Co-Payments definition

Co-Payments means the portion of a claim or medical, dental, or pharmaceutical expense that a client must pay out of their own pocket to a provider or a facility for each service. It is usually a fixed amount that is paid at the time service is rendered. (See OAR 410-120-1230 Client Copayment.)
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Co-Payments means the amount to be paid by Subscriber directly to a Participating Dental Provider or Participating Specialist in connection with the services set forth in Plan’s Fee Schedule.
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Co-Payments refers to any co-payments, deductibles, and coinsurance which are specifically described as the financial responsibility of the Member for a Covered Service in the applicable Health Services Contract and/or Evidence of Coverage in effect as of the date of service. Any other amount which Group or Group Provider may seek to recover from Members for Covered Services constitutes a surcharge and is prohibited by both this Agreement and by the Xxxx-Xxxxx Act.
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Examples of Co-Payments in a sentence

  • PREMIUMS, COPAYMENTS, COINSURANCE, DEDUCTIBLES AND OTHER EXPENSES, coverage hereunder will terminate for all Members for whom Premium payment has not been received, on the last day for which the monthly Premium was received.

  • THE MEMBER IS RESPONSIBLE FOR PAYMENT OF THE APPLICABLE COPAYMENTS LISTED ON THE SCHEDULE OF BENEFITS.

  • We have the right to prospectively change any Premium rate(s) set forth above at the times and in the manner established by the provision of this Contract entitled "General Provisions." SCHEDULE OF SERVICES AND SUPPLIES [Using Copayment] THE SERVICES OR SUPPLIES COVERED UNDER THIS CONTRACT ARE SUBJECT TO ALL COPAYMENTS [AND COINSURANCE] AND ARE DETERMINED PER CALENDAR YEAR PER [MEMBER], UNLESS OTHERWISE STATED.

  • HMO will reimburse You for the Allowable Amount of the prescription drugs less the Out-of-Area Drug Copayment shown in the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS, for covered prescription drugs which You purchase outside of the Service Area.

  • Each prescription or refill is subject to the Copayment shown in the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS and any applicable pricing differences.

  • Each prescription or refill is subject to the Copayment shown in the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS and any applicable pricing differences, payable by Member directly to the mail order Pharmacy.

  • Benefits for select vaccinations are shown in the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS.

  • CO-PAYMENTS - Charges pursuant to a ILS Community Network or Managed Care Plan coverage plan that are required to be paid by a Enrollee directly to Provider at the time Covered Services are rendered, in accordance with the schedule of benefits applicable to the particular ILS Community Network or Managed Care Plan coverage plan.

  • You are not responsible for any amounts beyond the Copayment as indicated on the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS.

  • Drugs obtained from a Participating Pharmacy are provided up to the maximum day supply limit as shown in the SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS.


More Definitions of Co-Payments

Co-Payments. The fee for services less the estimated insurance payment is due on the day the service is rendered. Optional terms are available for extensive treatment needs if prior arrangements are made. OPTIONAL PAYMENT TERMS:
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Co-Payments. , means a fixed dollar amount (for example. $15) you pay for covered health care, usually when you receive the service.
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Co-Payments. We will collect all co-pays at the time services are rendered. SIgn below verifying that you have read and understand the above financial policy for NPHC. Guarantor/Policy Holder/Patient: DOB: SIgnature:
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Co-Payments means the portion of a claim or medical, dental, or pharmaceutical expense that a client must pay out of their own pocket to a provider or a facility for each service. It is usually a fixed amount that is paid at the
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Co-Payments means deductibles, coinsurances, co-payments or other amounts for which Members are liable to Participating Providers under the terms and conditions of the applicable Health Benefits Plan.
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Co-Payments has the meaning provided for in OAR 410-120-0000.
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Related to Co-Payments

  • Co-payment means a relatively small amount of money paid by the insured person towards the cost of each day in a private hospital per episode of care, with Latrobe paying the rest of the cost.

  • Payments has the meaning set forth in Section 8.11.

  • AHYDO Payment means any mandatory prepayment or redemption pursuant to the terms of any Indebtedness that is intended or designed to cause such Indebtedness not to be treated as an “applicable high yield discount obligation” within the meaning of Section 163(i) of the Code.

  • FILOT Payments means the amount paid or to be paid in lieu of ad valorem property taxes as provided herein.

  • Installment Payments shall have the meaning set forth in Section 5(b)(ii).

  • Debt Payments means for any period, in each case, all cash actually expended by any Borrower to make: (a) interest payments on any Advances hereunder, plus (b) scheduled principal payments on the Equipment Loans plus (c) scheduled principal payments on the Term Loans plus (d) payments for all fees, commissions and charges set forth herein, plus (e) payments on Capitalized Lease Obligations, plus (f) payments with respect to any other Indebtedness for borrowed money.

  • Event Payments has the meaning set forth in Section 6.1(d).

  • Deferred Payments means any severance pay or benefits to be paid or provided to Executive (or Executive’s estate or beneficiaries) pursuant to this Agreement and any other severance payments or separation benefits to be paid or provided to Executive (or Executive’s estate or beneficiaries), that in each case, when considered together, are considered deferred compensation under Section 409A.

  • Termination Payments has the meaning specified in Section 10(a).

  • Earnout Payments has the meaning set forth in Section 2.2(a).

  • Rental Payments means the rental payments paid by the occupant of a unit, excluding any supplemental rental assistance to the occupant from the State, the federal government, or any other public agency, but including any mandatory fees or charges imposed on the occupant by the Owner as a condition of occupancy of the unit.

  • Additional Payments means the amounts required to be paid by the Company pursuant to the provisions of Section 4.2 hereof.

  • Bonus Payments means that portion of the bonus payments received by the

  • Tax Payments has the meaning set forth in the definition of Permitted Payments to Parent.

  • Scheduled Funded Debt Payments means, as of any date of determination for the Borrower and its Subsidiaries, the sum of all scheduled payments of principal on Funded Debt for the applicable period ending on the date of determination (including the principal component of payments due on Capital Leases during the applicable period ending on the date of determination).

  • Loan Payments means the amounts required to be paid by the Company in repayment of the Loan pursuant to Section 4.1 hereof.

  • Production Payments means, collectively, Dollar-Denominated Production Payments and Volumetric Production Payments.

  • Compensation Payment means a payment, whether in monetary form or in the form of a benefit or service, by or on behalf of an insurer to a complainant to compensate the complainant for a proven or estimated financial loss incurred as a result of the insurer’s contravention, non-compliance, action, failure to act, or unfair treatment forming the basis of the complaint, where the insurer accepts liability for having caused the loss concerned, but excludes any –

  • Balloon Payments means with respect to any loan constituting Indebtedness, any required principal payment of such loan which is payable at the maturity of such Indebtedness, provided, however, that the final payment of a fully amortized loan shall not constitute a Balloon Payment.

  • Service payments means payments to the private entity of a qualifying project pursuant to a service contract.

  • Payments in lieu of contributions means the money payments to

  • Aggregate Payments as defined in Section 7.2.

  • Progress Payments County shall make periodic progress payments consist with the Contract Price on the basis of Contractor's Applications for Payments, as provided in paragraph

  • Principal Payments means all payments of principal made pursuant to the terms of the Note.

  • Tax Distributions has the meaning set forth in Section 4.01(b)(i).

  • Earn-Out Payments has the meaning set forth in Section 2.3(a).