Enrollee Notification of Cost-Sharing Limit Sample Clauses

The Enrollee Notification of Cost-Sharing Limit clause requires that enrollees be informed about the maximum amount they may be required to pay out-of-pocket for covered healthcare services. Typically, this involves the insurer or plan administrator providing clear communication—such as through plan documents or periodic statements—about annual or lifetime caps on deductibles, copayments, and coinsurance. By mandating this notification, the clause ensures that enrollees are aware of their financial responsibilities and are protected from unexpected or excessive healthcare costs.
Enrollee Notification of Cost-Sharing Limit. The MCO shall provide to each Enrollee a notice that the Enrollee has reached the cost-sharing limit described in section 4.4.2(6)(b) below
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Related to Enrollee Notification of Cost-Sharing Limit

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