Common use of Third-Party Payment Clause in Contracts

Third-Party Payment. The plan accepts cost-sharing accumulation for any third-party payment (such as a drug manufacturer’s coupon or copay assistance program) and that the rebated amount will count towards the insured’s cost-sharing. An enrollee who uses direct support offered by drug manufacturers for specific prescription drugs will have the value of the support counted toward Maximum Out of Pocket Limit.

Third-Party Payment. The plan accepts cost-sharing accumulation for any third-party payment (such as a drug manufacturer’s coupon or copay assistance program) and that the rebated amount will count towards the insured’s cost-sharing. An enrollee who uses direct support offered by drug manufacturers for specific prescription drugs will have the value of the support counted toward Maximum Out of Pocket Limit.

Third-Party Payment. The plan accepts cost-sharing accumulation for any third-party payment (such as a drug manufacturer’s coupon or copay assistance program) and that the rebated amount will count towards the insured’s cost-sharing. An enrollee who uses direct support offered by drug manufacturers for specific prescription drugs will have the value of the support counted toward Maximum Out of Pocket Out-of-pocket Limit.