Co-Payments definition

Co-Payments means the portion of a claim or medical, dental, or pharmaceutical expense that a client must pay out of their own pocket to a provider or a facility for each service. It is usually a fixed amount that is paid at the time service is rendered. (See OAR 410-120-1230 Client Copayment.)

Co-Payments means the amount to be paid by Subscriber directly to a Participating Dental Provider or Participating Specialist in connection with the services set forth in Plan’s Fee Schedule.

Co-Payments refers to any co-payments, deductibles, and coinsurance which are specifically described as the financial responsibility of the Member for a Covered Service in the applicable Health Services Contract and/or Evidence of Coverage in effect as of the date of service. Any other amount which Group or Group Provider may seek to recover from Members for Covered Services constitutes a surcharge and is prohibited by both this Agreement and by the Xxxx-Xxxxx Act.

Examples of Co-Payments in a sentence

• See UTILIZATION REVIEW PROGRAM.NOTE: Co-Payments do not apply to bariatric travel expenses authorized by the claims administrator.

• However, you also may be liable for the difference between the maximum allowed amount and the non-participating provider’s charge.Authorized ReferralsIn some circumstances the claims administrator may authorize participating provider cost share amounts (Deductibles or Co-Payments) to apply to a claim for a covered service you receive from a non-participating provider.

• See UTILIZATION REVIEW PROGRAM.NOTE: Co-Payments do not apply to bariatric travel expenses authorized by us.

• The Calendar Year Deductible amounts, Co-Payments, Out-of-Pocket Amounts and Medical Benefit Maximums are set forth in the SUMMARY OF BENEFITS.

• Member Cost ShareFor certain covered services, and depending on your plan design, you may be required to pay all or a part of the maximum allowed amount as your cost share amount (Deductibles or Co-Payments).

• The remaining amount is reflected in the monthly actuals reflected in this report.280 Melrose Street, Providence, RI02907T: (401) 784-7288  F: (401) 784-4321  Jennifer.Hutchinson@nationalgrid.com  www.nationalgrid.comLuly E.

• Co-Payments or Coinsurance payments can be paid by check, money order or credit card.

• See Attachment “A” for the Schedule of Co-Payments and Coinsurance.

• The Deductible amounts, Co-Payments, Out-Of-Pocket Amounts and Medical Benefit Maximums are set forth in the SUMMARY OF BENEFITS.

• For all cashless authorisations, the insured person, will in any event be required to settle all non-admissible expenses, expenses above specified Sub Limits (if applicable), Co-Payments and/or opted Deductible (Per Claim/Aggregate/Corporate) (if applicable), directly with the hospital.

More Definitions of Co-Payments

Co-Payments means the portion of a claim or medical, dental, or pharmaceutical expense that a client must pay out of their own pocket to a provider or a facility for each service. It is usually a fixed amount that is paid at the time service is rendered. ¶

Co-Payments means deductibles, coinsurances, co-payments or other amounts for which Members are liable to Participating Providers under the terms and conditions of the applicable Health Benefits Plan.

Co-Payments. We will collect all co-pays at the time services are rendered. SIgn below verifying that you have read and understand the above financial policy for NPHC. Guarantor/Policy Holder/Patient: DOB: SIgnature:

Co-Payments. , means a fixed dollar amount (for example. $15) you pay for covered health care, usually when you receive the service.

Co-Payments has the meaning provided for in OAR 410-120-0000.

Co-Payments. The fee for services less the estimated insurance payment is due on the day the service is rendered. Optional terms are available for extensive treatment needs if prior arrangements are made. OPTIONAL PAYMENT TERMS: