Aggregating Specific Deductible definition

Aggregating Specific Deductible means a deductible, in addition to the specific Attachment Point, that must be satisfied during the Policy Period before Amounts Billed are reimbursable under this Policy.
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Aggregating Specific Deductible. A deductible applied in addition to the Specific Deductible. At the start of the Contract Period, Eligible Claims Payments in excess of the Specific Deductible for each Covered Person who has met the Specific Deductible will be added together until the cumulative total equals the Aggregating Specific Deductible amount shown in the Schedule. A Specific excess reimbursement is not paid until the Aggregating Specific Deductible has been satisfied. Claim(s): Payments made in connection with services, supplies, and health care service provider’s management of such services and supplies as it relates to benefits covered under Contract Holder’s Employee Benefit Plan that is administered by Horizon BCBSNJ under an Administrative Services Agreement. Such expenses are limited to fee-for-service payments.
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Examples of Aggregating Specific Deductible in a sentence

  • If the Policyholder fails to pay claims within the 60-day time limit, that claim will not count towards the satisfaction of either the Annual Aggregate Deductible or the Specific Deductible or Aggregating Specific Deductible be reimbursed under this Contract.

Related to Aggregating Specific Deductible

  • High Deductible Health Plan means a Health Plan as defined by 26 USC § 223(c)(2)(A) that also is a Qualified Health Plan.

  • Deductible has the meaning set forth in Section 11.1(e).

  • Density bonus means a floor area ratio bonus over the otherwise maximum allowable density permitted under the applicable zoning ordinance and land use elements of the general plan of a city, including a charter city, city and county, or county of:

  • Deductible Amount means, with respect to any Insuring Agreement, the amount set forth under the heading “Deductible Amount” in Item 3 of the Declarations or in any Rider for such Insuring Agreement, applicable to each Single Loss covered by such Insuring Agreement.

  • Normal Minimum Generation means the lowest output level of a generating resource under normal operating conditions.