copayment or deductible definition

copayment or deductible means the amount
Sample 1Sample 2Sample 3
copayment or deductible means the amount of covered charges an insured or enrollee is required to pay in a plan year for commercial contract services before the insured's health insurance plan or enrollee's managed care health plan begins to pay for applicable covered charges;
Sample 1Sample 2Sample 3
copayment or deductible means the portion of a charge for services covered by a managed health insurance plan that is the obligation of the enrollee to pay under the terms of the plan;
Sample 1Sample 2

Examples of copayment or deductible in a sentence

  • If We do approve the use of a Non-Network Provider, that Provider may or may not accept the Member’s Copayment or Deductible at the time services are rendered.

  • The Plan Participant remains responsible for any applicable Copayment or Deductible Amount and Coinsurance percentage shown in the Schedule of Benefits.

  • We will deduct from Our payment the amount of the Member’s Copayment or Deductible and Coinsurance percentage whether or not the Copayment or Deductible and Coinsurance percentage is accepted by the Non-Network Provider.

  • To assist in appropriately applying Cost Sharing contributions made from a permitted third party to the Participants applicable Deductible and/or Out-of-Pocket Limit, the Participant is encouraged to provide notification to BCI if they receive any form of assistance for payment of their contribution, Cost Sharing, Copayment or Deductible amounts.

  • The Plan Participant remains responsible for his Copayment or Deductible and applicable Coinsurance percentage.

  • If We do approve the use of a Non-Network Provider, that Provider may or may not accept the Plan Participant’s Copayment or Deductible at the time services are rendered.

  • We will deduct from Our payment the amount of the Plan Participant’s Copayment or Deductible and Coinsurance percentage whether or not the Copayment or Deductible and Coinsurance percentage is accepted by the Non-Network Provider.

  • The Member remains responsible for his Copayment or Deductible and applicable Coinsurance percentage.

  • To assist in appropriately applying Cost Sharing contributions made from a permitted third party to the Participants applicable Deductible and/or Out-of-Pocket Limit, the Participant is encouraged to provide notification to Blue Cross of Idaho if they receive any form of assistance for payment of their Contribution, Cost Sharing, Copayment or Deductible amounts.

  • Deposit is defined as an amount in excess of a Copayment or Deductible which is collected on or prior to the date of service.


More Definitions of copayment or deductible

copayment or deductible means charges for professional services that shall be collected directly by Professional from Enrollee as payment in addition to the fees paid by Payors to Professional, in accordance with the terms of an agreement between IPA and such Payor and in accordance with Enrollee's Evidence of Coverage.
Sample 1Sample 2
copayment or deductible means a payment that a Participant is required to make to a Participating Provider under a Service Agreement, which is calculated as a fixed dollar payment.
Sample 1
copayment or deductible means those charges for professional services, which shall be collected directly by PCP from Plan Member as payment in addition to the Compensation, in accordance with the Plan Member’s Evidence of Coverage.
Sample 1
copayment or deductible means any additional fee charged to an Enrollee for professional services provided for in the Plans' contract with its Enrollees and disclosed in the Evidence of Coverage.
Sample 1
copayment or deductible means a payment that a Beneficiary is required to make to a Participating Practitioner or Participating Provider under a Plan, which is calculated as a fixed dollar payment. Covered Services means those Medically Necessary Health Care Services to which a Beneficiary is entitled under a Plan.
Sample 1

Related to copayment or deductible

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

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

  • 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.

  • 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.

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

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

  • windstorm means straight line winds of at least 80 miles per

  • 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.

  • Allowable Expense means a necessary, reasonable and customary item of expense for health care, which is: • covered at least in part under one or more plans covering the person for whom the claim is made; and • incurred while this plan is in force. When a plan provides healthcare coverage in the form of services, the reasonable cash value of each service is considered as both an allowable expense and a benefit paid. Vision care services covered under other plans are not considered an allowable expense under this plan. PLAN means any of the following that provides benefits or services for medical, pharmacy, or dental care treatment. If separate contracts are used to provide coordinated coverage for members of a group, the separate contracts are considered parts of the same plan and there is no COB among those separate contracts.