Coinsurance means that you pay a percent of the total cost of the drug each time you fill a prescription.
Coinsurance means a percentage of Eligible Expenses the Policy Holder must contribute after paying the Deductible (if any) in a Policy Year. For the avoidance of doubt, Coinsurance does not refer to any amount that the Policy Holder is required to pay if the actual expenses exceed the benefit limits under these Terms and Benefits.
Coinsurance means the amount of Usual and Customary Charges for which the Insured is responsible for a specified coverage.
Examples of Coinsurance in a sentence
For the avoidance of doubt, unless and until a Novation Subject Contract becomes a Novated Contract, the Ceding Company shall retain control over the Non-Guaranteed Elements for such Novation Subject Contract in accordance with the terms of the Coinsurance Agreement.
It outlines what percentage of those Covered Medical Expenses will be provided when services are incurred by an Insured to the extent those charges exceed any Deductible and/or Copay and/or Coinsurance amounts.
However, you are responsible for meeting any applicable deductible and for paying any required Copayments and Coinsurance to a Network provider at the time of service, or when you receive a bill from the provider.
Class I Diagnostic and Preventive Services 100% of UCR Class II Routine Dental Services 80% of UCR Class III Major Dental Services 60% of UCR Class IV Orthodontic Services 50% of $850 Coinsurance Amounts: lifetime max.
Drugs listed on the Formulary will be included in Covered Drugs if they not excluded, the appropriate Copay and/or Deductible and Coinsurance is paid, and any required Prior Authorization is received.
More Definitions of Coinsurance
Coinsurance means a percentage of costs of a covered health care service that has to be paid. “Copayment” means a fixed amount a member pays for a covered health care service. “Deductible” means the amount paid for covered health care services before the insurance plan will
Coinsurance means the portion of the cost for a Covered Service that a Member must pay once any applicable Deductible has been met, and is expressed as a percentage, established solely by AvMed, of the Allowed Amount for the Covered Service, or the percentage of an amount based on the Maximum Medicare Allowable or Average Wholesale Price for the Covered Service. Members are responsible for the payment of any applicable Coinsurance directly to a Health Care Provider at the time Covered Services are received.
Coinsurance means a percentage of Eligible Expenses the Policy Holder must contribute after paying the Deductible (if any) in a Policy Year. For the avoidance of doubt, Coinsurance does not refer to any amount that the Policy Holder is required to pay if the actual expenses exceed the benefit limits under these Terms and Benefits."Company"shall mean AXA China Region Insurance Company (Bermuda) Limited (Incorporated in Bermuda with limited liability)."Confinement" or "Confined"shall mean an admission of the Insured Person to a Hospital that is recommended by a Registered Medical Practitioner for Medical Service and as an Inpatient as a result of a Medically Necessary condition for a period of no less than six (6) consecutive hours. No minimum period is required for Confinement in connection with any Emergency Treatment in a Hospital as a result of an Emergency for the performance of a surgical procedure or other Medical Service in a Hospital. Confinement shall be evidenced by a daily room charge invoiced by the Hospital and the Insured Person must stay in the Hospital continuously for the entire period of Confinement."Congenital Condition(s)"shall mean (a) any medical, physical or mental abnormalities existed at the time of or before birth, whether or not being manifested, diagnosed or known at birth; or (b) any neo-natal abnormalities developed within six (6) months of birth."Day Case Procedure"shall mean a Medically Necessary surgical procedure for investigation or treatment to the Insured Person performed in a medical clinic, or day case procedure centre or Hospital with facilities for recovery as a Day Patient."Day Patient"shall mean an Insured Person receiving Medical Services or treatments given in a medical clinic, day case procedure centre or Hospital where the Insured Person is not in Confinement."Deductible"shall mean a fixed amount of Eligible Expenses that, in a Policy Year, the Policy Holder must pay before the Company shall reimburse the remaining Eligible Expenses."Delivery"shall mean the delivery of these Terms and Benefits and the Policy Schedule or the cooling-off notice as stated in Section 2(a) of Part 2 to the Policy Holder, or to nominated representative of the Policy Holder, by any the following means:(a) by hand;(b) by post (including registered post); or(c) by electronic means.Regardless of the means of delivery is used, it is the responsibility ofthe Company, to have sufficient proof of delivery and the timing of delivery.
Coinsurance means a cost sharing feature of many plans. It requires a Participant to pay out-of- pocket a prescribed portion of the cost of Covered Expenses. The defined Coinsurance that a Participant must pay out-of-pocket is based upon his or her health plan design. Coinsurance is established as a predetermined percentage of the Maximum Allowable Charge for covered services and usually applies after a Deductible is met in a Deductible plan.
Coinsurance means the percentage of the MPA, after any applicable Deductible is applied, paid by the Subscriber or Covered Dependent for a specific Benefit each time such Benefit is provided under Your Group’s Contract.
Coinsurance means the percentage of the charges billed or the percentage of eligible Medical Expenses, whichever is less, that an Insured must pay a Provider for Covered Services. Coinsurance amounts are to be paid by the Insured directly to the Provider who bills for the Covered Services. (See Attachment A Benefit Schedule.)