Copayment(s) definition
Copayment(s) means the charge that (a) a Pre-65 Plan Network Pharmacy may charge a Pre-65 Plan Participant at the time of the provision of Covered Prescription Drug Services pursuant to the Pre-65 Plan and HOP Option Selection Materials, or (b) a HOP Part D Plan Network Pharmacy may charge a HOP Part D Plan Participant at the time of the provision of Covered Prescription Drug Services pursuant to HOP Part D Plan and HOP Option Selection Materials, whether specified as a defined dollar amount, a percentage of eligible expenses, or otherwise.
Copayment(s) refers to any copayments, 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 ▇▇▇▇-▇▇▇▇▇ Act.
Copayment(s) means payments required of or permitted to be charged to members for Covered Services under the ADHS/DBHS Manual or any future equivalent thereof, as same may be amended or replaced from time to time. Also means the amount an individual must pay for a service benefit.
More Definitions of Copayment(s)
Copayment(s) or “Coinsurance” shall mean those amounts collected from Plan Beneficiaries by the relevant pharmacy pursuant to NDPERS’ Benefit Plan Design as specified in its Benefit Specification Form, and if relevant, as amended in a Benefit Change Form. “Copayment” shall mean any flat amount that a Plan Beneficiary is required to pay. “Coinsurance” shall mean any percentage amount that a Plan Beneficiary is required to pay.
Copayment(s) means payments which are the responsibility of a Member for the provision of certain Covered Services in accordance with the applicable Medicaid Plan.