Contributions and Copayments Clause Samples
The "Contributions and Copayments" clause defines the financial responsibilities of participants and sponsors in a benefit or insurance plan, specifying how costs are shared between the two parties. Typically, this clause outlines the percentage or fixed amount that participants must pay out-of-pocket for covered services, such as doctor visits or prescriptions, while the remaining costs are covered by the plan sponsor or insurer. By clearly delineating these payment obligations, the clause ensures transparency in cost-sharing and helps prevent disputes over who is responsible for specific healthcare expenses.
Contributions and Copayments. It is agreed that in order for Member to be eligible for and entitled to receive Benefits provided by this Certificate, Company must receive all Contributions and Enrollment Fees (where applicable) in advance. The Participating General Dentist or Participating Specialist must receive any Copayments in accordance with their particular payment procedure.