Common use of Pay Your Share Clause in Contracts

Pay Your Share. You must meet any applicable deductible and pay a Co-payment and/or Co-insurance for most Covered Health Care Services. These payments are due at the time of service or when billed by the Physician, provider or facility. Any applicable deductible, Co-payment and Co-insurance amounts are listed in the Schedule of Benefits. Pay the Cost of Excluded Services You must pay the cost of all excluded services and items. Review Section 2: Exclusions and Limitations to become familiar with this Policy's exclusions. Show Your ID Card You should show your ID card every time you request health care services. If you do not show your ID card, the provider may fail to bill the correct entity for the services delivered. However, if you forget your ID card, it may cause a delay in obtaining Benefits, but does not eliminate the ability to obtain Benefits. File Claims with Complete and Accurate Information When you receive Covered Health Care Services from an Out-of-Network Provider, as a result of an Emergency or we refer you to an Out-of-Network Provider you are responsible for requesting payment from us. You must file the claim in a format that contains all of the information we require, as described in Section 5: How to File a Claim.