Preferred Allowance definition

Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses.

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Preferred Allowance means the amount a Network Provider will accept as payment in full for Covered Charges.

Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses. "Out of Network" providers have not agreed to any

Examples of Preferred Allowance in a sentence

• Unless otherwise indicated, Eligible Expenses are paid at 90% of Preferred Allowance (PA) for in-network (PPO) providers and 70% of Usual, Reasonable and Customary (URC) for out-of-network (non-PPO) providers for Medically Necessary services and supplies, and include the following, subject to the limitations and exclusions indicated.

• Network access provides benefits nationwide for Eligible Expenses incurred at 90% of the Preferred Allowance (PA) when treated by network providers (PPO).

• Network access provides benefits nationwide for Eligible Expenses incurred at 80% of the Preferred Allowance (PA) when treated by network providers (PPO).

• When a Plan Participant has incurred $6,350 per person ($12,700 per family) of out-of-pocket Eligible Expenses during a policy term (in-network and out-of-network combined), the Company payment for Eligible Expenses incurred will increase to 100% of the Preferred Allowance (PA) when treated by PPO providers or 100% of Usual, Reasonable, and Customary (URC) when treated by non-PPO providers for the remainder of the policy term, up to the Maximum Benefit.

More Definitions of Preferred Allowance

Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses. “Out of Network” providers have not agreed to any prearranged fee schedules. You may incur significant out-of-pocket expenses with these providers. Charges in excess of the insurance payment are your responsibility. Regardless of the provider, you are responsible for the payment of your Deductible. You must satisfy your Deductible before benefits are paid. We will pay according to the benefit limits in the Schedule of Medical Expense Benefits.

Preferred Allowance means the amount a Network Provider will accept as payment in full for Eligible Expenses. Sickness means illness or disease which requires treatment by a Physician while covered by this Plan Document. All related conditions and recurrent symptoms of the same or a similar condition will be considered the same Sickness.

Preferred Allowance means the amount a Preferred Provider and In-Network Provider will accept as payment in full for Covered Medical Expenses.

Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses. “Out of Network” providers have not agreed to any prearranged fee schedules. Insureds may incur significant out- of-pocket expenses with these providers. Charges in excess of the insurance payment are the Insured's responsibility. Regardless of the provider, each Insured is responsible for the payment of their Deductible. The Deductible must be satisfied before benefits are paid. The Company will pay according to the benefit limits in the Schedule of Benefits.

Preferred Allowance means the amount a Network Provider will accept as payment in full for Eligible Expenses.

Preferred Allowance. ; means the amount a Preferred Provider will accept as payment in full for covered medical expenses. “Preferred Provider” means the Doctors, Hospitals and other health