Copayment, Coinsurance or Deductible definition

Copayment, Coinsurance or Deductible means a payment that is financial responsibility of the Eligible Person for Covered Services as defined under the applicable Plan.
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Examples of Copayment, Coinsurance or Deductible in a sentence

  • The only amounts that You may need to pay up front are any Copayment, Coinsurance or Deductible amounts that may apply.

  • For any service for which you are responsible under the terms of this Plan to pay a Copayment, Coinsurance or Deductible, and the Copayment, Coinsurance or Deductible is waived by an Out-of-Network Provider.

  • For Ancillary Services received at certain Preferred Provider facilities on a non-Medical Emergency basis from Out- of-Network Provider Physicians, the Insured is not responsible, and the Out-of-Network Provider may not bill the Insured, for amounts in excess of the Insured’s Copayment, Coinsurance, or Deductible which is based on the Recognized Amount as defined in this Certificate.

  • For any service for which you are responsible under the terms of this Benefit Booklet to pay a Copayment, Coinsurance or Deductible, and the Copayment, Coinsurance or Deductible is waived by a Non-Network Provider.

  • This limit is known as the Out-of-Pocket Maximum.Any applicable Copayment, Coinsurance or Deductible you may be required to pay, along with the Out- of-Pocket Maximum, will be listed in the Summary of Services and Cost Shares, which is attached to this EOC.The Health Plan will keep accurate records of each Member’s Cost Sharing and will notify the Member in writing within thirty (30) days of when he or she has reached the Out-of-Pocket Maximum.

  • For Emergency Services provided by an Out-of-Network Provider, the Insured is not responsible, and the Out-of- Network Provider may not bill the Insured, for amounts in excess of the Insured’s applicable Copayment, Coinsurance, or Deductible which is based on the Recognized Amount as defined in this Certificate.

  • Approved referrals, as described under Getting a Referral in Section 2: How to Get the Care You Need, including referrals for clinical trials as described in this section.Note: Some benefits may require payment of a Copayment, Coinsurance or Deductible.

  • We will promptly refund a Member’s Copayment, Coinsurance or Deductible if it was charged after the Out-of-Pocket Maximum was reached.

  • Pay your plan premiums and bring payment with you when your visit requires a Copayment, Coinsurance or Deductible.

  • Any applicable Copayment, Coinsurance or Deductible you may be required to pay, along with the Out-of-Pocket Maximum, will be listed in the Summary of Services and Cost Shares, which is attached to this EOC.

Related to Copayment, Coinsurance or Deductible

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

  • Coinsurance means that you pay a percent of the total cost of the drug each time you fill a prescription.

  • Insurance Costs means the sums described in paragraph 1.1 of Part 5 of the Schedule;

  • Special Hazard Loss Coverage Amount With respect to the first Distribution Date, $10,348,874. With respect to any Distribution Date after the first Distribution Date, the lesser of (a) the greatest of (i) 1% of the aggregate of the principal balances of the Mortgage Loans, (ii) twice the principal balance of the largest Mortgage Loan and (iii) the aggregate of the principal balances of all Mortgage Loans secured by Mortgaged Properties located in the single California postal zip code area having the highest aggregate principal balance of any such zip code area and (b) the Special Hazard Loss Coverage Amount as of the Closing Date less the amount, if any, of Special Hazard Losses allocated to the Certificates since the Closing Date. All principal balances for the purpose of this definition will be calculated as of the first day of the calendar month preceding the month of such Distribution Date after giving effect to Scheduled Payments on the Mortgage Loans then due, whether or not paid.

  • Insurance carrier means every insurance carrier duly

  • Insurance Expenses means any Insurance Proceeds (i) applied to the repair of the related Leased Vehicle, (ii) released to the related Lessee in accordance with applicable law or the Customary Servicing Practices or (iii) representing other related expenses incurred by the Servicer that are not otherwise included in Liquidation Expenses or Disposition Expenses and recoverable by the Servicer under any applicable Servicer Basic Documents.

  • Insurance Amount has the meaning set forth in Section 6.08(c).

  • General Liability Insurance Subcontractor shall carry minimum primary General Liability Insurance for the following amounts:

  • Copayment means that you pay a fixed amount each time you fill a prescription.

  • group insurance means insurance, other than creditor’s group insurance and family insurance, whereby the lives of a number of persons are insured severally under a single contract between an insurer and an employer or other person; (“assurance collective”)

  • Asset Coverage means “asset coverage” of a class of senior security which is a stock, as defined for purposes of Section 18(h) of the 1940 Act as in effect on the date hereof, determined on the basis of values calculated as of a time within 48 hours (only including Business Days) next preceding the time of such determination.

  • D&O Liability Insurance Policies means all insurance policies (including any “tail policy”) of any of the Debtors for liability of any current or former directors, managers, officers, and members.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • General Liabilities shall have the meaning given it in Article III, Section 6(b) of this Declaration Trust;

  • Special Primary Insurance Premium With respect to any Special Primary Insurance Policy, the monthly premium payable thereunder. Statutory Trust Statute: Chapter 38 of Title 12 of the Delaware Code, 12 Del.C. §3801 et seq., as the same may be amended from time to time.

  • Fraud Loss Coverage Amount As of the Closing Date, $2,500,000, subject to reduction from time to time, by the amount of Fraud Losses allocated to the Certificates. In addition, on each anniversary of the Cut-off Date, the Fraud Loss Coverage Amount will be reduced as follows: (a) on the first, second, third and fourth anniversaries of the Cut-off Date, to an amount equal to the lesser of (i) 1.00% of the then current Stated Principal Balance of the Mortgage Loans in the case of the first and second anniversaries and 0.50% of the then-current Stated Principal Balance of the Mortgage Loans in the case of the third and fourth such anniversaries and (ii) the excess of the Fraud Loss Coverage Amount as of the preceding anniversary of the Cut-off Date over the cumulative amount of Fraud Losses allocated to the Certificates since such preceding anniversary; and (b) on the fifth anniversary of the Cut-off Date, to zero.

  • Legal Liability means responsibility which courts recognize and enforce between persons who sue one another.

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

  • Professional liability insurance means insurance against legal liability incident to the practice of a profession and provision of a professional service.

  • Liability Insurance means compulsory professional liability errors and omissions insurance required by a governing body;

  • Insurance Add-On Amount means the premium charged to the Obligor in the event that the Servicer obtains Force-Placed Insurance pursuant to Section 4.4.

  • Property Insurance is defined in Section 6.10(a).

  • Reimbursement insurance policy means a policy of insurance

  • Lot coverage means the portion or percentage of the area of a lot upon which buildings are erected.

  • Insurance means (i) all insurance policies covering any or all of the Collateral (regardless of whether the Collateral Agent is the loss payee thereof) and (ii) any key man life insurance policies.

  • Coverage means the types of persons to be eligible as the beneficiaries of the Scheme to health services provided under the Scheme, subject to the terms, conditions and limitations.