinsurance percentages required for specific services, and sets forth any deductibles that must be met before benefits apply. By clearly delineating these expenses, the clause ensures both parties understand the cost-sharing structure and helps prevent disputes over payment obligations.
PREMIUMS, COPAYMENTS, COINSURANCE, DEDUCTIBLES AND OTHER EXPENSES. This Part explains the Premium payment responsibilities of the Subscribing Group under this Contract, and Members’ monetary responsibility for expenses for Covered Services received. Members are responsible and will be liable for applicable Deductibles, Copayments or Coinsurance amounts which must be paid to Health Care Providers for certain services at the time services are rendered, as shown in the Schedule of Benefits and for charges in excess of the Maximum Allowable Payment for Covered Services rendered by Non-Participating Providers. In addition to the information explained in this Part, it is important that you refer to your Schedule of Benefits to determine your share of the costs for Covered Services.
PREMIUMS, COPAYMENTS, COINSURANCE, DEDUCTIBLES AND OTHER EXPENSES. This Part explains the Premium payment responsibilities of the Subscribing Group under this Contract, and Members’ monetary responsibility for expenses for Covered Services received. Members are responsible and will be liable for applicable Deductibles, Copayments or Coinsurance amounts which must be paid to Health Care Providers for certain services at the time services are rendered, as shown in the Schedule of Benefits. In addition to the information explained in this Part, it is important that you refer to your Schedule of Benefits to determine your share of the costs for Covered Services.
PREMIUMS, COPAYMENTS, COINSURANCE, DEDUCTIBLES AND OTHER EXPENSES. This Part explains your Premium pre-payment responsibility under this Contract and your share of the costs for Health Care Services you receive. Members are responsible for paying applicable Deductibles, Copayments or Coinsurance amounts to Health Care Providers for certain services at the time services are rendered. In addition to the information explained in this Section, it is important that you read your Schedule of Benefits to determine your share of the costs for Covered Services.
PREMIUMS, COPAYMENTS, COINSURANCE, DEDUCTIBLES AND OTHER EXPENSES