Aggregating Specific Deductible Definition - Law Insider

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Aggregating Specific Deductible definitionAggregating Specific Deductible means a deductible, in addition to the specific Attachment Point, that must be satisfied during the Policy Period before Amounts Billed are reimbursable under this Policy.View SourceBased on 5 documents5Microsoft® Word Add-inDraft with AIsparksSplit ViewAI-Powered Contracts

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Get StartedBook a DemoAggregating Specific Deductible. A deductible applied in addition to the Specific Deductible. At the start of the Contract Period, Eligible Claims Payments in excess of the Specific Deductible for each Covered Person who has met the Specific Deductible will be added together until the cumulative total equals the Aggregating Specific Deductible amount shown in the Schedule. A Specific excess reimbursement is not paid until the Aggregating Specific Deductible has been satisfied. Claim(s): Payments made in connection with services, supplies, and health care service provider’s management of such services and supplies as it relates to benefits covered under Contract Holder’s Employee Benefit Plan that is administered by Horizon BCBSNJ under an Administrative Services Agreement. Such expenses are limited to fee-for-service payments.View SourceBased on 1 documents1Microsoft® Word Add-inDraft with AIsparks

Examples of Aggregating Specific Deductible in a sentence

  • If the Policyholder fails to pay claims within the 60-day time limit, that claim will not count towards the satisfaction of either the Annual Aggregate Deductible or the Specific Deductible or Aggregating Specific Deductible be reimbursed under this Contract.

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