Allowed Charges definition
Examples of Allowed Charges in a sentence
Claims for covered Emergency Services are paid based on the Allowed Charges as defined in the EOC.
Claims for covered Emergency Services are paid based on the Allowed Charges as defined in this Evidence of Coverage.
Non-Participating Providers do not have a contract with Blue Shield to accept Blue Shield’s Allowed Charges as payment in full for Covered Services.
See the Your payment information section for more information about the Allowed Charges.
Once you reach your Out-of-Pocket Maximum, Blue Shield will pay 100% of the Allowed Charges for Covered Services.
Once you reach your Deductible, Blue Shield will pay the Allowed Charges for Covered Services, minus your Copayment or Coinsurance amounts, until you reach your Out-of-Pocket Maximum.
The Non-Participating Provider must agree to accept Blue Shield’s Allowed Charges as payment in full for your ongoing care.
Once you reach your Out-of-Pocket Maximum, Blue Shield will pay 100% of the Allowed Charges for Covered Services for the rest of the Calendar Year.
Participating Providers agree to accept the Allowed Charges as payment in full for Covered Services provided or arranged by Blue Shield, except as stated in the Exception for other coverage and Reductions – third party liability sections.
For Covered Services that are subject to your plan’s Deductible, you are also responsible for all costs up to the Allowed Charges until you reach your Deductible.