Co-insurance limit Sunday, June 18, 2006
The maximum aggregate total expenses provided for in the applicable group enrollment agreement and disclosed in the applicable Combined Evidence of Coverage and Disclosure Form that members must pay during a calendar year as co-insurance amounts for all covered services. Certain expenses paid by members are not included in determining whether the co- insurance limit has been met, generally including:
Co-insurance limit is the maximum amount that a covered person must pay during the calendar year before the co-insurance rate is increased to 100% for any additional Covered Medical Expenses other than expenses that are excluded (See Schedule of Benefits) which are incurred by that person during the remainder of the calendar year. The Plan has individual as well as family annual co-insurance limits.
posted by your Insurance @ 10:22 AM,
