For Single Coverage Only definition

For Single Coverage Only. [Tier 2] In the case of single coverage, for a [Member], the [Tier 2] Maximum Out of Pocket is the annual maximum dollar amount that a [Member] must pay as per [Member] Cash Deductible plus Coinsurance and Copayments for all covered services and supplies in a [Calendar] [Plan] Year. [All per [Member] Cash Deductible plus Coinsurance and Copayments applied to the [Tier 1] per [Member] Maximum Out of Pocket also apply to this [Tier 2] per [Member] Maximum Out of Pocket.] Once the [Tier 2] per [Member] Maximum Out of Pocket has been met during a [Calendar] [Plan] Year, no further Deductible or Coinsurance or Copayments will be required for such [Member] for the rest of the [Calendar] [Plan] Year. For Other than Single Coverage: [Tier 1] In the case of coverage which is other than single coverage, for a [Member], the [Tier 1] per [Member] Maximum Out of Pocket is the annual maximum dollar amount that a [Member] must pay as [Tier 1] per Covered Family Cash Deductible plus Coinsurance and Copayments for all covered services and supplies in a [Calendar] [Plan] Year. Once the [Tier 1] per [Member] Maximum Out of Pocket has been met during a [Calendar] [Plan] Year, no further [Tier 1] Deductible or Coinsurance or Copayments will be required for such [Member] for the rest of the [Calendar] [Plan] Year. In the case of coverage which is other than single coverage, for a Covered Family, the [Tier 1] Maximum Out of Pocket is the annual maximum dollar amount that members of a covered family must pay as [Tier 1] per Covered Family Cash Deductible plus Coinsurance and Copayments for all covered services and supplies in a [Calendar] [Plan] Year. Once the [Tier 1] per Covered Family Maximum Out of Pocket has been met during a [Calendar] [Plan] Year, no further [Tier 1] Deductible or Coinsurance or Copayment will be required for [Members] of the covered family for the rest of the [Calendar] [Plan] Year. For Other than Single Coverage: [Tier 2] In the case of coverage which is other than single coverage, for a [Member], the [Tier 2] per [Member] Maximum Out of Pocket is the annual maximum dollar amount that a [Member] must pay as [Tier 2] per Covered Family Cash Deductible plus Coinsurance and Copayments for all covered services and supplies in a [Calendar] [Plan] Year. Once the [Tier 2] per [Member] Maximum Out of Pocket has been met during a [Calendar] [Plan] Year, no further [Tier 2] Deductible or Coinsurance or Copayments will be required for such [Member] for the rest of ...
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Examples of For Single Coverage Only in a sentence

  • For Single Coverage Only: [Tier 1] Each [Calendar] [Plan] Year, a [Member] must have Covered Charges that exceed the [Tier 1] per [Member] Cash Deductible before We pay any benefits to the [Member] for those charges.

  • For Single Coverage Only: [Tier 1] In the case of single coverage, for a [Member], the [Tier 1] Maximum Out of Pocket is the annual maximum dollar amount that a [Member] must pay as per [Member] Cash Deductible plus Coinsurance and Copayments for all covered services and supplies in a [Calendar] [Plan] Year.

  • For Single Coverage Only: [Tier 2] Each [Calendar] [Plan] Year, a [Member] must have Covered Charges that exceed the [Tier 2] per [Member] Cash Deductible before We pay any benefits to a [Member] for those charges.

Related to For Single Coverage Only

  • Lot coverage means the percentage of lot area covered by all buildings on the lot;

  • Health insurance coverage means benefits consisting of medical care (provided directly, through

  • Insurance Cover means the aggregate of the maximum sums insured under the insurance taken out by the Contractor pursuant to Article 20, and includes all insurances required to be taken out by the Contractor under Clauses 20.1 and 20.9 but not actually taken, and when used in the context of any act or event, it shall mean the aggregate of the maximum sums insured and payable or deemed to be insured and payable in relation to such act or event;