Network coinsurance definition

Network coinsurance means the percentage of the contractual fee of the network provider for covered services and supplies specified in the contract between the provider and the carrier that must be paid by the covered person, under the health benefit plan, subject to deductible and out-of-pocket limit. Network coinsurance cannot be applied to services or supplies provided by capitated providers.
Network coinsurance means the percentage of the contractual fee of the network provider for covered services and supplies specified in the contract between

Examples of Network coinsurance in a sentence

  • See page 26.• The Out of Network coinsurance is 40% after the calendar year deductible is met.

  • The District and SMCPOA last negotiated a contract for the period July 1, 2014, to June 30, 2016.

  • It’s really the choice of In-Network providers, and the monthly premium, that define the difference.On the Statewide Plans, you can use any participating provider in the ODS Plus Network for the In-Network coinsurance benefit, or you can choose to use any Moda Medical Home and pay a small copay on Plans A – G, or the same In- Network coinsurance on Plan H.

  • However, with the advent of the concept of nuclear family, and the availability of adoptable child following the World Wars, craving for traditional social practises like surrogacy and blood line continuity started fading away and the institution of adoption started prospecting.

  • One annual, routine physical examination per Covered Person is provided, subject to Medical/Surgical PPO and NON-PPO Network coinsurance percentages.

  • Network coinsurance shall not be applied to services or supplies provided by capitated providers; and 6.

  • Network coinsurance [cannot] shall not be applied to preventive care[.]; 5.

  • Nutritional Supple- ments are subject to a Network coinsurance of 10% and a Non-Network coinsurance of 30%, but not subject to a deductible in either case.

  • If you have any questions or need additional information about what is covered under the Plan, contact CDPHN Member Services at the phone number on your ID card.• Out-of- Network coinsurance and reimbursement are based on reasonable and customary charges.

  • Network coinsurance [cannot] shall not be applied to preventive care[.];5.

Related to Network coinsurance

  • Network Code means the document now known as the Network Code and formerly known as the Railtrack Track Access Conditions 1995;

  • Network Load means the load that a Network Customer designates for Network Integration Transmission Service under Tariff, Part III. The Network Customer’s Network Load shall include all load (including losses) served by the output of any Network Resources designated by the Network Customer. A Network Customer may elect to designate less than its total load as Network Load but may not designate only part of the load at a discrete Point of Delivery. Where an Eligible Customer has elected not to designate a particular load at discrete points of delivery as Network Load, the Eligible Customer is responsible for making separate arrangements under Tariff, Part II for any Point-To-Point Transmission Service that may be necessary for such non-designated load.

  • Transportation network company rider or “rider” means an

  • Network Customer means an entity receiving transmission service pursuant to the terms of the Transmission Provider’s Network Integration Transmission Service under Tariff, Part III. Network External Designated Transmission Service:

  • Transportation network company means a company or organization facilitating and/or providing transportation services using a computer or digital application or platform to connect or match passengers with drivers for compensation or a fee.

  • Uniform Network Code means the uniform network code as defined in Standard Special Condition A11(6) of National Grid’s transporters licence, as such code may be amended from time to time in accordance with the terms thereof.

  • Preconstruction services means services and other activities during the design phase.

  • Network Upgrades means modifications or additions to transmission-related facilities that are integrated with and support the Transmission Provider’s overall Transmission System for the general benefit of all users of such Transmission System. Network Upgrades shall include:

  • Network Connection Standards means the Distributor’s written technical and safety standards for connection of an Electrical Installation to the Network that are issued by the Distributor and updated from time to time, and include:

  • Network Rail means Network Rail Infrastructure Limited, a company registered in England under company number 02904587 and having its registered office at 0 Xxxxxxxxx Xxxxxx, Xxxxxx XX0 0XX;

  • Local Utility Services XOOM is an independent retail marketer of natural gas & electricity and is not affiliated with your local utility. Your local utility will continue to deliver your gas, read your meter, send your bill, and make necessary repairs. Your local utility will also respond to emergencies and provide other basic utility services as required. XOOM is not an agent of your local utility and your utility will not be liable for any of XOOM’s acts, omissions, or representations. Price: Your rate for gas purchases will be a fixed price of $0.4390 per therm, plus taxes and fees, if applicable, and a monthly administrative fee of $2.99. You will continue to be responsible for all charges assessed by your local utility for all services it provides, including any other fees or taxes specifically associated with services it continues to provide during the term of this Agreement, including transportation charges payable for Core Aggregation Service.

  • Transportation network company driver or “driver” means an

  • Merchant Network Upgrades means additions to, or modifications or replacements of, physical facilities of the Interconnected Transmission Owner that, on the date of the pertinent Transmission Interconnection Customer’s Upgrade Request, are part of the Transmission System or are included in the Regional Transmission Expansion Plan. Merchant Transmission Facilities:

  • Cable television service means the one-way transmission to subscribers of video programming and other programming service and subscriber interaction, if any, that is required for the selection or use of the video programming or other programming service.

  • Network Rules means the rules, regulations, releases, interpretations and other requirements (whether contractual or otherwise) imposed or adopted by any Card Networks and related authorities, including without limitation, those of the PCI Security Standards Council, LLC and the National Automated Clearing House Association (including, with respect to EBT, the Quest Operating Rules and with respect to PIN debit cards, the rules, regulations, policies and procedures of the applicable debit network).

  • Telework means the performance of normal and regular work functions on a workday at a location

  • Network Element is As Defined in the Act.

  • Network plan means a policy of group health insurance offered by an insurer under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the insurer. The term does not include an arrangement for the financing of premiums.

  • Cable Television Network means system consisting of set of closed transmission paths and associated signal generation, control and distribution equipment, designed to provide Cable Service for reception by multiple subscribers.

  • Network Change has the meaning given to it in the Network Code;

  • Integrated Services Digital Network (ISDN means a switched network service that provides end-to-end digital connectivity for the simultaneous transmission of voice and data. Basic Rate Interface-ISDN (BRI-ISDN) provides for a digital transmission of two (2) 64 Kbps bearer channels and one (1) 16 Kbps data channel (2B+D).

  • Construction Services means either of the following for construction-manager-at-risk, design-build and job-order-contracting project delivery methods:

  • Custom Local Area Signaling Service Features (CLASS Features) means certain Common Channel Signaling based features available to End Users, including: Automatic Call Back; Call Trace; Distinctive Ringing/Call Waiting; Selective Call Forward; and Selective Call Rejection.

  • Network Service User means an entity using Network Transmission Service.

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • Network Services means the equipment, software, and services necessary to transmit voice, data, or video.