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.
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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.
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Examples of Preferred Allowance in a sentence

  • In-Network Providers have agreed to accept a Preferred Allowance as payment in full.

  • The Insured Person may be responsible for the difference between the Reasonable Charge and the actual charge from the Provider.For a Provider who has a reimbursement agreement, the Reasonable Charge is equal to the Preferred Allowance under any reimbursement agreement with Us, either directly or indirectly through a third party, as described in the Preferred Provider Benefit provision.

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

  • Penalties and amounts above the Preferred Allowance or Usual, Reasonable and Customary Expenses do not count toward the Out-of-Pocket Maximum.

  • Preferred Provider Network United States only:• In-Network Preferred Provider: This tier consists of Preferred Providers and Hospitals who have a contract with the Preferred Provider Organization to provide specific medical care and that have agreed to accept a Preferred Allowance as payment in full for the specific service.

  • Preferred Allowance: Refers to the amount an In-Network Provider will accept as payment in full for covered medical expenses.

  • Benefits are paid at 100% of the Preferred Allowance when services are provided through a Preferred Provider.

  • No benefits will be paid for any expenses incurred that are in excess of the Preferred Allowance or Usual, Reasonable and Customary Charges.

  • The Program Manager will not ask for proof more often than once a year after the two-year period following the child's attainment of age 19.Eligible Expenses means the Preferred Allowance or Usual, Reasonable and Customary charges for services or supplies which are incurred by the Plan Participant for the Medically Necessary treatment of an Injury.

  • Pre-Existing Condition: A pre-existing condition is a disease or physical condition for which medical advice or treatment has been received within 12 months immediately prior to becoming covered under the Plan Preferred Allowance: Refers to the amount an In-Network Provider will accept as payment in full for covered medical expenses.


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

  • Retirement allowance means the retirement payments to which a member is entitled.

  • PHARMACY ALLOWANCE means the lower of: • the amount the pharmacy charges for the prescription drug; • the amount we or our PBM have negotiated with a network pharmacy; or • the maximum amount we pay any pharmacy for that prescription drug.

  • training allowance means an allowance (whether by way of periodical grants or otherwise) payable—

  • Class Expenses means expenses incurred by a particular Class in connection with a shareholder services arrangement or a distribution plan that is specific to such Class or any other differing share of expenses or differing fees, in each case pursuant to a plan adopted by the Trust pursuant to Rule 18f-3 under the 1940 Act, as such plan or Rule may be amended from time to time;

  • Basic living expenses means the cost of basic food, shelter, and any other expenses of a Domestic Partner which are paid at least in part by a program or benefit for which the partner qualified because of the Domestic Partnership. The individuals need not contribute equally or jointly to the cost of these expenses as long as they agree that both are responsible for the cost.

  • Allowance means compensation payable to an employee in addition to the regular remuneration payable for the performance of the duties of his position.

  • Cost Share means the member’s financial obligation for a covered service. Depending on the plan type, cost-share may include one or more of the following: deductible, copay, access fee, coinsurance, pharmacy deductible, and precertification charges.

  • disability living allowance means a disability living allowance under section 71 of the SSCBA;

  • Contribution Amount has the meaning given in subsection 444-90(1A) in Schedule 1 of the Australian Taxation Administration Act 1953 (Cth).