Network deductible definition

Network deductible means the fixed dollar amount that a covered person or family must pay to network providers before the health benefit plan provides the covered person with coverage for services or supplies rendered by network providers. A network deductible shall not be applied to services or supplies provided by capitated providers.
Network deductible means the fixed dollar amount that a covered person or

Examples of Network deductible in a sentence

  • HDHP/ HSA with the following provisions: • $0 Office Visit Co-pay after deductible • $0 Wellness Office Visit Co-pay after deductible • $0 Hospital after deductible • $0 Outpatient Surgery after deductible • $0 Walk-In, Urgent Care, Emergency Room after deductible • In/Out of Network deductible $2,000/4,000 and $4,000/8,000 • In Network Co-ins.

  • Option 3 (Alternative 6) (Available Effective January 1, 2021): ▪ WMHIP SP HSA Plan 4, BCBS ▪ $2000/$4000 In-Network deductible; $4,000/$8,000 Out-of- Network deductible.

  • The Board will provide to the employee MESSA(s) Choices II with a $500/1000 In- 769 Network/$1000/$2000 Out-of Network deductible, with a Co-payment option of $20 770 Office Visit/$25 Urgent Care/$50/Emergency Room; and with a Saver RX for 771 prescription drugs for the contract period for the employee’s entire family; provided, 772 however, that the employee shall pay any and all deductibles required in such 773 insurance plan or coverage.

  • For employees deemed ineligible for HSA contributions, by federal law, who elect single or family coverage, the Board shall contribute an amount equal to 65% for the 2016-2017, 60% for the 2017-2018, and 55% for the 2018-2019 of the In- Network deductible to the employee or to a Section 125 plan.

  • Cost sharing for these Covered Health Care Services will be applied toward your applicable Network deductible, if any, and Out-of-Pocket Limit.

  • Option A: MESSA Choices II with a $500/1000 In-Network/$1000/$2000 Out-of Network deductible, with a Co-payment option of $20 Office Visit/$25 Urgent Care/$50/Emergency Room; and with a Saver RX for prescription drugs.

  • This coverage includes a $1,250/$2,500 in Network deductible with the ABC Rx prescription program, with a Healthcare Savings Account (HSA) through Health Equity.

  • Option 3: MESSA(s) Choices with a $1000/$2000 In-Network $2000/$4000 Out-of­ Network deductible, with a Co-payment option of $20 Office Visit/$25 Urgent Care Option 4: MESSA(s) ABC Plan 2 with a $2000/$4000 deductible; 20% Coinsurance with an ABC Rx for prescription drugs for the contract period for the employee's entire family; provided that the employee shall pay any and all deductibles required in such insurance plan or coverage.

  • Cost sharing for these Covered Health Care Services will be applied toward your applicable Network deductible, if any, and Out-of- Pocket Limit.

  • Subject to 20% Out-of- Services / Network deductible and $15 Copay – PCP & Network deductible and 7/1/16; $15 Copay Network deductible and $10 Copay eff.